Application of programmatic follow-up of joint nutrition team in patients with type 2 diabetes mellitus
10.3760/cma.j.cn115682-20200531-03666
- VernacularTitle:联合营养团队的程序化随访在2型糖尿病患者中的应用
- Author:
Ailiyoufu REYILA
1
;
Aikebaier XIALIPAER
;
Yan GUO
;
Xiuhua XIE
Author Information
1. 新疆医科大学第一附属医院综合内二科，乌鲁木齐 830054
- Keywords:
Diabetes mellitus, type 2;
Joint nutrition team;
Follow-up;
Nutrition;
Prospective study
- From:
Chinese Journal of Modern Nursing
2021;27(4):464-468
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of programmatic follow-up of joint nutrition team on the follow-up management of type 2 diabetes mellitus patients and to provide a basis for clinical practice.Methods:Using the convenient sampling method, a total of 144 patients with type 2 diabetes mellitus who were treated at the Diabetes Specialist Follow-up Clinic of the First Affiliated Hospital of Xinjiang Medical University from March 2016 to December 2017 were selected, and the programmatic follow-up of joint nutrition team was used for prospective observation. After the completion of 2-year follow-up, the changes in obesity, blood glucose, blood lipids and self-care activities of patients at baseline, 12th month and 24th month were compared using repeated measurements analysis of variance.Results:In the end, 141 patients completed the 2-year follow-up. Of the 141 patients, body mass index (BMI) was (21.73±1.89) kg/m 2, waistline was (77.57±1.68) cm, waist-to-hip ratio was (0.87±0.04) , fasting blood glucose was (5.14±0.92) mmol/L, glycosylated hemoglobin was (5.27±0.73) %, total cholesterol was (3.92±1.67) mmol/L, triglycerides was (1.94±0.68) mmol/L and low density lipoprotein was (1.04±0.31) mmol/L at the 24th month. The differences were statistically significant ( F=32.629, 5.556, 5.640, 89.734, 122.451, 43.373, 74.888, 35.887; P<0.05) among the 24th month, the 12th month and the baseline of the above indicators. At the 24 months, scores of diet, exercise, blood glucose monitoring and foot care in diabetic self-management behavior scale were respectively (20.33±3.09) , (11.13±1.54) , (11.78±1.99) and (10.42±1.91) . Compared with baseline and the 12th month, scores increased, and the differences were statistically significant ( F=25.276, 72.250, 74.503, 37.928; P<0.01) . Conclusions:The programmatic follow-up of joint nutrition team can improve indexes related to obesity, blood glucose and blood lipids in patients with type 2 diabetes mellitus and improve self-management ability of patients.
