Analysis On The Effect Of MDT Nursing Mode In Patients With Type 2 Diabetes

Objectives:to understand the general demographic characteristics and disease-related information of patients with type 2 diabetes,and to analyze the effect of MDT nursing mode on self-management behavior,self-perceived burden,quality of life,physiological and biochemical indicators of patients with type 2 diabetes,so as to provide theoretical basis for MDT nursing in the future.Methods:in this study,99 patients with type 2 diabetes who met the inclusion criteria were selected from a third class a general hospital in Jilin Province fi-om February to July 2019.According to the sequence of discharge time,they were divided into two groups.The first 49 patients were selected as the control group and the last 50 patients as the intervention group.The baseline data were collected by face-to-face Q&A and the biochemical indexes of the subjects were extracted from the hospital or community electronic medical record management system.Spss20.0 statistical software is selected for data statistics and analysis,and percentage is selected for the description of general demographic characteristics of the research object;independent sample t-test is selected for the analysis of differences in self-management behavior level,self-feelng burden and quality of life of the research object;chi square test is selected for the analysis of differences in physiological and biochemical indicators of the research object.Results:(1)In this study,the age of patients is between 18 and 80 years old,middle-aged patients account for 49.5%,young and old patients account for 11.1%and 39.4%respectively;male patients account for slightly more than female patients,53.5%and 46.5%respectively;Korean,Han and ocher ethnic groups account for slightly more,50.5%,48.5%and 1%respectively;retired/unemployed patients occupy occupation More,accounting for 55.6%;58.6%of the patients’hnmediate relatives were diagnosed with diabetes;60.6%of the patients’ fmlily monthly income was(3000-5000)Yuan;94.9%of the patients had medical insurance;61.6%of the patients had a course of disease within 10 years;85.9%of the patients had complications;82.8%of the patients had complications.There was no significant difference between the two groups(P>0.05).(2)After MDT nursing intervention,the total score of self-management behavior in the intervention group and the control group was(84.30 ±7.260)and(69.39±6.198),respectively,the difference was statistically significant(P<0.01).(3)After MDT nursing intervention,the self-feeling burden of patients in the intervention group and the control group were(25.98 ±2.454)and(29.08±4.936),respectively,the difference was statistically significant(P<0.01).(4)After MDT nursing intervention,the quality of life of the patients in the intervention group and the control group were(58.18±9.014)and(65.45±11.044),respectively,the difference was statistically significant(P<0.01).(5)After MDT nursing intervention,there were significant differences in fastin g blood glucose(FPG),2 hours postprandial blood glucose(2hPG),HbAlc(P<0.01),cholesterol(TC),high-density lipoprotein(HDL-C),systolic blood pressure(SBP)(P<0.05).There was no significant difference in TG,LDL-C,DBP and BMI(P>0.05).