Journal de la Faculté de Médecine
Volume 2, Numéro 5, Pages 347-352
2018-12-30
Effet D’un Accompagnement Infirmier Codifié Sur L’équilibre Du Diabète De Type1 De L’adolescent En Déséquilibre Métabolique Persistant.
Auteurs : Zennaki Amel . Touhami Mahmoud . Latroch Charef . Aoui Asma .
Résumé
Abstract Introduction - The objective of this study is to evaluate the contribution of codified nursing support in improving the diabetes control of adolescents with persistent metabolic imbalance. Patients and methods - This randomized controlled trial compared 2 groups of 12-17 year old adolescents with T1D, with HbA1c ≥ 9% and <15%. Group «A» had telephone calls, every 4 weeks by a nurse, alternating with monthly visits supervised medically. Group «B» had consultations every 4 weeks.. Results - We studied 58 adolescents. At the end of the 5-month intervention, there was a decrease of 3.41 points of HbA1c for group A, 2.96 points for group B (p = 0.32); the percentage of patients with an HbA1c level below 7.5% was 62.07% in group A, 37.93% in group B (p = 0.06). After the intervention, HbA1c re-ascended for groups A and B. Conclusion - The intensive management, with strong paramedical involvement, of adolescents leads to the improvement of the glycemic control in the medium term, which gradually fades away after the intervention.
Mots clés
Type 1 diabetes, patient education, adolescent, mobile phone, HbA1c.
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