1.Effect of information technology-based transitional care on treatment effect of children and adolescents with type 1 diabetes mellitus: a Meta-analysis
Yacong LU ; Yanling MAO ; Huiwen LIU ; Liting PAN ; Bizhen CHEN
Chinese Journal of Modern Nursing 2022;28(6):745-751
Objective:To systematically review the effect of information technology-based transitional care on the treatment effect of children and adolescents with type 1 diabetes mellitus (T1DM) , so as to provide a reliable scientific basis for their out-of-hospital transitional care.Methods:Randomized controlled trial (RCT) of information technology continued nursing intervention for children and adolescents with T1DM in PubMed, Web of Science, CNKI and other databases were searched by computer. The retrieval time was from the establishment of databases to July 31, 2021. According to inclusion and exclusion criteria, literature was screened and data was extracted. Cochrane was used to evaluate the risk of bias for literature quality. Meta-analysis was performed using RevMan 5.4 software, and subgroup analysis was conducted on intervention methods, duration and intervention objects of different ages.Results:Finally, a total of 12 literatures were included, and the quality of literatures was medium. A total of 1 353 cases were included. The results of meta-analysis showed that there were significant differences in the glycated hemoglobin value and the incidence of acute complications between the information technology transitional care group and the traditional nursing group ( P<0.05) . Subgroup analysis showed that different intervention methods (App, Internet platform) and duration of intervention had significant differences in the effect of out-of-hospital treatment for children and adolescents with T1DM ( P<0.05) . Conclusions:The use of information technology-based transitional care can improve out-of-hospital glycosylated hemoglobin value and reduce the incidence of acute complications in children and adolescents with T1DM. Different intervention methods (App, Internet platform) and different intervention time can improve the out-of-hospital treatment effect of children and adolescents with T1DM. It is suggested to promote information technology continuation care in out-of-hospital treatment of children and adolescents with T1DM.
2.Effects of complications simulated experience in school-age children with type 1 diabetes mellitus
Yacong LU ; Yanhong LI ; Yanling MAO ; Huiwen LIU ; Bizhen CHEN
Chinese Journal of Modern Nursing 2023;29(25):3441-3445
Objective:To explore the effect of complications simulated experience in school-age children with type 1 diabetes mellitus.Methods:From March to December 2021, 80 school-age children with type 1 diabetes mellitus who were followed up in the Endocrinology Department of Quanzhou Children's Hospital were selected by convenient sampling. Children were divided into a control group and an observation group using random number method, with 40 cases in each group. The control group received routine treatment and traditional health education, while the observation group implemented complications simulated experience intervention on the basis of the control group. Diabetes Self-Management Questionnaire and Diabetes Knowledge Test were used to evaluate the self-management ability and diabetes knowledge of the two groups of children before and after intervention.Results:The observation group included 37 children, while the control group included 38 children. After intervention, the scores of Diabetes Self-Management Questionnaire and Diabetes Knowledge Test of children in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Complications simulated experience can improve the self-management ability and diabetes knowledge of school-age children with type 1 diabetes mellitus, which is worthy of clinical promotion and practice.