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| Application effect of the Metabolic Management Center mode led by specialist nurses in self-management ability of patients with type 2 diabetes |
| WANG Xiaojing ZHAO Wenying DONG Huan LI Aihua ZHANG Yuanyuan KE Jing ZHAO Dong▲ |
| Center for Endocrinology, Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China |
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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.
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