| Objective : To analyze the application methods and effects of confidant health management combined with traditional Chinese medicine health care in the management of type 2 diabetes mellitus(diabetes involving the upper-jiao and middlé-jiao)in the community.Methods: From September 2017 to March 2018,144 patients with diabetes mellitus of lung-heat and body-heat injury(Shangxiao)and stomach-heat burning(Zhongxiao)were selected as the subjects.They were randomly divided into two groups,72 cases in the control group and72 cases in the observation group.On the basis of the confidant health management model for the control group,the observation group that they were combined with the health education and management model of traditional Chinese medicine health care.Two group of patients were guided for 6 months,within 6 months,there was no drop-off and termination,all completed the relevant management education and nursing content.The knowledge level of diabetes mellitus,self-management ability,biochemical indexes of diabetes mellitus and improvement of TCM syndromes of diabetes mellitus were observed before and 6 months after intervention.Biochemical indicators of diabetes included blood sugar(FPG and 2h PG),glycosylated hemoglobin(Hb A1c),blood pressure(SBP and DBP)and body mass index(BMI).The knowledge level of diabetes mellitus was assessed by Diabetes Knowledge Test(DKT),and the self-management ability of diabetes mellitus was assessed by Diabetes Self-care Scale(DSCS).The results were analyzed using SPSS 22.0software package.The measurement data were Normality test by normaldistribution(mean standard deviation),independent sample t test was used to compare the two groups,paired sample t test was used to compare the two groups before and after treatment,median and quartile were used to describe the non-normal distribution,non-parametric test was used to compare the two groups,repeated measures of variance analysis was used to compare the time points between the two groups,and 2 tests were used to test the counting data.All the tests were double-sided,and P≤0.05 was statistically significant.Results:(1)Baseline comparison of general information.There was no significant difference in sex and age between the two groups(P>0.05).Before intervention,there were no significant differences in the biochemical indexes of diabetes between the two groups(P>0.05),such as FPG,2h PG,HBALC,SBP,DBP,BMI,knowledge level of diabetes and self-management ability of diabetes.(2)After 3 months of intervention,FPG,2h PG,HBA1 C,SBP,DBP,BMI in both groups were significantly lower than those before intervention(P<0.05),and FPG,2h PG,SBP in the observation group were significantly lower than those in the control group(P<0.05),the2 HPG,HBA1C,SBP and DBP of the patients in the observation group decreased significantly(P < 0.05),while FPG and BMI decreased significantly(P<0.05),there was no significant difference in SBP and BMI Between Control Group and 3 months after intervention(p P>0.05),and SBP and BMI increased(P > 0.05),and the SBP and BMI in observation group were significantly lower than those in control group(P<0.05).(3)The rate of reaching the standard of biochemical indexes of diabetes in the Observation Group was significantly higher at 3 months after intervention than at 3 months before intervention(P<0.05)and at 6months after intervention than at 3 months after intervention(P<0.05),3months after intervention,6 months after intervention,the rate of reachingthe standard of each index was significantly higher than that of the control group(P<0.05),and 3 months after intervention,the rate of reaching the standard of each index was significantly higher than that of the control group(P<0.05),the compliance rate of FPG,2h PG,HBA1 C,SBP and DBP AT 6 months after intervention was significantly higher than that at 3months after intervention(P<0.05),but the compliance rate of BMI had no significant change(P>0.05).(4)After 3 months of intervention,the scores of all dimensions and total score of diabetes knowledge in the two groups were significantly higher than those before intervention(P < 0.05),and the scores in the observation group were significantly higher than those in the control group(P<0.05),the scores of each dimension and the total score of the two groups were significantly higher than those before intervention(P<0.05),and the scores of the observation group were significantly higher than those of the control group(P<0.05).(5)After 3 months of intervention,the scores of each dimension and the total score of the patients in both groups were significantly higher than those before intervention(P < 0.05),and the scores in the observation group were significantly higher than those in the control group(P<0.05).After 6 months of intervention,the scores of the patients in both groups were significantly higher than those in the control group,the scores of each dimension and the total score of the two groups were significantly higher than those before intervention(P <0.05),and the scores of the observation group were significantly higher than those of the control group(P<0.05).(6)Diet control,regular exercise,taking medicine according to doctor’s advice,blood sugar monitoring,foot care,prevention and treatment of high and low blood sugar,and the good rate of total score were significantly higher in 3 months after intervention than in 3 months before intervention(P < 0.05),6 months after intervention wassignificantly higher than 3 months after intervention(P<0.05).3 months after intervention and 6 months after intervention in the observation group were significantly higher than those in the control group(P<0.05)(7)After Three months intervention and six months after intervention,the total effective rate of TCM syndrome improvement in the observation group was 80.56%(58/72)and 95.83%(69/72),respectively.Both were significantly higher than the control group of 56.94 per cent(41/72)and 77.78 per cent(56/72)(P<0.05).Conclusion:The confidant’s health management union traditional Chinese medicine health care,can enhance diabetic’s disease to control pointed,the self-control initiative,can promote the patient physique improvement and diabetes long-term management effect. |
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