[Comparison of two therapeutic regimes for diabetes-stricken children. Social and mental resources of the family are often crucial for the prognosis].
In a prospective, randomized intervention study, 36 children with diabetes mellitus type I were followed, the aim being to study if a family psychosocial intervention at diagnosis could improve glycemic control and minimise hospital admissions. The control group was treated initially in a hospital ward, while the whole family of the children in the study group received therapeutic and social support in an out-hospital training apartment. In the study group only, both parents reported a significant improvement of the family climate. An increased risk for poor glycemic control was recorded in children living in one-parent families and in families where the father had a low level of education. Younger age, a single-parent family and poor glycemic control were factors associated with more days of rehospitalization. The divorce rate in the whole group was at least as high as in the normal population but, surprisingly, maternal dysfunction was associated with lower levels of HbA1c. The conclusion is that the social family background is a most important factor for the glycemic control and need for hospital readmission of the diabetic child.
Forsander
G A
GA
Barn- och ungdomsmedicinska kliniken, Falu lasarett. gun.forsander@ltdalarna.se
Sundelin
J
J
D000293:Adolescent; D002648:Child; D002673:Child, Hospitalized / Q000523:psychology / Q000706:statistics & numerical data; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D012944:Social Support; D012959:Socioeconomic Factors
D006442:Glycated Hemoglobin
Två behandlingsregimer vid diabetesdebut hos barn jämförda. Familjens sociala och mentala resurser avgör ofta prognosen.