Intensive diabetes education program and multidisciplinary team approach in management of newly diagnosed type 1 diabetes mellitus: a greater patient benefit, experience at Siriraj Hospital.
It is accepted worldwide that an effective multidisciplinary management team is essential for providing comprehensive self-management training to type I diabetics and their families. Therefore, the authors developed an intensive multidisciplinary education team that included pediatric endocrinologists, a dietitian, a psychologist, nurses, scientists and volunteers in the Department of Pediatrics, Siriraj Hospital in August 1996. This study aimed to analyze twenty-four newly diagnosed diabetics who underwent this specified program and multidisciplinary team approach in comparison to twenty-eight diabetic patients who were diagnosed before the program and team were established in order to see whether the length of hospitalization had been reduced and to compare the readmission rates of recurrent DKA with previous patients. The results demonstrated that by using the intensive program and multidisciplinary team the average length of admission was reduced from 36.04 days to 17.63 days (p value = 0.03). The readmission rate in the first year after diagnosis was also reduced from 17.8 per cent to 4 per cent. Concerning diabetes control, the average HbA1c level showed significantly better control. Therefore, this study demonstrated a successful team and program for newly diagnosed Thai childhood and adolescent diabetics and also emphasized that a multidisciplinary team approach with an effectively intensive education program is important in helping diabetics and families cope with their emerging problems and receive the long-term benefits of effective self-care.
Likitmaskul
Supawadee
S
Division of Endocrinology and Metabolism, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Wekawanich
Jirapa
J
Wongarn
Renu
R
Chaichanwatanakul
Katharee
K
Kiattisakthavee
Pornpimol
P
Nimkarn
Saroj
S
Prayongklin
Sangtong
S
Weerakulwattana
Linda
L
Markmaitree
Duangkamon
D
Ritjarean
Yupin
Y
Pookpun
Wanla
W
Punnakanta
Luephorn
L
Angsusingha
Kitti
K
Tuchinda
Chanika
C
D000293:Adolescent; D000328:Adult; D002648:Child; D015331:Cohort Studies; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis* / Q000628:therapy*; D003927:Diet, Diabetic; D015444:Exercise; D005260:Female; D006302:Health Services Research; D006785:Hospitals, University; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012720:Severity of Illness Index; D013785:Thailand
D007328:Insulin