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| Effects of general practitioner group services on blood glucose and lipid control, negative emotions, and self-management in patients with type 2 diabetes mellitus |
| ZHANG Xiaolin LI Zhongmei WANG Jing SHI Wenli FANG Ziqiao |
| Department of General Medicine, Fukuang General Hospital, Liaoning Health Industry Group, Liaoning Province, Fushun 113000, China |
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Abstract Objective To investigate the effects of general practitioner group services on blood glucose and lipid control, negative emotions, and self-management in patients with type 2 diabetes mellitus (T2DM). Methods A total of 200 T2DM patients treated in Fukuang General Hospital, Liaoning Health Industry Group from January 2020 to July 2022 were selected as the study objects. According to random number table method, they were divided into signed group and unsigned group, with 100 cases in each group. The unsigned group was administered by the general community, while the signed group was administered by the general practitioner group. Both groups were treated for six months. The knowledge awareness rate, blood glucose control, blood lipid control, negative emotion, and self-management ability of the two groups were compared before and after the intervention. Results After intervention, the awareness rate of diabetes related knowledge in both groups was higher than that before intervention, and that of signed group was higher than that of unsigned group, the differences were statistically significant (P＜0.05). After intervention, the levels of fasting blood glucose, postprandial 2h blood glucose, glycated hemoglobin, triglyceride, total cholesterol, low density lipoprotein cholesterol, and scores of self-rating anxiety scale, self-rating depression scale in the two groups were lower than those before intervention, and those of signed group were lower than those of unsigned group, the differences were statistically significant (P＜0.05). After intervention, the scores of Chinese version scale of the diabetes self-care activities of the two groups were higher than those before intervention, and those of signed group were lower than those of unsigned group, the differences were statistically significant (P＜0.05). Conclusion General practitioner group service can significantly improve T2DM patients’ cognition of disease-related knowledge, improve negative emotions, improve self-management ability, and further promote patients’ active control of blood sugar and blood lipids, which has high promotion value.
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