The Construction And Effect Of Self-management Program On Aged Type 2 Diabetic Patients With Mild Cognitive Impairment

ObjectiveThis study is to build a Self-management Program on Aged Type 2 Diabetic Patients with Mild Cognitive Impairment and apply it clinically,helping patients to improve their self-care ability,diabetes self-management ability and cognitive function,control and reduce their blood glucose levels.Methods1.Refer to the diabetes prevention guidelines,guidelines for the prevention,treatment of mild cognitive impairment,and the higher-level evidence in self-management program for chronically ill patients,we construct Self-management Program on Aged Type 2 Diabetic Patients with Mild Cognitive Impairment.2.Quasi-experiment study:Clinical application and effectiveness evaluation of the Self-management Program on Aged Type 2 Diabetic Patients with Mild Cognitive Impairment.There are 80 elderly patients were selected from August 2017 to December 2017 who were treated in the endocrinology department of a three level of first-class hospital in Zhengzhou.The patients were set as control groups?40?and intervention group?40?by their ward.The control group received routine nursing measures and the intervention group received the Self-management Program on Aged T2DM Patients with MCI.Two groups of patients were surveyed using a general data questionnaire before the study.Fasting plasma glucose,2-hour postprandial blood glucose,glycated hemoglobinA₁c,The Self-Care Ability Scale for the Elderly score,Diabetes Self-care Scale score,Montreal cognitive assessment score were used before and after the study.The data were analyzed by IBM SPSS Statistics 22.0,and the test level was set to?=0.05.Counting data were expressed as frequency or percentage and statistical analysis was performed by?² test.Differences between the two groups were compared using two independent samples t-test or chi-square test.Results1.Two groups blood glucose levels:There was no statistically significant difference in fasting plasma glucose,glycated hemoglobin A₁c and 2-hour postprandial blood glucose levels between the two groups?t=0.552,P=0.583;t=0.311,P=0.756;t=0.330,P=0.742?,and it is comparable.The difference between fasting plasma glucose,glycated hemoglobin A₁c and 2-hour postprandial blood glucose levels before and after intervention?after intervention-before intervention?was found to be statistically significant?t=13.894,P<0.001;t=7.113,P<0.001;t=6.479,P<0.001?.Compared fasting plasma glucose,glycated hemoglobin A₁c and 2-hour postprandial blood glucose levels before and after intervention in the two groups,it was found that the fasting plasma glucose,glycated hemoglobin A₁c and 2-hour postprandial blood glucose after the intervention in the intervention group were lower than those before the intervention,and the difference was statistically significant?t=17.883,P=0.001;t=18.587,P=0.001;t=10.829,P=0.001?.There was no significant difference on fasting plasma glucose and glycated hemoglobin A₁c?t=1.534,P=0.133;t=1.582,P=0.122?while it was opposite on and 2-hour postprandial blood glucose in the control group?t=7.208,P=0.001?.2.Two groups of patient-related scale scores:There was no statistically significant difference in the Self-Care Ability Scale for the Elderly scores,Diabetes Self-care Scale scores,and Montreal cognitive assessment scores between the two groups before intervention?t=1.245,P=0.217;t=0.544,P=0.588;t=1.299,P=0.198?,and it is comparable.Comparing the difference of the Self-Care Ability Scale for the Elderly scores,Diabetes Self-care Scale scores,and Montreal cognitive assessment scores before and after the intervention between the two groups of patients,the difference between the Self-Care Ability Scale for the Elderly scores,Diabetes Self-care Scale scores were statistically significant?t=4.465,P<0.001;t=5.085,P<0.001?.There was no significant difference before and after intervention in the Montreal cognitive assessment scores?t=1.079,P=0.284?.Conclusion:Self-management Program on Aged T2DM Patients with MCI can help patients improve their self-care ability and diabetes self-management ability,control their blood glucose levels,but the effect on cognitive function is still needs further study.