Effect of Nursing Intervention on Metabolic Control among Adolescents with Type 1 ‎Diabetes Mellitus.

Nader Mohamed, Ragaa; Mostafa El-Hady Hashim, Hala; Mohamed Abd Elaal, Ebtisam

doi:10.21608/jnsbu.2025.462289

Effect of Nursing Intervention on Metabolic Control among Adolescents with Type 1 ‎Diabetes Mellitus.

Authors

¹ B.Sc., in Nursing science, (2005), Ain Shams University, Nursing Inspector, Kotor Health Administration, Gharbia Governorate

² Professor of ‎Community Medicine and Public Health, Faculty of Medicine, Benha University

³ Professor of ‎Community Health Nursing, Faculty of Nursing, Benha University, Egypt.‎

10.21608/jnsbu.2025.462289

Abstract

‎ Background: Type 1 diabetes mellitus is a metabolic disease characterized by a deficiency in ‎pancreatic beta cells and insulin. It has a significant impact on biological, psychological, and social ‎health of adolescents. Aim of study: Was to evaluate the effect of nursing intervention on ‎metabolic control among adolescents with Type 1 diabetes mellitus. Research design: A quasi-‎experimental research design was used in this study. Setting: The study was conducted at ‎Pediatric Endocrinology Outpatient Clinic in Benha University Hospital. Sample: A purposive ‎sample included 100 adolescents with Type 1 diabetes mellitus attending Pediatric Endocrinology ‎Outpatient Clinic for follow up. Tools: Two tools were used to conduct this study. Tool I: A ‎structured interviewing questionnaire which included 4 parts: A): Personal characteristics of ‎adolescents with Type 1 diabetes mellitus. B): Medical history of adolescents with T1DM. C): ‎Anthropometrics and blood measurement. D): Knowledge of adolescents regarding T1DM, ‎metabolic control and physical activity. Tool II: The diabetes self-management measure practices. ‎Results: 45% of the studied adolescents were diagnosed through symptoms, and 20% ‎discovered after complications. Additionally, 84% and 79% of studied adolescents had good ‎knowledge about diabetes and metabolic control post-intervention increased from 47% and 37% ‎pre-intervention. A significant difference of the studied adolescents regarding blood glucose level ‎measurement pre and post nursing intervention (P≤0.001). Also, there was a strong positive ‎correlation between total knowledge and self-management practices post-intervention (p≤0.001). ‎Conclusion: Implementation of the nursing intervention was effective in improving adolescents’ ‎knowledge and practices regarding T1DM and metabolic control. Recommendation: Continuous ‎implementation of structured nursing interventions is essential for enhancing diabetes-related ‎knowledge and self-care practices among adolescents with Type 1 Diabetes Mellitus Type 1 ‎diabetes mellitus, promoting optimal metabolic and glycemic control, and minimizing the risk of ‎diabetes-related complications.‎

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