Programa de transición: una intervención para adolescentes con diabetes tipo 1: estudio de casos y controles / Transition program: an intervention for adolescents with type 1 diabetes: cases and controls study
Rev. chil. endocrinol. diabetes
;
11(1): 7-10, 2018. tab
Article
in Spanish
| LILACS
| ID: biblio-999004
ABSTRACT
Introduction:
The transition programs (TP) are planned interventions with specific aims which support type 1 diabetes adolescents in their process to emigrate from a pediatric care system to an adult care system.Objective:
To evaluate the effectiveness of a TP in type 1 diabetes adolescents. Subjects andMethod:
This study was performed in 20 adolescents 10 in TP and 10 controls (no TP) attended in an adult care system in a traditional way. The applied program included coordination of attention dates, administrative supervision of the cases, and integral health team attention physician every three months, psychologist with psychosocial follow-up every three months, nutricionist and university nurse according to the case necessities. After a year of the TP implementation the indicators of adherence were evaluated continuity of care, regular medical appointments, physician/adolescent relationship, psychosocial follow-up, and to maintain or improve the HbA1c. The statistical analysis of variables comparison was performed with Kwallis Test o Mann-Whitney Test, in STATA 12.0 program.Results:
At comparing groups, it was found that the intervened adolescents presented a major frequency of continuity of diabetes care, regular medical appointments, physician/adolescent relationship and psychosocial follow-up (p < 0,01); the indicator of maintaining or improving the HbA1c was better in the patients with TP (60 percent vs 30 percent) yet not significant.Conclusion:
In type 1 diabetes adolescents, with the applied TP we get better indicators of adherence to the diabetes treatment
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Compliance
/
Diabetes Mellitus, Type 1
/
Transition to Adult Care
Type of study:
Observational study
Limits:
Adolescent
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. endocrinol. diabetes
Journal subject:
Endocrinology
Year:
2018
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico de la Universidad de Chile/CL
/
Hospital San Juan de Dios/CL
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