Application of trinal-integrated nursing mode in the care of patients with type 2 diabetes mellitus
10.3969/j.issn.1009-0754.2018.02.010
- VernacularTitle:三元联动整合照护模式在老年2型糖尿病患者中的应用
- Author:
Huan LUO
1
;
Shufang ZOU
Author Information
1. 西南医科大学附属医院内分泌科
- Keywords:
Type 2 diabetes mellitus;
Hospital-community-family integrated nursing
- From:
Journal of Navy Medicine
2018;39(2):117-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of trinal-integrated nursing ( hospital-community-family integrated nursing ) in the care of patients with type 2 diabetes mellitus .Methods Two hundred and twenty-eight patients with type 2 diabetes mellitus who received medical care in the hospital from December 2015 to June 2017 were selected as research subjects , and were randomly assigned to the study group (n=64) and the control group (n=64).At the time of discharge from hospital, the patients in the control group were given routine health education and related medical advice , and were instructed to have routine clinical visit after discharge , while the patients in the study group were given trinal-integrated nursing.Changes in glycosylated hemoglobin (HbA1c), 2 h postprandial blood glucose (2hPBG), fasting blood glucose (FBG) and body mass index (BMI) were observed both before intervention and 6 months after intervention .Patient self-efficacy and poor life habit were investigated by using the Chinese version of the self -efficacy scale of diabetes mellitus and the scale of self-made poor life habit.Results After intervention, such medical data as HbA1c, 2 h PBG, FBG and BMI in the study group were all significantly better than those in the control group [(10.95 ±1.00)%, (11.20 ±1.71) mmol/L, (9.11 ±1.48) mmol/L, (25.72 ±5.23) kg/m2], and statistical significance could be seen , when comparisons were made between them (P<0.05).The self-efficacy scores of the study group[(8.31 ±0.99)%, (9.33 ±1.39) mmol/L, (7.33 ±1.40) mmol/L, (23.62 ±5.48)kg/m2] were all superior to those of the control group , also with statistical significance(P<0.05).The rate of poor life habit of the study group was lower than that of the control group (P<0.05).Conclusion Trinal-integrated nursing could effectively decrease serum sugar level of the patients with type 2 diabetes , improve patient self-efficacy and change their poor life habit .
