Title: The influence of the psycho-biological factors on the level of knowledge and skills concerning the diabetes in children and adolescents with type 1 diabetes mellitus
- Iwona Pietrzak, Jerzy Bodalski
- Original articles
- Pediatric Endocrinology, Diabetes and Metabolism
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- Final page:
- type 1 diabetes mellitus, education, evaluation, psycho-biological factors
The aim of the study was to evaluate the influence of the psycho-biological factors on the level of knowledge andskills concerning the diabetes in children and adolescents with type 1 diabetes mellitus. The study was performedin 100 patients aged 12-18 years with diabetes duration 1-13 years. Diabetes knowledge was assessedby using a 29 item diabetes knowledge test. Then practical abilities concerning self-control were estimated. Theanalysis of psycho-biological qualities of patients included age, sex, duration of the disease, age at onset of diabetes,education, intellectual abilities level (Ravenís Standard Matryc Test) and general condition of the patient(HbA1c, occurrence of severe hypoglycaemia, co-occurrence of other chronic diseases). The best results ofwritten and practical tests were obtained by patients at the age of 15 or more. The lowest evaluation of knowledgeand practical ability was obtained by children at the age of 12-13. Practical ability level was statisticallysignificantly higher in patients suffering for 1-2 years than in the remaining of the examined persons. Childrenwho fell ill at the age of 0.5-6 years presented a statistically significantly lower level of knowledge in their selfcontrolthan patients who fell ill after 11 years of age. Theoretical and practical training degree in diabetes selfcontrolshowed a positive correlation with the education level of the subjects. A positive correlation between thetest results and intellectual abilities of the subjects was observed within the examined group. The level of patientsíhealth education positively correlates with their age, formal education and intelligence. Health education of childrenand adolescents with type 1 diabetes mellitus should be individualised and adapted to their particular qualities.