Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Prim Care Diabetes. 2021 Feb;15(1):10-15. doi: 10.1016/j.pcd.2020.07.001. Epub 2020 Jul 11.
To assess the awareness about COVID-19 and the problems being faced by young adults with T1DM amid nationwide lockdown in India.
A cross-sectional telephone-based qualitative interview study was conducted in young adults (aged 18-30 years) with T1DM amid lockdown. Following verbal consent, participants were asked 8 open-ended questions, 5 on awareness about COVID-19 and 3 catering to problems being faced concerning diet, physical activity and treatment amid lockdown. On average, 3 interviews were conducted per day with each lasting for 15-20 min. Interviews were recorded, transcribed and analyzed by qualitative content analysis.
Thirty-two participants were interviewed; after exclusion of two poorly recorded interviews, 30 were finally analyzed. Mean age of participants was 22.4 ± 4.0 years (M:F = 8:7). Only 30%, 40% and 53% of participants were aware of modes of transmission (respiratory droplets and fomites), cardinal symptoms (fever, cough and breathing difficulty) and means of prevention (staying indoors, social distancing and regular hand washing), respectively. Majority of participants were unaware of additional risks associated with COVID-19 in diabetes mellitus. Most participants could continue with their routine diet and prescribed treatment regime, however, 90% reported a reduction in physical activity and 72% experienced worsening of glycemic control amid lockdown.
Young adults with T1DM lack adequate awareness about COVID-19. Increasing awareness and imparting diabetes self-management education via digital/print media is needed.
评估印度全国封锁期间，青少年 1 型糖尿病患者对 COVID-19 的认识以及面临的问题。
在封锁期间，对青少年 1 型糖尿病患者（年龄在 18-30 岁之间）进行了一项基于电话的横断面定性访谈研究。在获得口头同意后，参与者被问到 8 个开放式问题，其中 5 个是关于对 COVID-19 的认识，3 个是关于饮食、体力活动和治疗方面面临的问题。平均每天进行 3 次访谈，每次持续 15-20 分钟。访谈被记录、转录并进行定性内容分析。
共访谈了 32 名参与者；排除了 2 个录音质量较差的访谈后，最终分析了 30 个访谈。参与者的平均年龄为 22.4 ± 4.0 岁（男：女=8：7）。只有 30%、40%和 53%的参与者分别意识到（呼吸道飞沫和接触传播）、主要症状（发热、咳嗽和呼吸困难）和预防措施（待在室内、保持社交距离和经常洗手）。大多数参与者不知道 COVID-19 与糖尿病相关的额外风险。大多数参与者能够继续进行常规饮食和规定的治疗方案，但 90%的人报告说体力活动减少，72%的人在封锁期间血糖控制恶化。
青少年 1 型糖尿病患者对 COVID-19 的认识不足。需要通过数字/印刷媒体增加对 COVID-19 的认识并进行糖尿病自我管理教育。
