Quality of life and its influencing factors in children and adolescents with type 1 diabetes in Xinjiang.
10.7499/j.issn.1008-8830.2410080
- Author:
Rui-Ling LEI
1
;
Muzhapaer MAIMAITIABUDULA
;
Yan MA
;
Xia HUANG
;
Rui CAO
;
Yun CHEN
;
Jia GUO
Author Information
1. Nursing College, Xinjiang Medical University, Urumqi 830017, China.
- Publication Type:Journal Article
- Keywords:
Adolescent;
Child;
Influencing factor;
Quality of life;
Type 1 diabetes
- MeSH:
Humans;
Quality of Life;
Diabetes Mellitus, Type 1/psychology*;
Adolescent;
Child;
Male;
Female;
Caregivers/psychology*;
Child, Preschool;
Linear Models
- From:
Chinese Journal of Contemporary Pediatrics
2025;27(7):815-821
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To investigate the current status and influencing factors of quality of life in children and adolescents with type 1 diabetes (T1DM) in Xinjiang.
METHODS:A convenience sampling method was used to select 259 children with T1DM and their primary caregivers who attended three tertiary hospitals in Xinjiang from January 2023 to February 2024. The Pediatric Quality of Life InventoryTM Version 4.0 Generic Core Scales (PedsQLTM4.0) and Pediatric Quality of Life InventoryTM Version 3.2 Diabetes Module (PedsQLTM3.2-DM) were used to assess the quality of life of the children. Information on family demographics, caregiver burden, and caregiving ability was also collected. Multiple linear regression analysis was employed to identify factors associated with the quality of life of the children.
RESULTS:The scores for PedsQLTM4.0 and PedsQLTM3.2-DM were 77±16 and 71±16, respectively. Both were negatively correlated with caregiver burden (P<0.05) and positively correlated with caregiving ability (P<0.05). Multiple linear regression analysis indicated that caregiver burden, caregiving ability, family income, and parent-child relationship were significantly associated with generic quality of life (P<0.05), whereas caregiver burden, caregiving ability, disease duration, place of residence, and glycated hemoglobin level were significantly associated with diabetes-specific quality of life (P<0.05).
CONCLUSIONS:The overall quality of life of children and adolescents with T1DM in Xinjiang is relatively low. The quality of life is influenced by a combination of factors including family caregiver burden, caregiving ability, family income, parent-child relationship, disease duration, place of residence, and glycated hemoglobin level. Strategies to improve quality of life should consider the combined impact of individual disease characteristics and family factors.
