Application of patient navigation model in continuing care for elderly diabetic patients
10.3760/cma.j.cn115682-20240516-02764
- VernacularTitle:患者导航模式在老年糖尿病患者延续护理中的应用
- Author:
Yanli LI
1
;
Zaigang YANG
1
;
Linlin QIN
1
;
Xijuan NIU
1
;
Lu WEI
1
Author Information
1. 郑州大学第一附属医院东院区老年内分泌科一病区，郑州 450000
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Aged;
Patient navigation model;
Continuity of care;
Self-management ability;
Chronic disease resource utilization
- From:
Chinese Journal of Modern Nursing
2025;31(2):239-243
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of the patient navigation model in the continuity of care for elderly diabetic patients.Methods:A convenience sampling method was used to select 163 elderly diabetic patients admitted to the First Affiliated Hospital of Zhengzhou University from June 2022 to December 2023. Patients were randomly divided into a control group ( n=81) and an observation group ( n=82) using a random number table. The control group received routine continuity of care, while the observation group received continuity of care based on the patient navigation model. The Diabetes Self-Management Behavior Scale (SDSCA) and the Chronic Disease Resources Survey were used to assess the patients. Self-management behaviors, chronic disease resource utilization, and blood glucose changes were compared between the two groups before and three months after the intervention. Results:After the intervention, the SDSCA dimension scores in the observation group were significantly higher than those in the control group ( P<0.01). Additionally, the chronic disease resource survey dimension scores in the observation group were significantly higher than those in the control group ( P<0.01). Moreover, the fasting blood glucose, 2-hour postprandial blood glucose, and HbA1c levels in the observation group were significantly lower than those in the control group ( P<0.01) . Conclusions:The application of the patient navigation model in the continuity of care for elderly diabetic patients helps patients fully access multi-dimensional social resources, improves self-management capabilities, and is beneficial for improving blood glucose control.
