1型糖尿病和社会心理干预改善生活质量

Sarah Amalia
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摘要

1型糖尿病是儿童最常见的慢性内分泌疾病。印度尼西亚儿科协会(IDAI)的数据表明,0-18岁儿童的糖尿病发病率在10年间增加了700%。治疗包括饮食、体育活动、胰岛素治疗和适当的自我控制。习惯和生活方式的必要改变可能导致社会心理问题,包括焦虑、抑郁和饮食失调。随后,儿童或青少年和他或她的家庭团体可能进入新的平衡,其特点是良好的自我控制和坚持治疗,或加深个人和团体的障碍,可能再次出现,特别是在青春期。1型糖尿病的综合治疗需要通过包括医疗和社会心理专业人员在内的多学科小组解决这些问题。本文综述了1型糖尿病对儿童、青少年及其家庭心理社会影响的主要方面。大量的行为科学研究表明,心理社会因素在儿童和成人糖尿病的管理中起着不可或缺的作用。研究还表明,社会心理疗法可以改善治疗方案的依从性、血糖控制、社会心理功能和生活质量。
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Diabetes Mellitus Type-1 and Psychosocial Intervention to Improve Quality of Life
Type 1 diabetes mellitus is the most common chronic endocrine pathology among children. Data from the Indonesian Pediatric Association (IDAI) states that the incidence of DM in children aged 0-18 years has increased by 700% over a period of 10 years. Treatment includes diet, physical activity, insulin medication, and proper self-control. The necessary changes in habits and lifestyles can lead to psychosocial problems, including anxiety, depression and eating disorders. Subsequently, the child or adolescent and his or her family group may move into new balance characterized by good self-control and adherence to treatment, or deepen individual and group disorders which may reappear, especially in adolescence. The comprehensive treatment of type 1 diabetes mellitus requires addressing these aspects through multidisciplinary teams which include medical and psychosocial professionals. This review analyses the main aspects related to the psychosocial impact of diabetes mellitus type 1 among children, adolescents and their families mental. A substantial amount of behavioral science research has demonstrated that psychosocial factors play an integral role in the management of diabetes in both children and adults. Research has also shown how psychosocial therapies that can improve regimen adherence, glycemic control, psychosocial functioning, and quality of life.
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