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Randomized Controlled Trial
. 2022 Mar 22:2022:7829454.
doi: 10.1155/2022/7829454. eCollection 2022.

A Randomized, Controlled Trial Exploring Collaborative Nursing Intervention on Self-Care Ability and Blood Glucose of Patients with Type 2 Diabetes Mellitus

Affiliations
Randomized Controlled Trial

A Randomized, Controlled Trial Exploring Collaborative Nursing Intervention on Self-Care Ability and Blood Glucose of Patients with Type 2 Diabetes Mellitus

Xi Wang et al. Dis Markers. .

Abstract

Objective: For determining the impacts of collaborative nursing intervention (CNI) on self-care ability and blood glucose (BG) of patients with type 2 diabetes mellitus (T2DM).

Methods: The study enrolled 72 T2DM patients, who are referred to our hospital between April 2017 and September 2019. Of them, 35 cases given routine nursing were set as the control group (CG) and 37 cases given CNI were set as the research group (RG). The Exercise of Self-Care Agency (ESCA) scale scores and the levels of fasting plasma glucose (FPG) as well as glycosylated hemoglobin (HbAlc) were observed pre- and postintervention. The scores of SAS and HAMD and Morisky pre- and postnursing intervention as well as postnursing SF-36 scores and patients' satisfaction toward the nursing content were recorded.

Results: After intervention, RG presented notably lower serum HbAlc and FPG levels than CG (P < 0.05); RG presented evidently lower SAS and HAMD scores while distinctly higher Morisky, SF-36, and ESCA scores than CG (P < 0.05); the nursing satisfaction in RG and CG was 97.30% and 51.43%, respectively.

Conclusions: In view of the fact that CNI can decrease HbAlc and FPG levels in patients with T2DM and enhance their self-care ability, it is worth popularizing in the clinic.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
HbAlc and FPG levels pre- and postintervention. (a) After intervention, the HbAlc expression in the RG dropped notably and was lower than that in the CG. (b) After intervention, the FPG expression in the RG dropped notably and was lower than that in the CG. Note: P < 0.05 between the two groups.
Figure 2
Figure 2
SAS scores pre- and postintervention. After intervention, the SAS score in the RG dropped notably and was lower than that in the CG. Note: P < 0.05 between the two groups.
Figure 3
Figure 3
HAMD scores pre- and postintervention. After intervention, the HAMD score in the RG dropped notably and was lower than that in the CG. Note: P < 0.05 between the two groups.
Figure 4
Figure 4
Morisky scores pre- and postintervention. (a) After intervention, the RG got a notably higher score of following the doctor's advice than the CG. (b) After intervention, the RG got a notably higher score of body mass control than the CG. (c) After intervention, the RG got notably higher scores of diet control than the control. (d) After intervention, the RG got a notably higher score of proper exercise than the CG. Note: P < 0.05 between the two groups.
Figure 5
Figure 5
SF-36 scores postintervention. (a) The RG got notably higher physical health scores of SF-36 than the CG. (b) The RG got notably higher mental health scores of SF-36 than the CG. Note: P < 0.05 between the two groups.
Figure 6
Figure 6
ESCA scores pre- and postintervention. (a) After intervention, the RG got notably higher scores of self-care concept than the CG. (b) The RG got notably higher scores of sense of responsibility for self-care than the CG after intervention. (c) The RG got notably higher scores of self-nursing skills than the CG after intervention. (d) The RG got notably higher scores of health knowledge level than the CG after nursing intervention. Note: P < 0.05 between the two groups.

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