Application of the 5A management model based on personalized health education records in community patients with type 2 diabetes
10.3760/cma.j.cn115682-20240628-03625
- VernacularTitle:基于个体化健康教育档案的5A管理模式在社区2型糖尿病患者中的应用
- Author:
Xiaojing WU
1
;
Li ZHONG
;
Xingxing ZHAO
;
Xiujun GUO
;
Ying CHE
;
Xiu ZHU
Author Information
1. 北京大学第三医院第二门诊部，北京 100096
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Randomized controlled trial;
Health record;
Self-management;
Glycemic control
- From:
Chinese Journal of Modern Nursing
2025;31(24):3328-3333
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effectiveness of the 5A (Ask, Assess, Advise, Assist, Arrange follow-up) management model based on personalized health education records in community patients with type 2 diabetes mellitus.Methods:A convenience sampling method was used to select patients with type 2 diabetes mellitus who were enrolled with family doctors in Yuxin Community, Haidian District, Beijing, from January 2022 to May 2023. Using a random number table method, the patients were divided into an observation group ( n=68) and a control group ( n=68). The control group received routine community management, while the observation group received management based on the 5A model and personalized health education records. Differences in metabolic indicators, including glycated hemoglobin (HbA1c), fasting blood glucose, 2-hour postprandial blood glucose, body mass index (BMI), and waist circumference, as well as self-management behaviors were compared between the two groups at 3, 6, and 12 months of intervention. Results:During the entire intervention period, four cases were lost in the observation group and eight cases were lost in the control group. Finally, data from 124 patients were included in the analysis, including 64 cases in the observation group and 60 cases in the control group. Repeated measures analysis of variance showed interaction effects between time points and groups for HbA1c, BMI, waist circumference, and self-management behavior scores among patients with diabetes, with statistically significant differences ( P<0.05) . Conclusions:The 5A management model based on personalized health education records has a positive impact on improving metabolic indicators and self-management behaviors in community patients with type 2 diabetes mellitus.
