BACKGROUND Caring for a child with Type 1 Diabetes (T1D) pose a significant burden on parents especially when they struggle with their child's T1D management. The experience of not coping or struggling to cope increases the level of stress in parents, which may adversely affect their child's diabetic control (Al Dubayee et al, Horm Res Paediatr 88:2019). In this study, we assessed the level of stress parents experience in caring for a child diagnosed with T1D in four different domains. METHODS This was a cross-sectional study conducted in two specialized diabetic centers in Riyadh, Saudi Arabia, from February to May 2015 (Al Dubayee et al, Horm Res Paediatr 88:2019). We used an Arabic translation of the validated Pediatric Inventory for Parents (PIP) questionnaire. The frequency and perceived difficulty of stressful events were rated by interviewing parents caring for children with T1D using two 5-point Likert scales. RESULTS The sample realized as 390 parents. The level of stress increased in separated and unemployed parents. The frequency (mean 64.9/210, SD 7.529) and difficulty (mean 65.3/210, SD 9.448) indices of the parental level of stress were compared with variables possibly associated with stress. Both of the frequency difficulty indices correlated with the marital status, the father's level of education and occupation as well as HbA1c level (P-value < 0.05). In addition, the frequency index correlated with the frequency of hypoglycemia and the difficulty index correlated with the number of children in the family (P-value < 0.05). CONCLUSION Parents of children with T1D in Riyadh experience a significant level of stress that may affect the child's glycemic control (Al Dubayee et al, Horm Res Paediatr 88:2019). Assessing the level of stress and providing support for these families has the potential to improve the clinical outcome.

中文翻译：

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父母在利雅得管理被诊断为1型糖尿病的儿童时的压力水平：一项横断面研究。

背景技术照顾患有1型糖尿病（T1D）的孩子给父母带来了很大的负担，尤其是当父母在与孩子的T1D管理上挣扎时。不应对或努力应对的经历会增加父母的压力水平，这可能会对孩子的糖尿病控制产生不利影响（Al Dubayee等人，Horm Res Paediatr 88：2019）。在这项研究中，我们在四个不同的方面评估了父母照顾被诊断患有T1D的孩子的压力水平。方法这是一项于2015年2月至5月在沙特阿拉伯利雅得的两个专业糖尿病中心进行的横断面研究（Al Dubayee等人，Horm Res Paediatr 88：2019）。我们使用经过验证的父母儿科学量表（PIP）问卷的阿拉伯语翻译。压力事件的发生频率和感知难度通过使用两个5点Likert量表采访父母照顾T1D儿童的方式进行评估。结果该样本实现了390位父母。父母分居和失业的压力加剧。将父母的压力水平的频率（平均64.9 / 210，SD 7.529）和难度（平均65.3 / 210，SD 9.448）指数与可能与压力相关的变量进行比较。这两个频率困难指数均与婚姻状况，父亲的受教育程度和职业水平以及HbA1c水平相关（P值<0.05）。此外，频率指数与低血糖发生率相关，而难度指数与家庭中的儿童人数相关（P值<0.05）。结论利雅得患有T1D患儿的父母承受着很大的压力，可能会影响孩子的血糖控制（Al Dubayee等人，Horm Res Paediatr 88：2019）。评估压力水平并为这些家庭提供支持有可能改善临床结果。