Dynamics of change in the integrated indicators of life quality and dental status of children with chronic somatic pathology at the stages of complex treatment

Abstract

The increase in the incidence of type 1 diabetes mellitus in the child population over the past decades and the lack of adequate control of the disease dictate the advisability of a comprehensive study of the quality of life of this category of patients. Assessment of the quality of life complements a comprehensive medical examination and allows the most complete assessment of the child’s health, to develop rational approaches to therapy and rehabilitation. The quality of life was studied in 119 adolescents with type 1 diabetes mellitus and the duration of the disease from one to twelve years. The control group consisted of 83 practically healthy adolescents, matched by sex and age. We used the PedsQL 4.0 Pediatric Quality of Life Questionnaire for children aged 13 to 18 years: general (Generic Core Scales) and special (Diabetes Module) modules. For non-drug correction of microvascular disorders in the periodontium, in addition to traditional treatment (basal-bolus insulin therapy and symptomatic therapy), magnetic laser therapy and enzyme therapy were prescribed. it was found that the self-assessment of the quality of life of healthy children, as well as those with type 1 diabetes mellitus, exceeds the indicators of the parents’ assessment. When assessing the quality of life in adolescents with type 1 diabetes mellitus, the achievement of target glycemic indicators was noted, which is associated with control by parents, as well as self-discipline and personal manifestations of responsibility? The effectiveness of the proposed schemes of pharmaco-physiotherapeutic action in combination with basic-bolus insulin therapy and symptomatic therapy in children with different experience with type 1 diabetes mellitus has been proven by consistently stable quality of life indicators, especially in the scales «Problems associated with treatment 1» and «Problems associated with treatment 2,».