POSSIBILITIES OF ACQUIRING COMPETENCIES IN DISEASE MANAGEMENT OF CHILDREN WITH DIABETES MELLITUS

Authors

  • Indre Čergelytė – Podgrušienė Doctoral student of Social Sciences (Education), Mykolas Romeris University, Institute of Educational Sciences. Research areas: health skills, health protection, patient educology. (LT)
  • Vida Gudžinskienė Doctor of Social Sciences (Education), Mykolas Romeris University, Institute of Educational Sciences and Social Work, Professor. Research areas: modelling of educational process, (self-) development of life skills, health protection, promotion and (sel (LT)

DOI:

https://doi.org/10.17770/sie2020vol6.5037

Keywords:

children, competences, Diabetes Mellitus (diabetes), disease management

Abstract

Diabetes Mellitus is a chronic disease that occurs as a metabolic disorder. Children often have type 1 diabetes, which occurs when pancreas produces very little or no insulin. Type 1 diabetes may negatively affect the normal lifestyle of a child, as well as his/her development, learning results and growth. It is emphasised that it is important for a child to adjust insulin doses based on the consumed food, physical workload and mental strain; therefore, in this case, the child must be aware of diabetes in order to achieve the most optimal health. The subject-matter of research is the opportunities of children with Diabetes Mellitus to acquire competences for the management of their disease. The aim of research is to disclose how children with diabetes acquire competences for the management of their disease and what opportunities they have for such acquisition. The objectives of research are as follows: 1) to discuss what kind of trainings are being provided to children with diabetes in Europe and Lithuania; 2) to disclose which competences help children with diabetes to manage their disease the most based on their experience. Methods of research – theoretical, such as analysis, generalisation and structuring of scientific literature; empirical, such as semi-structured interview used to collect data; and content analysis method used to analyse the obtained research data. 6 children with Diabetes Mellitus participated in this research. The age of the research participants ranged from 10 to 13 years. During the empirical research, it was disclosed that the most important competences of children with diabetes, allowing/enabling them to manage their disease consist of the correct injection of insulin, proper consumption of food and their abilities to manage hypoglycaemia and hyperglycaemia.

 

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References

American Diabetes association. (2018). Statistics about diabetes. Diabetes care, 22, 1 – 5.

Batulevičienė, V., Gaidimauskaitė, S., & Batulevičius, D. (2013). Diabetes mellitus is an endocrinological disease that leads to cardiovascular disorders and functional disturbances of various organ systems. Health sciences, 23(4), 5 – 7.

Bartkevičiūtė, B., Venskaitytė, E., Samėnienė, J., & Blaževičienė, A. (2015). Patient – centered diabetes care. Health sciences, 25(3), 77 – 86.

Bareiro, C.S., Rigual, M.R., Lozano, G.B., Lopez-Siguero, J.P., Pelegrin, B.G., Rodrigo Val, M.P., & Compes Dea, M.L. (2014). Epidemiology of type 1 diabetes mellitus in children in Spain. Anales de Pediatria, 81(3), 189 – 191.

Bulikaitė, V., & Šeškevičius, A. (2004). Ligos trukmės reikšmė 1 tipo cukriniu diabetu sergančių vaikų mokymui ir savipriežiūros įgūdžių formavimui. Health sciences, 14, 6 – 9.

Beran, D., & Golay, A. (2017). Initial versus ongoing education: Perspectives of people with type 1 diabetes in 13 countries. Patient education and counseling, 100(5), 1012 – 1018.

Ceriello, A., Monnier, L., & Owens, D. (2019). Glycaemic variability in diabetes: clinical and therapeutic implications. Diabetes &endocrinology, 7(3), 221 – 230.

Dinneen, S.F, O‘Hara, M.C, Byrne, M., Newell, J., Daly, L., O‘Shea, D., & Smith, D. (2009). The Irish DAFNE Study Protocol: A cluster randomised trial of group versus individual follow-up after structured education for Type 1 diabetes. Trials, 23(10), 2 – 8.

Dorresteijn, J.A, Kriegsman, D.M, Asssendelft, W. J., & Valk, G.D. (2012). Patient education for preventing diabetic foot ulceration. The Cochrane Library, 17(10), 1 – 47.

Dobrovolskienė, R. (2008). 1 tipo cukriniu diabetu sergančių vaikų ligos kontrolės ypatumai. Vilnius: Medicinos fakultetas.

Forlenza, G.P, Pinhas-Hamiel, O., & Liljenquist, D. R. (2019). Safety Evaluation of the MiniMed 670G System in Children 7–13 Years of Age with Type 1 Diabetes. Diabetes tehnology and therapeutics, 21(1), 11 – 19.

