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| Observation on the application effect of unified standardization continuity management mode for type 2 diabetes |
| ZHAO Ling MIAO Yuanyuan▲ KE Tingyu ZHOU Xiangming |
| Department of Endocrinology, the Second Affiliated Hospital of Kunming Medical University, Yunnan Province, Kunming 650101, China |
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Abstract Objective To analyze the impact of unified and standardized continuity management mode on behavior change and blood glucose control effect of patients with type 2 diabetes (T2DM). Methods From November 2017 to November 2018, 220 patients with T2DM who were treated at the National Metabolic Management Center (MMC) of the Second Affiliated Hospital of Kunming Medical University were selected. According to the random number table method, they were randomly divided into control group and experimental group, with 110 cases in each group. The control group implemented a routine management model, and the experimental group performed unified and standardized continuous management (MMC management mode). Blood glucose, self-management level and nursing satisfaction were compared before and after management. Results After intervention, the levels of glycosylated hemoglobin (HbA1c) and postprandial blood glucose (PBG) in the two groups were lower than those before intervention, fasting glucose (FPG) in the experimental group was lower than those before intervention, and FPG, PBG and HbA1c in the experimental group were lower than those in the control group, with highly statistically significant differences (all P ＜ 0.01). Scores of rational diet, exercise, blood glucose self-test and standardized drug use in the two groups were higher than those before intervention, and scores of rational diet, exercise, blood glucose self-test and standardized drug use in the experimental group were higher than those in the control group, with statistically significant differences (all P ＜ 0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The MMC management mode helps to improve the compliance rate of FPG, PBG, and HbA1c in T2DM patients, it can effectively improve the self-management behavior, increase patients′ satisfaction, and has clinical application value.
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