| Objective: To study the intervention effect of community-based collaborative nursing model on self-management behavior,quality of life and glycosylated hemoglobin of type 2 diabetes mellitus patients,and to provide evidence for the application of collaborative nursing model in community-based chronic disease nursing.Methods: In two community health service centers(stations)relying on Inner Moongolia One Machine Hospital,from October 2017 to March 2018,according to the time sequence of establishing health records for patients with type 2 diabetes mellitus and incorporating them into chronic disease health management,100 patients who met the inclusion exclusion criteria were selected as the research object,and randomly divided into control group and experimental group,50 patients in each group.The control group was given routine community nursing,while the experimental group was given collaborative nursing mode.Two groups of patients were given basic information table,self-management behavior scale,quality of life scale before intervention,and collected glycosylated hemoglobin data for baseline level comparison.At the third month,glycosylated hemoglobin data were collected in two groups.After the sixth month,two groups of patients were given self-management behavior scale,quality of life scale and collected glycosylated hemoglobin data.Before and after intervention,intragroup and intergroup comparisons were made to evaluate the experimental effects of selfmanagement behavior,quality of life and glycosylated hemoglobin of patients.Results: A total of 100 patients were selected to complete the study.Before intervention,there was no significant difference in baseline data and observation indexes between the two groups(P> 0.05).After six months of intervention,1.Activities:(1)overall diet in the experimental group(t=12.48,P<0.001),special-diet(t=35.39,P<0.001),exercise(t=22.01,P<0.001),bloodsugar monitoring(t=19.30,P<0.001),footcare(t=47.73,P<0.001),medication(t=5.62,P<0.001)scores and totalscores(t= 32.83,P< 0.001),were improved fprominently(P<0.05).(2)footcare(t=7.53,P<0.001),medication(t=3.28,P=0.002)scores and total scores(t=9.74,P<0.001)were improved(P<0.05)in the controlgroup,special-diet(t=0.41,P=0.687),exercise(t=1.77,P=0.083),bloodsugar monitoring(t=0.40,P=0.688),which were no significant improvement in scores(P>0.05).(3)Comparison between two groups,overall diet(t=3.50,P=0.001),special-diet(t=35.93,P <0.001),exercise(t=19.07,P<0.001),bloodsugar-monitoring(t=27.53,P<0.001),footcare(t=17.68,P<0.001),medic ation(t=4.40,P<0.001)scores and total scores(t=39.90,P < 0.001),the difference was significant(P<0.05).2.Quality of life:experimental group:(1)PF(t=4.37,P<0.001),RP(t=7.27,P<0.001),BP(t=23.36,P<0.001),GH(t=59.45,P <0.001),VT(t=56.65,P<0.001),SF(t=8.14,P<0.001),RE(t=8.92,P<0.001),MH(t=29.22,P<0.001),the scores increased significantly(P<0.05).(2)controlgroup: RP(t=5.82,P<0.001),BP(t=7.47,P<0.001),GH(t=30.86,P<0.001),VT(t=32.26,P<0.001),SF(t =3.91,P<0.001),RE(t= 3.11,P=0.003),MH(t=24.76,P< 0.001),Scores were improved(P<0.05),PF(t= 0.70,P=0.485),there was no significant improvement in scores(P>0.05).(3)Comparison between two groups : PF(t=2.35,P=0.021),RP(t=2.46,P=0.0 16),BP(t=5.80,P<0.001),GH(t=11.81,P<0.001),VT(t=12.37,P<0.001),SF(t=4.68,P<0.001),RE(t=4.34,P<0.001),MH(t=5.80,P<0.001),the difference was significant in the scores(P<0.05).3.Hb A1c: the intervening time was3 months(experimental group 6.80 ± 0.53,control group7.57 ± 0.56)and 6 months(experimental group 5.62 ± 0.51,control group 6.62± 0.51).Both groups had lower and lower Hb A1 c levels,after 6 months,Hb A1 c < 6.5% in the experimental group,Compared with the control group,the decrease was more significant(P<0.05).Conclusion: Compared with conventional community nursing,self-management behavior and quality of life of patients with type 2 diabetes mellitus can be further improved under the collaborative nursing mode,and blood sugar index Hb A1 c can be controlled at an ideal level. |
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