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- W2767395583 abstract "Background: Type 1 diabetes mellitus (T1DM) requires lifelong insulin therapy. Glycemic control, self-management and continuity of care are key for minimizing longterm complications. The rising incidence/prevalence of T1DM is challenging health systems to find effective ways to transition young adults from pediatric to adult-oriented services. Presently, there is a paucity of evidence regarding T1DM transition programs from hospital to community-based settings and patient perspectives are rarely taken into account. Aims: In the context of a pilot transitional care project featuring nurse-led consultations we sought to: i) assess adherence to self-care recommendations, ii) examine the therapeutic relationship from the patient point of view, iii) assess patient satisfaction and links with caring attitudes/behaviors. Methods: The project aimed to develop/implement a structured T1DM transition consultation. This included nurse-led consultations to accompany and guide patients from pediatric to adult-oriented settings. We conducted a descriptive, cross-sectional study of patients (16–25 years). When possible, glycated hemoglobin (HbA1c) measures were collected and patients completed the Self-Care Inventory Revised (SCI-R) and Caring Nurse-Patient Interaction Scale (EIIP-23P). Results: In total 20/58 (34%) of patients (20.1 ± 2.5 years) responded to the survey. Only 3/14 (21%) met the ADA target for HbA1c (only one met NICE criteria). Patients reported the highest adherence ratings for medication and managing hypoglycemia (both 4.5 out of 5) while diet was lowest (2.75). Patients rated respect for privacy and basic needs as the most important (and most frequently observed) type of nursing care. Diabetes knowledge and technical competence were cited as very important. Overall, satisfaction ratings was (4 out of 5) and patients were most satisfied with the humanistic aspects of nursing care (i.e. encouraging/accompanying patient). Conclusions: Reaching HbA1c targets remains challenging. Young adults value healthcare professional who respect individuality and autonomy. Patients were satisfied with nurse-led consultations. Clinical Implications: Nurse-led transitional care is one response to the growing numbers of patients with T1DM. To be effective in such roles, nurses need to be knowledgeable, have technical competence and must employ a humanistic approach - providing support and encouragement for patients to draw on internal coping resources." @default.
- W2767395583 created "2017-11-17" @default.
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- W2767395583 date "2017-11-01" @default.
- W2767395583 modified "2023-09-25" @default.
- W2767395583 title "004-Caring Matters: A Cross-Sectional Study of Patient Perspectives on Nurse-led Consultations as Part of Structured Transitional Care for Type 1 Diabetes" @default.
- W2767395583 doi "https://doi.org/10.1016/j.pedn.2017.08.054" @default.
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