摘要
目的探讨国家标准化代谢性疾病管理中心(MMC)模式在初诊T2DM视网膜病变中的应用效果。方法选取2020年6月至2022年4月到广西南宁市第二人民医院内分泌科就诊的80例初诊T2DM患者,按随机数字表分为观察组和对照组各40例。对照组用优质护理模式,观察组在对照组基础上结合MMC模式管理。比较干预前及干预6个月、12个月、18个月后两组患者糖尿病知识测试问卷(DKT)评分、自我管理效能量表(C-DMSES)评分及糖尿病性视网膜病变(DR)程度积分。结果干预后两组患者DKT评分、C-DMSES评分较干预前提高;干预后6个月、12个月、18个月,观察组DKT评分、C-DMSES评分高于对照组(P<0.001)。干预后两组患者DR程度积分比较差异无统计学意义(P>0.05);干预后18个月,观察组DR程度积分有所减少,但差异无统计学意义(P>0.05),对照组DR程度积分高于干预前和干预后6个月(P<0.05)。结论MMC模式管理初诊T2DM患者能提高其防治糖尿病知识水平,提升自我管理糖尿病及DR的效能,从而有效控制糖尿病,预防和控制DR进展。
Objective To investigate the effect of the mode of National Metabolic Management Center(MMC)in newly diagnosed type 2 diabetes mellitus(T2DM)retinopathy.Methods A total of 80 newly diagnosed T2DM patients who visited the Endocrinology Department of the Second Nanning People's Hospital of Guangxi from June 2020 to April 2022 were selected.All patients were divided into observation group and control group according to random number table,with 40 patients in each group.The control group were given high-quality nursing mode,while the observation group were integrated with MMC mode on the basis of control group.And then,the diabetic knowledge test questionnaire(DKT)score,self-management effectiveness scale(C-DMSES)score and diabetic retinopathy(DR)degree score were compared between the two groups before intervention and at 6,12 and 18 months after intervention.Results After intervention,the DKT scores and C-DMSES scores of both groups increased compared to those before intervention;at 6,12,and 18 months after intervention,the DKT score and C-DMSES score in the observation group were higher than those in the control group(P<0.001).There was no statistically significant difference in the DR scores between the two groups after intervention(P>0.05);after 18 months of intervention,the DR score in the observation group decreased slightly,but difference was not statistically significant(P>0.05),while the DR score in the control group was higher than those before intervention and 6 months after intervention(P<0.05).Conclusion MMC model management can improve the knowledge levels of diabetes prevention and treatment of newly diagnosed T2DM patients,and improve the efficiency of self-management of diabetes and DR,so as to effectively control diabetes,and prevent and control the progression of DR.
作者
韦美娟
张帆
苏庆建
梁玫瑰
颜新
张君
杨健
刘欣欣
农桂媛
WEI Meijuan;ZHANG Fan;SU Qingjian;LIANG Meigui;YAN Xin;ZHANG Jun;YANG Jian;LIU Xinxin;NONG Guiyuan(Department of Endocrinology,the Second Nanning People's Hospital,Nanning 530031,Guangxi,China)
出处
《右江医学》
2024年第10期906-912,共7页
Chinese Youjiang Medical Journal
基金
2018年广西壮族自治区临床重点专科建设项目(桂卫医发〔2018〕6号)
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200543)。
