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| Effect of continuous nursing with the emphasis of life style intervention in children and adolescents with type 1 diabetes mellitus |
| SONG Lili1 WANG Jing2▲ HE Kun3 LENG Yuqing4 LIU Junzhi5 BI Hongbiao6 XIAO Yuan1 QI Yingfei1 |
1.Department of Digestion and Endocrinology, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Department of Pediatrics, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
3.Department of Cardiology, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
4.Department of Outpatient, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
5.Department of Pharmacy, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
6.Operating Room, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
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Abstract Objective To explore the effect of intensive lifestyle intervention on type 1 diabetes in children and adolescents Methods A total of 143 childrens and adolescents with type 1 diabetes admitted to the Department of Paediatrics and Endocrinology of the First Affiliated Hospital of Hebei North University from March 2014 to October 2016 were selected by convenient sampling method. According to the admission number of the patients, they were randomly divided into control group (74 cases) and intervention group (69 cases). At discharge, patients in the control group received routine discharge guidance, and the intervention group was combined with a 6 month continuous nursing mode focusing on intensive lifestyle intervention. At discharge, 3 months after intervention and 6 months after intervention, the quality of life scale (DQOLY), diabetes management self-efficacy scale (C-DMSES) and Likert five-level scale were used to evaluate the quality of life, self-management efficacy and compliance of the patients. Meanwhile, the number of readmission in the two groups within 6 months was calculated. Results Three months after discharge and 6 months after discharge, DQOLY evaluation of the intervention group was significantly better than that of the control group (P ＜ 0.05), C-DMSES score was significantly higher than that of the control group (P ＜ 0.05), and C-DMSES score of the two groups was significantly higher than that of the control group (P ＜ 0.05), and compliance of the intervention group was significantly better than that of the control group (P ＜ 0.05). In addition, within 6 months after discharge, the number of patients in the control group who were readmission due to non-compliance with medicine, readmission due to irregular diet, and readmission due to diabetic complications were significantly higher than those in the intervention group (P ＜ 0.05). Conclusion Continuous nursing with the focus of intensive lifestyle intervention can significantly improve the quality of life of patients, improve their satisfaction and compliance, enhance the self-confidence of patients' self-management behavior, and effectively reduce the short-term readmission rate after discharge.
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