Nurse-led therapeutic patient education program on glycemic control and emotional wellbeing in adolescents with type 1 diabetes mellitus during hospital transition

IF 1.8 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Endocrinologia Diabetes Y Nutricion Pub Date : 2025-01-01 DOI:10.1016/j.endien.2024.07.004

Pilar Santa Cruz-Álvarez , Carmen Amelia Ruiz-Trillo , Ana Pérez-Morales , Ana Cortés-Lerena , Carmen Gamero-Dorado , Miguel Garrido-Bueno

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引用次数: 0

Abstract

Introduction

The transition of adolescents from pediatric to adult hospitals is a planned and guided process that involves changes in the focus, style, and location of care. During this period, complications are common in those with type 1 diabetes mellitus (T1DM). The objective of this study was to understand the influence of a nurse-led structured therapeutic education program on maintaining glycemic control and emotional wellbeing in these adolescents.

Materials and methods

Monocentric quasi-experimental clinical trial of a single group. SPSS and R-Commander were used for statistical analysis, including Student's t-test, Wilcoxon test, Cohen's d, Rosenthal's r, and multivariate linear regression analysis.

Results

A total of 15 adolescents with a 5-to-17-year history of the disease participated in the study. They had a BMI of 18–26.3 kg/m² and were on basal-bolus therapy. No significant differences were found in glycemic control and emotional wellbeing between baseline values and at 3 months. A significant difference in self-care was observed at 12 months. Family function and eating disorders were positively associated at baseline, 3 months, and 12 months.

Conclusions

The structured therapeutic education program for adolescents with T1DM transitioning from pediatric to adult care maintains glycemic control and emotional wellbeing.

查看原文本刊更多论文

护士主导的1型糖尿病青少年转院期间血糖控制和情绪健康的治疗性患者教育项目。

青少年从儿科医院到成人医院的过渡是一个有计划和有指导的过程，涉及到重点、风格和护理地点的变化。在此期间，并发症在1型糖尿病（T1DM）患者中很常见。本研究的目的是了解护士主导的结构化治疗教育计划对维持这些青少年的血糖控制和情绪健康的影响。材料与方法：单中心单组准实验临床试验。采用SPSS和r - commander进行统计分析，包括Student’st检验、Wilcoxon检验、Cohen’s d、Rosenthal’s r和多元线性回归分析。结果：共有15名有5- 17年疾病史的青少年参与了这项研究。他们的身体质量指数为18-26.3kg/m2，并接受基础丸治疗。基线值和3个月时在血糖控制和情绪健康方面没有显著差异。在12个月时观察到自我护理方面的显着差异。在基线、3个月和12个月时，家庭功能和饮食失调呈正相关。结论：结构化的T1DM青少年治疗教育方案可以维持血糖控制和情绪健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrinologia Diabetes Y Nutricion Multiple-

CiteScore

2.10

自引率

10.50%

发文量

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.