A large number of patients at the Neurological and Functional Rehabilitation Centre of the University Hospital of Liège have associated pathologies, including diabetes. These patients may have diabetes-related complications that require recurrent hospitalizations in an acute structure or in rehabilitation. One of the ways to limit complications is to set up patient education.
1. Objectives
* To compare the impact of management through formal education with that of awareness. * To evaluate the impact on knowledge of structured education. * To evaluate the impact of structured education on the quality of life experienced by diabetic patients. * Identify the patient's level of satisfaction with the education sessions. * To evaluate the impact of structured education on the biological improvement of glycated hemoglobin. * To evaluate the impact of structured education on diabetes-related complications. 2. Working Hypothesis The implementation of structured diabetes education allows "patients to acquire, or maintain, the skills they need to manage their lives as well as possible despite the constraints of chronic disease... ". 3. Study population All diabetic patients hospitalized in all care units. 4. Collection tools and techniques Collection tools
1\. "Diabetes Knowledge Questionnaire". 2. SF-36 Health Questionnaire. 3. Satisfaction questionnaire for structured sessions on diabetes. 4. Questionnaire to identify complications and/or re-hospitalizations after your stay in rehabilitation.
Collection technology At admission (D+1)
* Validation of inclusion and exclusion criteria. * Submission and distribution of the information and consent form. * Obtaining informed consent from the patient. * Distribution of collection tools 1 and 2 (collection on D+2). * Control of glycated hemoglobin. At the end of hospitalization (D-2) * Distribution of collection tools 1, 2 and 3 on D-2 before the release (collection on D-1). * Control of glycated hemoglobin. 3 months after the end of hospitalization * Sending collection tools 1, 2 and 4 by post. The patient will be invited to complete them and return them by post. * The patient will be invited to take a blood test for glycated hemoglobin.
Patient having given written consent.
Diagnosis of diabetes notified in medical file.
Be at least 18 years old.
Be able to communicate orally and in writing.
Presence of cognitive disorder, confusion, spatio-temporal disorientation noted in the nursing and/or medical file.
Parallel
The control group will benefit from awareness
Other interventionDuring hospitalization in rehabilitation, doctors and nursing staff will transmit information in a linear manner, i.e. explain, possibly argue and answer the patient's questions on topics such as interpreting blood sugar levels, explaining treatment, good practices in terms of diet, physical activity, etc. at the patient's bedside in an unstructured manner based on interactions between patient and caregivers. There is therefore no standard frequency, number of specific sessions, or topics addressed systematically.
The experimental group will benefit from structured education which will be carried out by the diabetes nurse
Other interventionDuring hospitalization in rehabilitation, the experimental group will benefit from structured education which will be carried out by the diabetes nurse at a rate of 3 sessions for patients on oral anti-diabetics and 5 sessions for patients on insulin.
Diabete Knowledge Questionnaire.
The DKQ consists of 15 multiple-choice questions relating to the minimum knowledge about diabetes. Fourteen of the fifteen questions concern type 1 and type 2 diabetes. Question 15 relates only to type 1 diabetes. Demographic data, such as age, gender, duration of diabetes, as well as type of drug treatment, are collected by an additional 16th question consisting of nine items. A score of 0 to 1 is assigned to each of the answers to the questions; For some questions, several answers must be checked. A score of 0 is assigned for an incorrect answer, 1 for a correct answer, and 0.5 for "unsure". For participants with type 2 diabetes who are not taking medication, the total possible score is a maximum of 26. It is 28 for people who take anti-diabetic medications. For participants with type 1 diabetes, the maximum possible score is 32.
Quality of life felt.
The SF-36 short-form questionnaire is used to obtain a generic measure of perceptual health status. Each question is scored with a Lickert with a minimum value of 0 and a maximum value of 100. The lowest values indicate a poorer perceived quality of life and the higher values indicate a better quality of life.
Patient's level of satisfaction.
Patient's level of satisfaction with the structured education program is rated on a scale from 0 (worst/lowest satisfaction status) to 10 (highest satisfaction status).
Improvement of glycated hemoglobin.
A significant decrease (p \< 0.05) in the patient's glycated hemoglobin value is expected.
Diabetes-related complications.
Follow-up of diabetes-related complications: number of consultations with the general practitioner, number of consultations with the diabetic nurse and number of hospitalizations.
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