Akademik Veri Yönetim Sistemi
Journal of Pediatric Nursing, cilt.87, ss.433-442, 2026 (SCI-Expanded, SSCI, Scopus)
Objective The aim of the study was to assess the influence of using tele-nursing application on metabolic control, self-efficacy, quality of life and anxiety in adolescents with Type 1 Diabetes Mellitus (T1DM). Methods This is a randomized control intervention study. The study included 67 adolescents aged 12–18 years with T1DM who were monitored at the Pediatric Endocrinology Outpatient Clinic. On enrolment, participant in all conditions received face-to-face training provided by the researchers. Thereafter, for 6 months educative and follow-up telephone calls were conducted in the intervention group to the adolescents and their parents but no intervention was made towards the control group. The study received approval (Decision no: 2020-14) and was registered in the registration number ( NCT05211479 ). Results At the 6-month follow-up, the self-efficacy, quality of life, HbA1c, and anxiety levels of the adolescents in the intervention group were found to be better than those in the control group ( p <0.05). During the study period, no significant difference was found in HbA1c values, quality of life, self-efficacy, and anxiety levels over time in the control group ( p > 0.05). Conclusion Diabetes education and follow-up with tele-nursing improved self-efficacy and quality of life, as well as decreased HbA 1c and anxiety among adolescents with T1DM. Implications for practice Tele-nursing is an effective and accessible approach for achieving metabolic control, improving self-efficacy and quality of life, and reducing anxiety levels in adolescents with Type 1 Diabetes Mellitus (T1DM). Remote follow-up enables the adolescent to receive continuous support regarding diabetes management without disrupting their daily life.