Influencia de la infusión contínua de insulina subcutánea en el control de la diabetes tipo 1 en niños

  1. Mercader Albaladejo, Beatriz 1
  2. Blanco Soto, Maria Vicenta 2
  3. Roldán Chicano, María Teresa 2
  4. Rodríguez Tello, Javier 2
  1. 1 Servicio Murciano de Salud
  2. 2 HGU Santa Lucía. Cartagena. Murcia
Revista:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Ano de publicación: 2018

Volume: 17

Número: 1

Páxinas: 68-81

Tipo: Artigo

DOI: 10.6018/EGLOBAL.17.1.268361 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

Outras publicacións en: Enfermería global: revista electrónica trimestral de enfermería

Obxectivos de Desenvolvemento Sustentable

Resumo

Diabetes mellitus type 1 is the most frequent endocrinological chronic disease during childhood. Self-care and the knowledge about this disease are the facts that are directly related to the reduction of health costs as well as the improvement of the life quality. The continuous subcutaneous insulin infusion pump (CSII) emulates the normal physiology and eliminates the need of continuous injections, remaining to determinate if this treatment contributes positively to the self-control of the diabetes.Didactic Materials and Methods: Retrospective cohort study. The data collection is made by a survey based on the NOC’s “Conocimiento: control de la diabetes” (Knowledge: diabetes control) and “Autocontrol diabetes” (Diabetes self-care) of all the children with continuous subcutaneous insulin infusion pump (CSII) at the health area number 2 from the Region of Murcia, as well as to their homologous with multiple injection. To draw the results, the statistic program SPSS v21, was the one used.Results: The study subjects have an average age of 11 years, being the 60% male and 40% female. Statistical significance was not obtained concerning to the level of knowledge, self-control and HbA1c values between the exposed group (CSII) and nonexposed group (multiple injection), except for the diet monitoring, where there was obtained a connection with the CSII treatment  (p=0.037). The age was also related to a knowledge increasement (p=0.001).Conclusion: Households units with children under 7 years with multiple injections should have a more intense training in order to reduce the anxiety and doubts of the parents.

