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Master Thesis

Transition médicale des patients suivis pour diabète type 1 au CHU de Grenoble : évaluation du stress induit et état des lieux des pratiques locales

Abstract : The main objective of this study was the measurement of stress level in a population of adolescents and emerging adults with type 1 diabetes during the transition period from pediatric to adult diabetes care. METHODS: The Toulouse Stress Scale was used to determine the level of stress in 2 groups of patients, before and after transition, for a result of between 30 and 150. After a meeting with a Focus Group, qualitative data were individually collected through interviews and questionnaires to evaluate local transition process. RESULTS: 60% (n=25) of the 15-17 years old followed in pediatrics and 76% (n=19) of patients with known medical transition since 2013 were analysed. The median age during transition was 16 and failure rate was 16%. The global stress level was low without any difference before and after transition (median=41.5 before and 36.5 after transition, p=0.23). Only temporal stress was significantly higher before transition (p=0.04). A transition visit with pediatric and adult care providers was organised for 60% of patients and for 80% of the patients who continue their follow-up in the same tertiary center. Imposed (p=0.030) or frequently requested (p=0.038) parental support decreased after transition, mainly due to a lower technical support (p=0.034). CONCLUSION: Patients with type 1 diabetes followed at Grenoble University Hospital have a low level of stress related to medical transition, likely because of an organized transition process. This organization could be improved to decrease the failure rate of transition and increase the quality of care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01373985
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Submitted on : Thursday, September 29, 2016 - 3:02:05 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Friday, December 30, 2016 - 1:52:16 PM

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  • HAL Id : dumas-01373985, version 1

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Cyril Ruello. Transition médicale des patients suivis pour diabète type 1 au CHU de Grenoble : évaluation du stress induit et état des lieux des pratiques locales. Médecine humaine et pathologie. 2016. ⟨dumas-01373985⟩

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