Department of Pediatrics, Second University of Naples, Naples, Italy.
Diabetes Technol Ther. 2011 May;13(5):551-5. doi: 10.1089/dia.2010.0188. Epub 2011 Mar 15.
We evaluated the impact of a 2-year chat line involving adolescents with type 1 diabetes regarding quality of life and metabolic control.
We enrolled 193 children, 10-18 years of age (mean ± SD, 13.6 ± 2.7 years), with type 1 diabetes for 1.2-6 years (3.6 ± 2.4 years), body mass index of 23.2 ± 4.1 kg/m(2), insulin requirement of 0.7 ± 0.3 U/kg/day, and glycated hemoglobin (HbA1c) of 7.8 ± 1.1%, who participated in a weekly physician-moderated chat line for a 2-year follow-up period. Each patient completed the Diabetes Quality of Life for Youth Inventory (DQOLY) at baseline and after 1 and 2 years. A measure of glycemic control (HbA1c) was also collected. Data from 17 patients who discontinued using the chat line were not included in the analysis. As controls, 203 patients with type 1 diabetes, age- and sex-matched, with similar HbA1c at baseline and socioeconomic status, were randomly selected among 834 patients who refused to participate in the chat sessions.
DQOLY responses from youth with type 1 diabetes showed a significant improvement (P = 0.0001) only in patients who participated in chat sessions. We observed a decrease of 0.4% in HbA1c in patients who participated in chat session (7.8 ± 1.1% vs. 7.4 ± 0.5%, P < 0.0001) compared with the 0.1% of the controls (7.9 ± 1.9% vs. 7.8 ± 1.8%, P = 0.668). No difference was observed in HbA1c between the two groups (P = 0.056).
A chat line is also a cheap and effective tool that helps improve diabetes compliance. The chat line could help the diabetes team understand and treat their patients more comprehensively; moreover, it could help patients cope better with their daily life.
我们评估了为期 2 年的青少年 1 型糖尿病聊天热线对生活质量和代谢控制的影响。
我们招募了 193 名年龄在 10-18 岁（平均 ± 标准差，13.6 ± 2.7 岁）、1-6 年（3.6 ± 2.4 年）的儿童，其 BMI 为 23.2 ± 4.1 kg/m²，胰岛素需求量为 0.7 ± 0.3 U/kg/天，糖化血红蛋白（HbA1c）为 7.8 ± 1.1%，他们参加了为期 2 年的每周由医生主持的聊天热线随访。每位患者在基线时以及 1 年和 2 年后都完成了青少年糖尿病生活质量量表（DQOLY）。同时还收集了一项血糖控制指标（HbA1c）。未参与聊天热线的 17 名患者的数据未纳入分析。作为对照组，在 834 名拒绝参与聊天会话的患者中，我们随机选择了年龄和性别匹配、基线时 HbA1c 相似且社会经济地位相似的 203 名 1 型糖尿病患者。
1 型糖尿病青少年的 DQOLY 评分显示出显著改善（P = 0.0001），仅在参与聊天会话的患者中观察到。与对照组（7.9 ± 1.9% vs. 7.8 ± 1.8%，P = 0.668）相比，参与聊天会话的患者 HbA1c 降低了 0.4%（7.8 ± 1.1% vs. 7.4 ± 0.5%，P < 0.0001）。两组间 HbA1c 无差异（P = 0.056）。
聊天热线也是一种便宜且有效的工具，可以帮助提高糖尿病患者的遵医率。聊天热线可以帮助糖尿病团队更全面地了解和治疗他们的患者；此外，它可以帮助患者更好地应对日常生活。
