Abstract：Objective To explore the application effect of the Metabolic Management Center (MMC) mode led by specialist nurses on self-management ability for type 2 diabetic patients. Methods A total of 121 patients with type 2 diabetes who visited the Department of Endocrinology, Beijing Luhe Hospital, Capital Medical University from August to October 2021 were selected as subjects by convenience sampling method. According to the random number table method, they were randomly divided into intervention group with 61 cases and control group with 60 cases. The control group implemented a routine MMC management, and the intervention group implemented the MMC mode led by specialist nurses, the intervention lasted for three months. The changes of glycosylated hemoglobin (HbA1c), diabetes knowledge score, and diabetes self-management behavior score were compared between the two groups before and after intervention. Results After intervention, the levels of HbA1c in the two groups were lower than before intervention, and the intervention group was lower than the control group, the differences were statistically significant (P ＜ 0.05). Diabetes knowledge scores of the two groups were higher than before intervention, and the intervention group was higher than the control group, the differences were statistically significant (P ＜ 0.05). The scores of each dimension of self-management behavior in the two groups were better than before intervention, and the intervention group was better than the control group, the differences were statistically significant (P ＜ 0.05). Conclusion Compared with routine MMC management, the MMC mode led by specialist nurses can more effectively improve the level of the self-management behavior of patients with type 2 diabetes and contribute to blood glucose control, which is worthy of clinical promotion.
王晓静 赵文颖 董欢 李爱华 张媛媛 柯静 赵冬▲. 专科护士主导的MMC管理在2型糖尿病患者自我管理中的应用效果[J]. 中国医药导报, 2022, 19(18): 136-140.
WANG Xiaojing ZHAO Wenying DONG Huan LI Aihua ZHANG Yuanyuan KE Jing ZHAO Dong▲. Application effect of the Metabolic Management Center mode led by specialist nurses in self-management ability of patients with type 2 diabetes. 中国医药导报, 2022, 19(18): 136-140.
[1] 国家标准化代谢性疾病管理中心建设规范及管理指南[J].中华内分泌代谢杂志，2019，35（11）：907-926.
[2] Ali MK，Pearson-Stuttard J，Selvin E，et al. Interpreting global trends in type 2 diabetes complications and mortality [J]. Diabetologia，2022，65（1）：3-13.
[3] Sun H，Saeedi P，Karuranga S，et al. IDF Diabetes Atlas：Global，regional and country-level diabetes prevalence estimates for 2021 and projections for 2045 [J]. Diabetes Research and Clinical Practice，2021，183（10267）：109-119.
[4] Li Y，Teng D，Shi X，et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association：national cross sectional study [J]. BMJ，2020，369：m997.
[5] Liu X，Haagsma J，Sijbrands E，et al. Anxiety and depression in diabetes care：longitudinal associations with health-related quality of life [J]. Scientific Reports，2020， 10（1）：8307.
[6] 王梦.老年2型糖尿病患者低血糖恐惧感现状及其影响因素研究[D].开封：河南大学，2019.
[7] Chlebowy DO，Batscha C，Kubiak N，et al. Relationships of Depression，Anxiety，and Stress with Adherence to Self-Management Behaviors and Diabetes Measures in African American Adults with Type 2 Diabetes [J]. J Racial Ethnic Health Disparities，2019，6（1）：71-76.
[8] Saad AMJ，Younes ZMH，Ahmed H，et al. Self-efficacy，self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus：A cross-sectional survey [J]. Diabetes Rese Clin Pract，2018，137：28-36.
[9] Zimbudzi E，Lo C，Ranasinha S，et al. Self-management in patients with diabetes and chronic kidney disease is associated with incremental benefit in HRQOL [J]. J Diabetes & Its Complications，2017，31（2）：427-432.
[10] 袁丽，赵芳，张明霞，等.我国糖尿病专科护士工作现状及职业满意度影响因素分析[J].中华糖尿病杂志，2021， 13（2）：151-155.
[11] 王新颜，付慧清，王涛，等.医联体模式下糖尿病专科护士共享模式在基层医疗机构糖尿病患者管理中的应用[J].中华现代护理杂志，2021，27（19）：2591-2595.
[12] 龚燕，汤娟娟，黄爱华.以国家标准化代谢性疾病管理中心平台为核心的糖尿病全病程健康教育在2型糖尿病患者中的应用[J].护理实践与研究，2020，17（18）：52-54.
[13] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2020年版）[J].中华糖尿病杂志，2021，13（4）：95.
[14] 孙胜男.糖尿病患者自我管理现状及影响因素的研究[D].北京：北京协和医学院；中国医学科学院，2010.
[15] Kovacs Burns K，Nicolucci A，Holt RI，et al. Diabetes Attitudes，Wishes and Needs second study （DAWN2TM）：cross-national benchmarking indicators for family members living with people with diabetes [J]. Diabet Med，2013，30（7）：778-788.
[16] 华丽，朱伟萍.中文版糖尿病自我管理行为量表的信效度验证[J].解放军护理杂志，2014，31（16）：4.
[17] 师焕芳，刘丽，申亚乾.以目标管理为导向的延续性护理对糖尿病患者自我管理行为及血糖水平的影响[J].黑龙江中医药，2021，50（3）：2.
[18] 彭秋英，龚弯，方佳.MMC目标管理模式在T2DM患者中的应用[J].齐鲁护理杂志，2020，26（23）：3.
[19] 庄若，沈金炜，阎蕾，等.基于标准化代谢性疾病管理中心的目标管理模式在初诊糖尿病患者中的应用[J].中华现代护理杂志，2020，26（15）：5.
[20] 王英香，王晓静，李爱华，等.以目标管理为导向的健康教育在初发2型糖尿病患者延续护理中的应用效果评价[J].中国医药导报，2019，16（19）：169-172.
[21] 韦伟，袁慧娟，黄文贞，等.专科护士主导的糖尿病健康管理模式研究[J].护理学杂志，2019（3）：4.
[22] 郭艳，桂晨晨，郭梦婷，等.专科护士主导的远程血糖管理在2型糖尿病患者居家康复中的应用效果[J].中华现代护理杂志，2021，27（34）：4710-4714.
[23] 陈飞，张琼丹，周红丽，等.个案管理师主导的MMC随访平台在2型糖尿病患者院内外护理中的应用[J].现代临床护理，2021，20（3）：51-57.
[24] 吴旭丽，林巧云，林丽，等.医疗服务共同体模式下专科护士为主导的社区糖尿病患者个案管理实践[J].护理管理杂志，2021，21（10）：692-696，706.
[25] 马嘉谊，陈伟菊，王琳，等.专科护士主导延续护理的研究现状及展望[J].护士进修杂志，2020，35（19）：1751-1755.
[26] 丁茹蕾，黄丽芳，唐三辉，等.老年慢病长期居家患者主要照顾者社会支持及负担、应对方式的现状调查[J].中国医药导报，2021，18（29）：25-30.
[27] 陈丽芳，黄莉莎，方菁菁，等.“医院-社区-家庭”慢病管理知信行模式在慢性阻塞性肺疾病管理中的作用探讨[J].中国医药科学，2020，10（11）：163-166.
[28] 张杨华，徐明芳，曾云，等.微信延续护理对门诊老年慢性病患者自护能力及主观幸福感的影响研究[J].中国医学创新，2021，18（24）：101-105.
京公网安备 11010502046598号