Search In this Thesis
   Search In this Thesis  
العنوان
Impact of Parental Knowledge and Coping Strategies on Glycemic Control of Diabetic Children in Ain Shams University Hospital, 2018 /
المؤلف
Khallaf, Nabila Mohammed Raouf.
هيئة الاعداد
باحث / نبيله محمد رؤوف خلاف
مشرف / أستاذ دكتور/ فاطمه عبد السلام مكي
مشرف / أستاذ مساعد دكتور/ ايه مصطفي كمال الدين
مشرف / دكتور/ ايات فاروق منظور
تاريخ النشر
2019.
عدد الصفحات
196 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
ممارسة طب الأسرة
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - طب المجتمع - قسم طب المجتمع والبيئة والصناعات
الفهرس
Only 14 pages are availabe for public view

from 214

from 214

Abstract

T
ype 1 diabetes trends in Egyptian children have been increased in the past two decades. The diagnosis of a child with type 1 diabetes is a great challenge for parents especially when the child isn’t developmentally able to manage the disease independently. Glycemic control of the child is multifactorial process and affected by many factors. Diabetes-specific knowledge of the parents is an important factor in proper management of diabetes in their children. Also, the parental coping strategies have a significant implication on the glycemic control of the child.
The aim of this study was to: a) determine knowledge level of parents of diabetic children. b) measure diabetes-related stress and identify different coping strategies of the parents in response to their children’s illness. c) determine the effect of the level of parents’ diabetes specific knowledge, their stress score, and their coping strategy on glycemic control of their diabetic children.
A cross sectional study was conducted in the outpatient clinic for diabetic children at Ain shams University hospital between February and August, 2018 in Cairo, Egypt. Systematic random sample of 104 parents of diabetic children aged between 2 to 14 years was taken. Diabetes-specific knowledge was measured by Diabetes Knowledge questionnaire-24.Stress and coping strategies were measured by the Ways of coping questionnaire. HbA1c levels were obtained from medical records.
Study results revealed that the mean age of the studied children was 8.3±2.7 years, more than half (55.8%) of the children were females. Their mean age when they were first diagnosed was 5.1±2.7 years. The majority of them (80%) were hospitalized 5 times or less. Sixty percent of them had poor glycemic control and only 15.4 % of them had optimal levels of HbA1c.The mean of HbA1c was 9.8 %±2.3%. Approximately sixty percent of mothers and 70% of fathers received education above secondary degree. As regards family income, more than half of the families (53%) had income above 2000 Egyptian pounds per month.
According to parents’ total knowledge scores, 61.5% of them had good knowledge. Most of parents (84%) answered correctly the questions about the role of exercise in managing diabetes category. Poor diabetes-related knowledge about cause of diabetes and symptoms of complications of uncontrolled diabetes was recorded among the parents. Only 25% and 22% of them were able to give correct answers about these categories respectively.
As regards stress levels of the parents, the current study showed that 45.2% of them had high levels of stress, while only 18.3% had low levels of stress. According to the current study, there is no statistically significant relation between knowledge level, stress level and HbA1c levels.
The most common adopted coping strategies by the mothers were acceptance of disease, emotional arousal and avoidance with relative scores (71.6%, 69.3% and 68.8%) respectively. While, the least adopted coping strategies were involuntary disengagement (Inaction, cognitive inference and emotional numbing) with relative scores (29.4%, 29% and 27.3%) respectively.
HbA1c in the studied children is it is negatively correlated with cognitive restructure, positive thinking, acceptance and wishful thinking.
Recommendations include implementation of regular health education sessions for parents to raise awareness and to instruct them about the proper way to manage diabetes, increase their knowledge about its possible complications, and to help them to find a way to lower their stress.