Preliminary analysis of the effects of an integrated clinical and psycho-educational approach to young new patients with type 1 diabetes [Accoglienza e presa in carico dei giovani con diabete di tipo 1. Analisi preliminare del valore di un intervento psicoeducativo]
Porzio A.,Struttura Organizzativa Complessa Malattie Metaboliche e Diabetologia |
Poggio S.,Struttura Organizzativa Complessa Malattie Metaboliche e Diabetologia |
Repetti E.,Struttura Organizzativa Complessa Malattie Metaboliche e Diabetologia |
de Corrado G.,Struttura Organizzativa Complessa Malattie Metaboliche e Diabetologia |
And 5 more authors.
Giornale Italiano di Diabetologia e Metabolismo | Year: 2011
Type 1 diabetes is a chronic disease which should be managed by a multidisciplinary approach, above and beyond diet and drugs. It is now accepted that optimized metabolic control is mandatory to prevent acute and chronic complications, but it is equally clear that it entails patients' knowledge of the disease and adaptability to therapeutic directions. The aim of our study was to investigate the possible usefulness for young patients with type 1 diabetes of a multidisciplinary team approach including psychological counseling and psycho-educational support provided in accordance with a predetermined organizational protocol. Twenty outpatients with type 1 diabetes aged 18-24, referred for the first time to the Diabetes Unit of the Cardinal Massaia Hospital in Asti were enrolled in the study. Eight patients chose to be included in a clinical programme that provided a structured psycho-educational intervention on top of usual care, and 12 formed a control group receiving only traditional care. Follow up was at baseline (T0), after the 6 month psycho-educational programme (T1) and after another year (T2). Weight, BMI, HbA 1c, total and HDL cholesterol decreased in the test patients, who also experienced improvements in quality of life, satisfaction, impact of disease, concerns related to diabetes, and beliefs that their health is under the control of chance or other people. Our study shows that adding psychological support to traditional diabetes consultations may help to promote acceptance and awareness of this chronic condition, helping patients to feel active protagonists in the management of their diabetes and to achieve better quality of life.