Geremia, C., Fornari, A., & Tshiedel, B. ( 2019). Comparison of the effect of a compact vs a conventional, long‐term education program on metabolic control in children and adolescents with type 1 diabetes: A pilot, randomized clinical trial. Pediatrics diabetes, 20(4), 778 – 784.

Goethals, E.R, Oris, L., Soenens, B., Berg, C.A., Prikken, S., Van Broeck, N., Weets, I., Casteels, K., & Luyckx, K. (2017). Parenting and Treatment Adherence in Type 1 Diabetes Throughout Adolescence and Emerging Adulthood. Pediatric Psychology, 42(9), 922 – 932.

Goldberg, R.B., Aroda, V.R., Bluemke, D.A., Barrett-Connor, E., Budoff, M., Crandall, J.P., & Dabelea, D. (2017). Effect of Long-Term Metformin and Lifestyle in the Diabetes Prevention Program and Its Outcome Study on Coronary Artery Calcium. Circulation, 136(1), 52 – 64.

Hawkes, C.P., Willi, S.M., & Murphy, K. M.( 2019). A structured 1‐year education program for children with newly diagnosed type 1 diabetes improves early glycemic control. Pediatric diabetes, 20, 460 – 467.

Hendrieckx, C., Gonder – Frederick, L.A., Heller, S.R., Snoek, F.J., & Speigth, J. (2019). How has psycho‐behavioural research advanced our understanding of hypoglycaemia in type 1 diabetes? Diabetic medicine, 4, 1 – 9.

International Diabetes Federation. (2019). IDF Diabetes atlas (nin edition). Brussels:Belgium.

Lambrinou, E., Hansen, T.B., & Beulens, W.J., (2019). Lifestyle factors, self-management and patient empowerment in diabetes care. Sage journal, 26(25), 55 – 63.

Lovell N. (2012). The „SKIP“ course: A programme for children and young people with diabetes. Journal of diabetes nursing, 16(6), 247 – 252.

LaManna, J., Litchman, M.L., Dickinson, J.K., Todd, A., Julius, M.M., Whitehouse, C.R., Hyer, S., & Kavookijian, J. (2019). Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature. The diabetes educator, 45(4), 349 – 369.

Mayring, P. (2000). Retirement as crisis or good fortune? Results of a quantitative-qualitative longitudinal study. Gerontol geriat, 33, 124 – 133.

Mauri, A., Schmidt, S., Sosero, V. Sambataro, M., Nollino, R., Fabris, F., Coro, A., Scatramburlo, A., Cazziola – Merlotto, M., Ciani, T., Tessarin, M., & Paccagnella, A. (2017). A structured therapeutic education program for children and adolescents with type 1 diabetes: an analysis of the efficacy of the “Pediatric Education for Diabetes” project. Minerva pediatrica, 3(38), 21 – 24.

Melvin, A., Redahan, L., Hatunic, M. & McQuaid, S.E. (2019). Microvascular diabetes complications in a specialist young adult diabetes service. Journal of medical science, 188(1), 129 – 134.

Rica, I., Mingorance, A., Gomez-Gila, A.L., Clemente, M., Gonzalez, I., Caimari, M., Garcia-Cuartero, B., & Barrio, R. (2017). Achievement of metabolic control among children and adolescents with type 1 diabetes in Spain. Acta Diabetologica, 54, 677 – 683.

Sudhanshu, S., Nair, V.V., Godbole, T., & Reddy, B .(2019). Glycemic Control and Long-term Complications in Pediatric Onset Type 1 Diabetes Mellitus: A Single-center Experience from Northern India. Indian pediatrics, 15, 191 – 195.

Swift, P., Cullen, K., & Knowles J. (2009). Diabetes education in children and adolescents. Pediatric diabetes, 10(12), 51 – 57.

Thomson, R., Adams, L., Anderson, J. Maftei, O., Couper, J., Giles, L., & Pena, A.S. (2019). Australian children with type 1 diabetes consume high sodium and high saturated fat diets: Comparison with national and international guidelines. Journals of paedetrics and child health, 55, 1188 – 1193.

Žydžiūnaitė, V., & Sabaliauskas, S. (2017). Kokybiniai tyrimai – principai ir metodai. Vilnius:Vaga.

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Published

2020-05-20

How to Cite

Čergelytė – Podgrušienė, I., & Gudžinskienė, V. (2020). POSSIBILITIES OF ACQUIRING COMPETENCIES IN DISEASE MANAGEMENT OF CHILDREN WITH DIABETES MELLITUS. SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference, 6, 171-180. https://doi.org/10.17770/sie2020vol6.5037