Study On The Effect Of Diabetic Complication Simulated Experience Tool For The Initial Inpatients Of Type 2 Diabetes

ObjectiveTo apply the diabetic complication simulation experience tools to the initial hospitalized type 2 diabetic patients with diabetes education,to help them experience the syndromes and the influences to the life of 6 types of chronic diabetic complications,so as to validate the application of diabetic complications simulation experience tools in initial inpatients with type 2 diabetes mellitus.Thus patients will pay attention to prevent diabetic complications,from passive learning to active learning,so that diabetes progression and development of complications can be well controlled,the quality of life and family and social burden can be reduced.MethodsEighty-six initial hospitalized type 2 diabetic patients were recruited from July2018 to November 2018 in Tianjin Medical University Metabolic Hospital.These patients were randomly divided into the intervention group and the control group according to the inclusion and exlusion criteria.Patients in the control group were educated in the mode of “ group patient education and discussion ” with the prevention of complications as the theme,while the intervention group based on the control group was given the diabetic complication simulation experience tools.Patients were followed in baseline,1 and 3 months after education.The body mass index(BMI),fasting blood glucose(FBG),2-hour postprandial blood glucose(P2BG),self-efficacy level,self-management behavior score of patients and glycosylated hemoglobin(HbA1c)(at 3 month)were collected.According to the charisteristics and distribution of baseline data,two independent samples t-test,rank sum test or chi-square test were used for comparison.Two independent samples t-test were used to compare the glycosylated hemoglobin between two groups.The level of FBG,P2 BG,BMI and score of SDSCA were compared by Repeated Measures ANOVA.The self-efficacy level was compared by generalized linear model.ResultsThere were no significant differences in baseline data(including demographic data,blood sugar related indicators,self-efficacy level and self-management score)between the two groups before intervention(P>0.05),and the balance was comparable.After intervention,the total scores of SDSCA and dietary behavior were significantly different between two groups(P<0.05).Time and intervention mode had interaction on P2 BG,total scores of SDSCA,dietary behavior and exercise behavior(P<0.05);BMI,FBG,P2 BG,dietary behavior,exercise behavior,blood glucose monitoring and foot care of the two groups changed with time(P<0.05).The self-efficacy level,dietary behavior,exercise behavior and foot care behavior of the intervention group were better than those of the control group after 3 months of intervention(P<0.05),but there were no significant differences in FBG,P2 BG,HbA1c,BMI and blood sugar monitoring(P>0.05).The level of FBG,P2 BG,self-management score and self-efficacy level of each of two groups were significantly different(P<0.05)before and after intervention,while there was no significant difference in other indicators(P > 0.05).ConclusionDiabetic education combined with diabetic complication simulation experience tools can improve the self-management level and self-efficacy level,especially in the diet and exercise,and foot care behavior can be also be improved.The effect of education of diabetic complication simulation experience tools is better than traditional education,and this mode can improve the quality of life.Diabetic education combined with diabetic complication simulation experience tools showed no significant effects on the BMI,FBG,2hPG and HbA1 c level change,might be the reason of shorter time of intervention.