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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
Santibáñez G, Guillermo; Rubio C, Claudia; Toro T, Elizabeth; Briones B, Gloria; Estica R, Marcos; Muñoz S, Silvana; Sanhueza M, Lilian; Durruty A, Pilar; Miranda O, Juan Pablo.
Afiliación
  • Santibáñez G, Guillermo; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Rubio C, Claudia; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Toro T, Elizabeth; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Briones B, Gloria; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Estica R, Marcos; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Muñoz S, Silvana; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Sanhueza M, Lilian; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Durruty A, Pilar; Hospital San Juan de Dios. Unidad de Diabetes. CL
  • Miranda O, Juan Pablo; Hospital Clínico de la Universidad de Chile. Unidad de Pacientes Críticos. CL
Rev. chil. endocrinol. diabetes ; 11(1): 7-10, 2018. tab
Article en Es | LILACS | ID: biblio-999004
Biblioteca responsable: CL1.1
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 and

Method:

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
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Cooperación del Paciente / Diabetes Mellitus Tipo 1 / Transición a la Atención de Adultos Tipo de estudio: Observational_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: America do sul / Chile Idioma: Es Revista: Rev. chil. endocrinol. diabetes Asunto de la revista: ENDOCRINOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Chile
Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Cooperación del Paciente / Diabetes Mellitus Tipo 1 / Transición a la Atención de Adultos Tipo de estudio: Observational_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: America do sul / Chile Idioma: Es Revista: Rev. chil. endocrinol. diabetes Asunto de la revista: ENDOCRINOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Chile Pais de publicación: Chile