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Article Dans Anglais | IMSEAR | ID: sea-42817

Résumé

It is accepted worldwide that an effective multidisciplinary management team is essential for providing comprehensive self-management training to type I diabetics and their families. Therefore, the authors developed an intensive multidisciplinary education team that included pediatric endocrinologists, a dietitian, a psychologist, nurses, scientists and volunteers in the Department of Pediatrics, Siriraj Hospital in August 1996. This study aimed to analyze twenty-four newly diagnosed diabetics who underwent this specified program and multidisciplinary team approach in comparison to twenty-eight diabetic patients who were diagnosed before the program and team were established in order to see whether the length of hospitalization had been reduced and to compare the readmission rates of recurrent DKA with previous patients. The results demonstrated that by using the intensive program and multidisciplinary team the average length of admission was reduced from 36.04 days to 17.63 days (p value = 0.03). The readmission rate in the first year after diagnosis was also reduced from 17.8 per cent to 4 per cent. Concerning diabetes control, the average HbA1c level showed significantly better control. Therefore, this study demonstrated a successful team and program for newly diagnosed Thai childhood and adolescent diabetics and also emphasized that a multidisciplinary team approach with an effectively intensive education program is important in helping diabetics and families cope with their emerging problems and receive the long-term benefits of effective self-care.


Sujets)
Adolescent , Adulte , Enfant , Études de cohortes , Diabète de type 1/diagnostic , Régime pour diabétique , Exercice physique , Femelle , Recherche sur les services de santé , Hôpitaux universitaires , Humains , Insuline/administration et posologie , Mâle , Équipe soignante/organisation et administration , Observance par le patient , Éducation du patient comme sujet/organisation et administration , Mise au point de programmes , Évaluation de programme , Indice de gravité de la maladie , Thaïlande
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