| ObjectiveIt aims to investigate demographic and clinical characteristics of diabetic patients with initial administration of basic insulin,and analyze the effect of Patient-Nurse-Doctor Collaboration follow-up on their blood glucose,self-management and adverse events induced by insulin injection.MethodsA total of 100 consecutive patients with type 2 diabetes mellitus and initial administration of basic insulin were enrolled in a Third Grade&First-class hospital in Heze,and their demographic and clinical characteristics were described.These 100patients were randomly allocated to test group(n=50)and control group(n=50).Both test and control group received the same treatment and nursing in hospital,and test group received Patient-Nurse-Doctor Collaboration follow-up mode and control group received routine nursing after discharge.FBG,2hPG and HbA1c were detected before intervention and three months after intervention in all patients,self-management were evaluated with Type 2 diabetes self-care scale(2-DSCS)before intervention and three months after intervention,degree of satisfaction was investigated three months after intervention,and adverse events induced by insulin injection were recorded within three months after intervention.Results(1)Diabetic inpatients with initial administration of basic insulin in Heze Municipal Hospital had a roughly equal proportion of male and female,a bad control for blood glucose and a middle self-management.Most were with middle and old age,and most had a course of disease greater than 5 years,family history and complications more than two;(2)Compared with pre-intervention,FBG,2hPG and HbA1c were all significantly decreased three months after intervention in test group(t=5.532,P<0.001;t=6.654,P<0.001;t=8.837,P<0.001);Compared with pre-intervention,FBG,2hPG and HbA1cwere all significantly decreased three months after intervention in control group(t=3.288,P=0.002;t=3.876,P<0.001;t=7.640,P<0.001);And moreover,FBG,2hPG and HbA1c were lower in test group than those in control group three months after intervention(t=2.283,P=0.025;t=2.365,P=0.020;t=2.007,P=0.048);(3)Rates of reaching the standard of FBG,2hPG and HbA1c were all higher in test group than those in control group three months after intervention(c~2=4.439,P=0.035;c~2=4.257,P=0.039;c~2=6.651,P=0.010);(4)Test group had higher scores of total self-management,science diet,regular exercise,rational drug use,blood glucose monitoring,and treatment for high and low blood glucose three months after intervention,compared with pre-intervention(t=12.865,P<0.001;t=5.697,P<0.001;t=5.414,P=0.001;t=4.802,P<0.001;t=6.583,P<0.001;t=4.582,P<0.001),however,the increase of foot care score was not significant(t=1.963,P=0.056);Control group had higher scores of total self-management,science diet,regular exercise,rational drug use,and blood glucose monitoring three months after intervention,compared with pre-intervention(t=5.819,P<0.001;t=3.318,P=0.002;t=3.380,P=0.002;t=2.624,P=0.012;t=4.401,P<0.001),however,the increase of foot care score and treatment for high and low blood glucose was not significant(t=1.801,P=0.078;t=1.929,P=0.06);In addition,test group had higher scores of total self-management,science diet,regular exercise,rational drug use,blood glucose monitoring,and treatment for high and low blood glucose three months after intervention,compared with control group(t=-4.752,P<0.001;t=-2.204,P=0.030;t=-2.034,P=0.045;t=-2.213,P=0.030;t=-2.398,P=0.018;t=-2.268,P=0.026),however,the difference of foot care score was not significant(t=-1.628,P=0.108);(5)Test group had a higher degree of satisfaction compared with control group(t=4.5,P<0.001);(6)Incidence of adverse events induced by insulin injection,including low blood glucose and subcutaneous induration or infection was lower in test group than in control group(P=0.029;t=5.390,P=0.020).ConclusionPatient-Nurse-Doctor Collaboration follow-up mode had a better effect on biochemical indexes,self-management and degree of satisfaction,and moreover might reduce the incidence of adverse events induced by insulin injection.Therefore,it was worth promoting. |
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