Diabetic Ketoacidosis In Children With Type 1 Diabetes: Behavioral Patterns And Clinical Manifestation As Predictive Factors
DOI:
https://doi.org/10.55018/janh.v5i2.131Keywords:
Diabetic Ketoacidosis, Behavioral Patterns, Predictive Factors, Diabetes.Abstract
Background: Type 1 Diabetes Mellitus (DM type 1) is occasionally becoming more common in Indonesia. According to the Indonesian Pediatrician Association (IDAI), as many as 1220 children in Indonesia had kind 1 DM in 2018. Lack of family education on type 1 DM might be fatal for sufferers. Diabetic ketoacidosis is one of the most prevalent side effects (DKA). Children can die if they do not receive care promptly. This study aims to detect behavioral trends and clinical manifestations in kids with type 1 diabetes to forecast the likelihood of developing DKA.
Methods: A qualitative phenomenology-based research design was adopted for this study. Unstructured interviews were used to gather the data, which was analyzed using the Van Manen method. Twenty-four participants are selected by saturation when all participant's answers are similar. All data was collected by recording on devices for 45-60 minutes to interview each participant.
Results: The findings revealed that the individuals' eating habits included consuming sugary drinks, buying prohibited items away from the house without their parent's knowledge, and eating portions that increased over time. Weight loss, frequent drinking, shortness of breath, and diminished consciousness are clinical symptoms.
Conclusion: The sooner the patient receives assistance to prevent his condition from worsening, the sooner the symptoms and behavioral abnormalities can be recognized
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References
Amananda, A. (2017). Adolph Kussmaul. Ebers Papyrus: Jurnal Kesehatan Dan Kedokteran, 15(2).
Febrianto, D., & Hindariati, E. (2021). Tata Laksana Ketoasidosis Diabetik pada Penderita Gagal Jantung. Jurnal Penyakit Dalam Indonesia, 8(1), 46. https://doi.org/10.7454/jpdi.v8i1.273
Fitria Nusantara, A., Kusyairi, A., & Hafshawaty Pesantren Zainul Hasan, S. (2019). PRE KLINIS DAN ONSITE KETOASIDOSIS DIABETIK PADA ANAK DENGAN DIABETES MELITUS TIPE 1. Conference on Research & Community Services, 510–517.
Fitria Nusantara, A., & Kusyairi, A. (2019). SUPPORT SYSTEM KELUARGA DALAM PENCEGAHAN KETOASIDOSIS DIABETIK PADA ANAK DENGAN DM TIPE 1. Jurnal Ilmu Kesehatan, 3(1).
Huang, I. (2016). Tatalaksana Penurunan Kesadaran Pada Penderita Diabetes Mellitus.
Iddi, S., Francis, B., Jaka, H. M., Mirambo, M. M., & Mushi, M. F. (2017). Clinical presentation and precipitating factors of diabetic ketoacidosis among patients admitted to intensive care unit at a tertiary hospital in Mwanza, Tanzania. Tanzania Journal of Health Research, 19(1). https://doi.org/10.4314/thrb.v19i1.6
Manda Sari FF, K. (2009). Pola Regimentasi Natrium Bikarbonat Pada Kasus Asidosis Metabolik Penyakit Ginjal Kronik. RS Rumkital Dr. Ramelan .
Kusyairi, A., & Fitria Nusantara, A. (2020). Behavioral Skill Orang Tua dengan Anak DM Tipe 1 dalam Pencegahan Relapse KAD Paska Pembinaan Berkelanjutan.
Bozzola, E., Spina, G., Agostiniani, R., Barni, S., Russo, R., Scarpato, E., Di Mauro, A., Di Stefano, A. V., Caruso, C., Corsello, G., & Staiano, A. (2022). The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. International Journal of Environmental Research and Public Health, 19(16). https://doi.org/10.3390/ijerph19169960
Große, J., Hornstein, H., Manuwald, U., Kugler, J., Glauche, I., & Rothe, U. (2018). Incidence of Diabetic Ketoacidosis of New-Onset Type 1 Diabetes in Children and Adolescents in Different Countries Correlates with Human Development Index (HDI): An Updated Systematic Review, Meta-Analysis, and Meta-Regression. Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones et Metabolisme, 50(3), 209–222. https://doi.org/10.1055/s-0044-102090
Kimbell, B., Lawton, J., Boughton, C., Hovorka, R., & Rankin, D. (2021). Parents’ experiences caring for a young child with type 1 diabetes: a systematic review and synthesis of qualitative evidence. BMC Pediatrics, 21(1), 160. https://doi.org/10.1186/s12887-021-02569-4
Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2019). Evidence-based practice education for healthcare professions: an expert view. BMJ Evidence-Based Medicine, 24(3), 103 LP – 108. https://doi.org/10.1136/bmjebm-2018-111019
Mishra, M. B., & Mishra, S. (2011). Sugar-Sweetened Beverages: General and Oral Health Hazards in Children and Adolescents. International Journal of Clinical Pediatric Dentistry, 4(2), 119–123. https://doi.org/10.5005/jp-journals-10005-1094
Park, C., Pagnini, F., & Langer, E. (2020). Glucose metabolism responds to perceived sugar intake more than actual sugar intake. Scientific Reports, 10(1), 1–8. https://doi.org/10.1038/s41598-020-72501-w
Sami, W., Ansari, T., Butt, N. S., & Hamid, M. R. A. (2017). Effect of diet on type 2 diabetes mellitus: A review. International Journal of Health Sciences, 11(2), 65–71.
Tong, H.-J., Qiu, F., & Fan, L. (2021). Parents’ experience caring for children with type 1 diabetes in mainland China: A qualitative study. World Journal of Clinical Cases, 9(11), 2478–2486. https://doi.org/10.12998/wjcc.v9.i11.2478
Troncone, A., Chianese, A., Zanfardino, A., Cascella, C., Piscopo, A., Borriello, A., Rollato, S., Casaburo, F., Testa, V., & Iafusco, D. (2020). Disordered eating behaviors in youths with type 1 diabetes during COVID-19 lockdown: an exploratory study. Journal of Eating Disorders, 8(1), 76. https://doi.org/10.1186/s40337-020-00353-w
Rivellese, A. A., Boemi, M., Cavalot, F., Costagliola, L., De Feo, P., Miccoli, R., Patti, L., Trovati, M., Vaccaro, O., & Zavaroni, I. (2008). Dietary habits in type II diabetes mellitus: How is adherence to dietary recommendations? European Journal of Clinical Nutrition, 62(5), 660–664. https://doi.org/10.1038/sj.ejcn.1602755
Rodríguez-Rodríguez, I., Zamora-Izquierdo, M. Á., & Rodríguez, J. V. (2018). Towards an ICT-based platform for type 1 diabetes mellitus management. In Applied Sciences (Switzerland) (Vol. 8, Issue 4). MDPI AG. https://doi.org/10.3390/app8040511
Westerberg, D. P. (2013). Diabetic Ketoacidosis: Evaluation and Treatment (Vol. 87, Issue 5). www.aafp.org/afp
Rizwan Zuhrinah, Uleng Bahrun, & Rulang DN Pakasi R. (2016). INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY. Clinical Pathology and Medical Laboratory, 200–203. http://www.indonesianjournalofclinicalpathology.or.id
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