Referencias bibliográficas

  • 1. Giralt-Muiña P, Ballester-Herrera MJ, Palomo-Atance E, Angulo Donado JJ, Sánchez G, Santillana-Ferrer L. Estudio epidemiológico de la diabetes tipo 1, en menores de 15 años en Castilla-La Mancha. An Pediatr. 2012;76:83-91 Vol. 76 Núm.2
  • 2. Ruiz-Ramos M, Escolar-Pujolar A, Mayoral-Sánchez E, Corral-San Laureano F, Fernández-Fernández I. La diabetes mellitus en España: mortalidad, prevalencia, incidencia, costes económicos y desigualdades. Consejería de Salud de la Junta de Andalucía. Sevilla. España. Hospital Universitario Puerta del Mar. Cádiz. España. Plan Integral de Diabetes. 2006.
  • 3. World Health Organization. Global Health Estimates: Deaths by Cause, Age, Sex and Country, 2000-2012. Geneva, WHO, 2014.
  • 4. Fornos JA, Patricia-García G, Fernández M, González-Añón D, Floro A, Andrés JC. Evaluación del conocimiento, el cumplimiento y la satisfacción del tratamiento en pacientes diabéticos en la oficina de farmacia. Av Diabetol. 2008; 24(5): 399-406
  • 5. Navarrete-Cabrera J, Carvajal-Martínez F, Díaz-Díaz O, Domínguez-Alonso E, Cabrera-Benítez E, Villamil-Menéndez Y. Caracterización clínica y epidemiológica de los pacientes menores de 15 años de edad con diabetes mellitus tipo 1. Rev Cubana Endocrinol [revista en la Internet]. 2012 Abr [acceso 24 de febrero de 2016] ; 23(1): 30-43. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 29532012000100003&lng=es
  • 6. Misso ML, Egberts KJ, Page M, O'Connor D, Shaw J. Infusión continua de insulina subcutánea (ICIS) versus inyecciones múltiples de insulina para la diabetes mellitus tipo 1 (Revision Cochrane traducida). En: Biblioteca Cochrane Plus 2010 Número 1. Oxford: Update Software Ltd. (Traducida de The Cochrane Library, 2010 Issue 1 Art no. CD005103. Chichester, UK: John Wiley & Sons, Ltd.) [acceso 24 de mayo de 2016] Disponible en: ttp://www.cochrane.org/es/CD005103/infusion-continua-de-insulinasubcutanea-icis-versus-inyecciones-multiples-de-insulina-para-la
  • 7. ToBwiNska J, BowiNska-Olszewska B-G, Bossowski A. Insulin Therapy with Personal Insulin Pumps and Early Angiopathy in Children with Type 1 Diabetes Mellitus. Hindawi Publishing Corporation Mediators of Inflammation. [serie en internet] 2013, 791283 [acceso 14 de abril de 2016]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24347835
  • 8. B Olsen, J Johannesen, S Fredheim, J Svensson and The Danish Society for Childhood and Adolescent Diabetes. Insulin pump treatment; increasing prevalence, and predictors for better metabolic outcome in Danish children and adolescents with type 1 diabetes. Pediatric Diabetes [serie en internet] 2014: 15: 564–572 [acceso 15 de abril de 2016]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25082292
  • 9. Sherr JL, Hermann JM, Campbell F, Foster NC, Hofer SE, Allgrove J. Use of insulin pump therapy in children and adolescents with type 1 diabetes and its impact on metabolic control: comparison of results from three large, transatlantic paediatric registries. Diabetologia [serie en internet] 2016 Jan;59(1):87-91 [acceso 7 de mayo de 2016].
  • 10. Giani E, Scaramuzza AE, Zuccotti GV. Impact of new technologies on diabetes care. World J Diabetes. [serie en internet] 2015 July 25; 6(8): 999-1004, [acceso 23 de junio de 2016]. Disponible en: http:/ /www.ncbi.nlm.nih.gov/pmc/articles/PMC4515449/
  • 11. Baquedano I, Santos MA, Martins A, Zanetti ML. Autocuidado de personas con diabetes mellitus atendidas en un servicio de urgencia en México. Rev. Latino-Am. enfermagem [serie en internet] 2010. dec [cited 2016 feb 24] ; 18( 6 ): 1195- 1202. disponible en: http://www.scielo.br/pdf/rlae/v18n6/es_21.pdf
  • 12. Orem. D. E. Nursing: Concepts of Practice, 2DA. NY: Mc Graw HilL; 1988
  • 13. U.S. Department of Health and Human Services. 2000Healthy People 2010. Washington, DCU.S. Government Printing OfficeOriginally developed for Ratzan SC, Parker RM. 2000Introduction. National Library of Medicine Current Bibliographies in Medicine: Health Literacy. Selden CR, Zorn M, Ratzan SC, Parker RM. Bethesda, MDNational Institutes of Health, U.S. Department of Health and Human ServicesNLM Pub. No. CBM 2000-1 [acceso 9 Febrero 2016] Disponible en: http://www.health.gov/communication/literacy/quickguide/factsbasic.htm#one
  • 14. Pulgarón ER, Sanders LM, Patiño-Fernandez AM, Wile D, Sanchez J, Rothman RL, et al. Glycemic control in young children with diabetes: the role of parental health literacy. Patient Educ Couns [serie en internet] 2014;94(1):67-70. [acceso 15 de abril de 2016]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24091252
  • 15. Burns N, Grove SK. Investigación en enfermería. 3ª Edición. Madrid: Elselvier, 2005. p. 181-184
  • 16. González-Fernández P, Álvarez-González MA, Cabrera-Rode E, Bejerano-Reyes CJ, López-Madelaime A. Characterization of the metabolic control in children and adolescents with type I diabetes mellitus. Rev Cubana Endocrinol [serie en Internet]. 2012 Jun 05 ; 23( 2 ): 117-127. [acceso 1 de abril de 2016]. Disponible en: http://scielo.sld.cu/pdf/end/v23n2/end02212.pdf
  • 17. Jaacks LM, Liu W, Ji L, Mendez M, Du S, Crandell J, et al. Education and psychological issues Diabetes nutrition therapy and dietary intake among individuals with Type 1 diabetes in China. Diabet Med. [serie en internet] marzo de 2015; 32(3):399-406. [acceso 1 de junio de 2016]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4329062/
Fonte de datos: Dialnet