Effects of diabetes specialist nurse sharing model in the management of diabetic patients in primary medical institutions based on the medical alliance model
10.3760/cma.j.cn115682-20201104-06061
- VernacularTitle:医联体模式下糖尿病专科护士共享模式在基层医疗机构糖尿病患者管理中的应用
- Author:
Xinyan WANG
1
;
Huiqing FU
;
Tao WANG
;
Jie HAI
;
Lingnan KONG
;
Xiangju LI
Author Information
1. 新乡医学院第一附属医院内分泌科，新乡 453100
- Keywords:
Diabetes mellitus, type 2;
Specialist nurse;
Medical alliance;
Medication adherence;
Self-management behavior
- From:
Chinese Journal of Modern Nursing
2021;27(19):2591-2595
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of diabetes specialist nurse sharing management in diabetic patients in primary medical institutions under the medical alliance model.Methods:From January 2018 to December 2019, convenience sampling was used to select type 2 diabetes patients in the First Affiliated Hospital of Xinxiang Medical University as the research object. A total of 147 patients with type 2 diabetes who were enrolled from January to December 2018 were set as the control group, and 162 patients with type 2 diabetes who were enrolled from January to December 2019 were set as the observation group. Control group adopted routine diabetes management, and observation group conducted the diabetes specialist nurse sharing management under the medical alliance model. Both groups of management lasted for 6 months. Morisky Medication Adherence Scale and Scale of the Diabetes Self-care Activities (SDSCA) were used to evaluate medication adherence and self-management behavior scores of the two groups of patients. The fasting blood glucose and glycosylated hemoglobin of the two groups of patients before and after the intervention were compared, and the readmission rate and the incidence of hypoglycemia of the two groups of patients during the intervention were evaluated.Results:After the intervention, the observation group's medication adherence was better than that of control group, and the difference was statistically significant ( P<0.05) . After the intervention, the fasting blood glucose and glycosylated hemoglobin of observation group were lower than those before intervention and of control group, and the SDSCA score was higher than that before intervention and of control group, and the differences were statistically significant ( P<0.05) . The readmission rate and the incidence of hypoglycemia in observation group were 8.02% and 5.56%, respectively, which were lower than 19.73% and 25.17% in control group, and the differences were statistically significant ( P<0.05) . Conclusions:The diabetes specialist nurse sharing management under the medical alliance model can effectively improve the medication adherence, self-management behavior and blood glucose of diabetic patients in primary medical institutions, and reduce the readmission rate and the incidence of hypoglycemia.
