Integrated model of specialist-general practitioner and community nurse for diabetes management in Xinjiang primary care settings

Bin Huang; Xudong JI; Shengyan Wang; Jianxin Yin; Naihong Yang; Junxia Zhai; Wenhuan Kang; Xuhong MA; Jin LI

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Integrated model of specialist-general practitioner and community nurse for diabetes management in Xinjiang primary care settings

VernacularTitle: 乡镇卫生院糖尿病专科医师-社区全科医师-护士联合管理模式的效果评价
Author: Bin HUANG ¹ ; Xudong JI ² ; Shengyan WANG ² ; Jianxin YIN ³ ; Naihong YANG ³ ; Junxia ZHAI ³ ; Wenhuan KANG ² ; Xuhong MA ² ; Jin LI ⁴
Author Information

1. Department of Clinical Medicine, Xiamen Medical College, Xiamen 361023, China
2. Jimusar Traditional Chinese Medicine Hospital, Changji 831700, China
3. Quanzijie Township Health Service Center of Jimusar County, Changji 831700, China
4. VIP Wards Ⅰ, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Publication Type:Journal Article
Keywords: Rural health services; Diabetes mellitus, type 2; Disease management
From: Chinese Journal of General Practitioners 2020;19(1):83-85
CountryChina
Language:Chinese
Abstract: A total of 115 patients with type 2 diabetes recruited from Quanzijie Township Health Service Center were divided into integrated management group (n=54) and specialist management group (n=61). Patients in integrated management group were managed by specialists, general practitioners (GPs) and community nurses jointly; while patients in specialist management group were managed by specialists only. Subjects were followed up every 4 weeks for 24 weeks. Total 366 person/time diabetes education courses were given to subjects in integrated management group during the intervention. After intervention, the fasting glucose, 2 h postprandial glucose and glycosylated hemoglobin were decreased significantly in both groups (P<0.05), while the triglyceride level in the integrated management group was significantly lower than that in the specialist management group (P<0.05). In conclusion, patients with type 2 diabetes managed by integrated mode can achieve similar glucose control effect as specialist management mode in primary care settings and their triglyceride level can be also significantly decreased.