Evaluation of a 5-day education programme in Type 1 diabetes: achieving individual targets with a patient-centred approach

Autor: D. Simon, C. Sachon, M. Halbron, Agnès Hartemann, T. Obadia, Annalisa Grimaldi
Přispěvatelé: Service de Diabétologie [CHU Pitié-Salpétrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Epidémiologie, systèmes d'information, modélisation, Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Pierre et Marie Curie - Paris 6 (UPMC), None., Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Obadia, Thomas, Service de diabétologie [CHU Pitié-Salpétrière], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
Rok vydání: 2014
Předmět:
Male
Pediatrics
MESH: Hypoglycemia
Endocrinology
Diabetes and Metabolism
Patient Care Planning
Cohort Studies
0302 clinical medicine
Endocrinology
Quality of life
Patient-Centered Care
Insulin
Medicine
Prospective Studies
030212 general & internal medicine
MESH: Cohort Studies
MESH: Treatment Outcome
[SDV.MHEP.EM] Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
MESH: Middle Aged
Incidence (epidemiology)
Middle Aged
[SDV.MHEP.EM]Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
3. Good health
Treatment Outcome
Patient Satisfaction
MESH: Young Adult
Female
medicine.symptom
MESH: Diabetes Mellitus
Type 1
Adult
medicine.medical_specialty
Education training
MESH: Patient Education as Topic
030209 endocrinology & metabolism
MESH: Insulin
MESH: Patient-Centered Care
Young Adult
03 medical and health sciences
Patient satisfaction
Patient Education as Topic
MESH: Hypoglycemic Agents
MESH: Patient Care Planning
Internal Medicine
Humans
Hypoglycemic Agents
In patient
Glycated Hemoglobin
Type 1 diabetes
MESH: Humans
business.industry
MESH: Quality of Life
MESH: Adult
medicine.disease
Hypoglycemia
MESH: Patient Satisfaction
MESH: Prospective Studies
MESH: Male
MESH: Glycated Hemoglobin A
Diabetes Mellitus
Type 1
Quality of Life
business
MESH: Female
Weight gain
Patient centred
Zdroj: Diabetic Medicine
Diabetic Medicine, Wiley, 2014, 31 (4), pp.500-503. ⟨10.1111/dme.12372⟩
Diabetic Medicine, 2014, 31 (4), pp.500-503. ⟨10.1111/dme.12372⟩
ISSN: 0742-3071
1464-5491
DOI: 10.1111/dme.12372
Popis: Aims To evaluate if a single inpatient education training programme can achieve individualized therapeutic targets. Methods Patients with Type 1 diabetes participating in a flexible intensive therapy programme were consecutively included in a prospective monocentric study. They all participated in the same education programme which had a patient-centred approach. Before the intervention, patients were divided into three groups according to their main therapeutic target: Group 1, to decrease HbA1c concentration in patients with baseline HbA1c ≥ 58 mmol/mol (7.5%); Group 2, to improve quality of life and satisfaction with treatment in patients with baseline HbA1c < 58 mmol/mol (7.5%); and Group 3, to decrease the frequency of hypoglycaemic episodes in patients with severe or frequent hypoglycaemic episodes. Therapeutic targets were evaluated at 12 months. Quality of life and treatment satisfaction were evaluated with validated questionnaires completed at baseline and 6 months. Results In Group 1 (n = 74), the mean ± sd HbA1c concentration decreased from 75 ± 15 mmol/mol (9.0 ±1.4%) to 68 ±15 mmol/mol (8.4 ± 1.4%; P < 0.001), with 53% of patients experiencing a decrease in HbA1c concentration of at least 6 mmol/mol (0.5%), without weight gain or more frequent hypoglycaemia. In Group 2 (n = 12), patient satisfaction with treatment improved significantly (P < 0.0001). In Group 3 (n = 35), minor hypoglycaemia significantly decreased from a mean ± sd of 6.6 ± 4.7 to 3.2 ± 3.0 hypoglycaemic episodes/week (P < 0.001) and the incidence of severe hypoglycaemia dropped significantly from a mean ± sd of 2.31 ± 3.07 to 0.86 ± 2.46 episodes/patient/year (P < 0.001). Conclusions Many patients with different needs, who attended the same flexible intensive therapy education programme, which had a patient-centred approach, were able to achieve their individual therapeutic targets.
Databáze: OpenAIRE
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