Objective To establish a level three class A hospital diabetes specialist nurse training modes and methods, in order to create specialist nurse training new model positioning in the different of national ( provincial) diabetes specialist nurses and diabetes care team contact nurses, and provide a new method and thought for college talent team construction. Methods Union Hospital Tongji Medical College Huazhong University of Science and Technology started diabetes specialist nurse training program in 2013, and 36 nurses was registered for these first program, then after the assessment, 21 people was participated in training. They carried out a 8 full-time comprehensive theory and clinical practice training, the training plan and assessment scheme formulated by the diabetes specialist nursing team. Results In the process of training, attendance rate was 98. 5%, and the theory and specialized operation achievement qualified rate was 90. 48% and 100. 00%. The non endocrine specialist carried out individualized diabetes education for more than 1100 times in 2014 after the training, organized medical lectures 23 times, compiled a diabetes specialist nursing guideline, organized 12 times special quality control of the ward, and carried out more than 60 lectures in diabetes patients; the process of diabetes care consultation between departments was improved and nursing consultation more than 70 person-time. It published 5 diabetes related papers in 2014, successful applied for 2 research subjects, organized 4 teaching activities for diabetes, applied and carried out report and extension services 11 projects. Conclusions This training cultivates many specialized nurses overall understanding of diabetes related knowledge, can implement nursing and health education for high blood glucose patients in the hospital, and improve the specialized nursing and scientific research ability.

Objective:To explore the effects of Cox's interaction model of client health behavior (IMCHB) on self-management behavior and quality of life of diabetic patients.Methods:Totally 120 patients with type 2 diabetes mellitus (T2DM) hospitalized in the Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology between January and April 2019 were selected by convenient sampling. A total of 60 diabetic patients admitted from January to February 2019 were included into the control group, while 60 patients hospitalized from March to April 2019 were include into the observation group. Patients in the control group received routine care, whereas patients in the observation group received interventions based on Cox's IMCHB. The patients were evaluated using the Self-Management Behavior Scale for Type 2 Diabetes and the Diabetics-Specific Quality of Life at 24 h after admission and 3 months after discharge.Results:A total of 51 and 54 valid questionnaires were collected in control and observation group. Before intervention, there was no statistically significant difference in diet control, exercise compliance, monitoring compliance, and foot care scores between the two groups of patients ( P>0.05) ; after intervention, the diet control, exercise compliance, monitoring compliance, and foot care scores of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Before intervention, there was no statistically significant difference in physiological function, psychology/spirit, social relationship, and treatment between the two groups ( P>0.05) ; after intervention, the psychology/spirit, social relationship, and treatment scores of the observation group were lower than those of the control group with statistically differences ( P<0.05) ; and there was no statistical significant difference in physiological function scores between the two groups after intervention ( P>0.05) . Conclusions:Cox's IMCHB can improve the self-management behavior of diabetic patients as well as their psychology/spirit, social relationship and treatment in quality of life.