Efficacy of continuous nursing intervention utilizing ICT for children with type 1 diabetes

Abstract

 The purpose of this study was to investigate the efficacy of continuous nursing intervention utilizing ICT for children with type 1 diabetes. We included nine children aged 8 to 15 years who were asked to input data, such as blood glucose and insulin levels, on tablet-style mobile devices, using a downloaded application (e-SMBG) for the self-management of diabetes. We reviewed the data input by the children and provided guidance in accordance with nursing intervention for about two months. HbA1c levels, the score of diabetes Self-Care Inventory-revised, and QOL scale before and after intervention were analyzed using t-test and Wilcoxon signed-rank test. Two months later, HbA1c levels significantly decreased and QOL scores increased. Utilizing ICT helped timely guidance and support matched to the children’s lifestyle and improved their motivation and awareness toward independence of self-care behaviors. Supportive interventions utilizing ICT are effective for children who experience psychological problems requiring long-term intervention.