Research on clinical application of disease management model of individualized stepped-nursing for the patients with type 2 diabetes
10.7619/jcmp.201422002
- VernacularTitle:个体化阶梯式疾病管理模式在2型糖尿病中的应用
- Author:
Xiaowei JIN
1
;
Kewen MEI
;
Xiaomei SHENG
;
Chunmei SUN
;
Peiwen YU
;
Wenjuan DI
Author Information
1. 南京医科大学第一附属医院 老年医学科
- Keywords:
disease management model of stepped-nursing intervention;
type 2 diabetes mellitus;
metabolic indexes
- From:
Journal of Clinical Medicine in Practice
2014;(22):5-8
- CountryChina
- Language:Chinese
-
Abstract:
ABSTRACT:Objective To assess the effectiveness of the disease management model of stepped-nursing intervention in the metabolic control in patients with type 2 diabetes (DM2). Methods 114 patients with DM2 were randomized in experimental group and control group.The experimental group applied stepped-nursing model while the control group applied conventional nursing.Blood glucose,glycated hemoglobin A1c,body mass index (BMI),waist -hip ratio (WHR),blood pressure,lipids and control criteria were observed.Results BMI,glycated hemoglobin A1c,fasting blood sugar(FBS),triglycerides,systolic blood pressure (SBP)levels and diabetic knowledge score decreased significantly in the stepped-nursing group(P <0.05).The decrease levels in postprandial blood sugar(PBS),diastolic blood pressure (DBP),total cholesterol (TC),LDL cholesterol and WHR reduced,which showed no significant difference(P >0.05). The levels of HDL cholesterol were slightly improved,which showed no significant difference(P >0.05).Conclusion Stepped-nursing model is useful in overall treatment of patients with type 2 diabetes,it improves the condition of glycated hemoglobin A1c,SBP levels FBS and triglycerides and increases the command of diabetic knowledge.
