International Research Journal of Public and Environmental Health
Vol.6 (1),pp. 7-14, January 2019
Available online at https://www.journalissues.org/IRJPEH/
Author(s) retain the copyright of this article. Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution License 4.0 International License.
Original Research Article
Stress management among families of children and adolescents with diabetes mellitus type 1 with physiotherapeutic techniques
Pelagia Tsakona1, Kiriaki Tsiroukidou2, Anastasios Vamvakis2, Maria Papagianni2, Kerasou Anna2,Poimenidis Onoufrios3 and Alexandra Hristara-Papadopoulou*1
1Department of physiotherapy, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece.
2Endocrine unit, 3rd Department of Pediatrics, Aristotle University of Thessaloniki, Hippokrateion General Hospital of Thessaloniki, Greece.
3Physiotherapist MSc, Alexander Technological Educational Institute of Thessaloniki, Greece
*Corresponding Author Email alekpap(at)phys.teithe.gr
Tel: +30 2310445879,+306947371780
Diabetes Mellitus Type 1 (TD1) is an autoimmune disease and concerns the overwhelming majority of children and adolescents with diabetes. It is a chronic illness that disrupts family functioning and causes anxiety for both parents and children by affecting their physical and mental health. The purpose of this study is to evaluate the effectiveness of a physiotherapeutic stress management program (active therapeutic exercise, pressure therapy, diaphragmatic breathing and progressive muscle relaxation) in reducing stress symptoms in children and adolescents with Diabetes Mellitus Type 1 and their parents. This was a pilot, randomized controlled survey that was carried out in C’ pediatric endocrinology clinic of Aristotle University of Thessaloniki at the Hippokrateion General Hospital of Thessaloniki. A total of 107 individuals, an intervention group of 26 children (7 – 17 years old) and 28 parents (n = 54) and a control group of 28 children and 25 parents (n = 53) participated. The measurement tools included the questionnaires STAIC1,2 for children and DASS 21 for parents with a view to assessing the perceived stress, the perception of health, the quality of life and depression. The price of glycosylated hemoglobin and hypoglycemic episodes of children was checked before and after intervention. After 12 weeks of intervention, the trait anxiety of children was reduced about 5.2 units (p = 0.001) and the state anxiety about 4.4 (p = 0.000) Significant difference was not observed in the glycosylated hemoglobin levels between the two groups, but was observed a significant reduction in hypoglycemic episodes of the class (42%, p = 0.028), with an average reduction of 2.25 hypoglycaemic episodes in the children of the intervention group. The symptoms of depression, anxiety and stress in parents of intervention group were significantly reduced about 2.94 units (p = 0.010), 1.89 (p = 0.019), 2.14 (p = 0.048), respectively. The physiotherapy program was associated with changes in the physical and psychological symptoms of children and adolescents with TD1 and their parents. It turned out to have had a positive impact on depression and stress and a significant improvement on their quality of life.
Key words: Diabetes Mellitus Type 1, family, children, adolescents, stress management, physical therapy, physiotherapeutic techniques