CO33 | The contribution of the family and community nurse in the diabetology clinic: an innovative path in the Bormide ASL2 health district

R. Rapetti, M. Orlando, L. Garra, M. Cirone, A. Pansera, P. Zanovello, F. Giacosa, N. Roascio, I. Dotta, A. Piacenza | ASL 2, Azienda Sociosanitaria Ligure, Savona, Italy

Introduction: Aging of the population and a greater spread of chronic diseases have led to an increase in disability, requiring complex socio-health interventions. Family and Community Nurse (IFeC) act to satisfy the needs of individuals suffering from fragility and chronicity within the context of initiative healthcare. Interventions provided by IFeC are essential for achieving favorable clinical outcomes even in the diabetic population, a disease of great importance and socio-health impacts.
Objectives: To evaluate clinical progress in subjects with DM II cared for by IFeC in the Territorial Diabetology Clinics.
Methods: A trial was conducted on 84 patients evaluated at predefined timing, from 01.07.22 to 31.08.23. At each evaluation, enrolled patients were visited by the diabetologist, while IFeC provided educational and training interventions on the effective detection of glycemia values and the pursuit of healthy lifestyles.
Results: Thirty-eight patients showed statistically significant improvements in glycemia and HbA1c values at T1 (p<0.05), and 58 showed a reduction in BMI (p<0.05). In 28 of the 38 patients who completed the T2 process, further improvement of glycemia values has been found. Patients for whom improvements in parameters were found didn’t undergo substantial changes in drug therapy.
Conclusions: IFeC represents a fundamental resource for patients suffering from DM II. The use of constant educational interventions improves the progress of the disease and encourages the adoption of healthy lifestyles, with a consequent increase in psycho-physical well-being.