Study On The Application Of Therapeutic Patient Education Prescriptions For Patients With Type 2 Diabetes Mellitus

Objective:The aim of this study was to develop a scientific,quantitative and individualized therapeutic patient education prescription,to apply it in outpatient with type 2 diabetes mellitus,to evaluate its effect,and to provide evidence for clinical practice and standards.Methods:We review literatures about the status of therapeutic patient education and individualized education prescription for the patients with type 2 diabetes mellitus.Combined with diabetes related guidelines and norms,the endocrinologists,nutritionists,diabetes nurse specialists,psychologists,rehabilitation and other multidisciplinary team worked together to develop a set of therapeutic diabetes education prescription.Diabetes nurse specialist prescribed the therapeutic patient education prescription for outpatient with type 2 diabetes mellitus.Fasting blood glucose(FBG),2 hours postprandial blood sugar(2hPG),glycosylated hemoglobin(HbA1c),triglycerides(TG),total cholesterol(TC),body mass index(BMI),waist circumference(WC)and Summary of Diabetes Self Care Activities(SDSCA)were observed to evaluate the effect of the therapeutic patient education prescription.Results:37 cases of outpatients with type 2 diabetes received therapeutic education prescription intervention with 6 months follow up.From baseline to 6 months,we found reduction in fasting blood glucose(FBG)[from(7.766±1.69)mmol/L to(6.90±1.76)mmol/L],2 hours postprandial blood sugar(2hPG)[from(12.00±3.32)mmol/L to(10.69±3.15)mmol/L],glycosylated hemoglobin(HbAlc)[from(7.34±0.88)%to(6.73±0.86)%],total cholesterol(TC)[from(4.03±0.80)mmol/L to(3.65±0.63)mmol/L],triglyceride(TG)[from(1.35±0.78)mmol/L to(1.12±0.63)mmol/L],body mass index(BMI)[from(23.53±2.37)kg/m2 to(22.93±2.02)kg/m2],waist circumference(WC)[from(89.86±7.24)cm to(87.95±7.07)cm],and significant increase in the score of SDSCA[from(41.2± 15.6)to(52.5± 15.5)].The differences were statistical significance(P<0.05 or(P<0.01).Conclusion:The therapeutic patient education prescription,which was formulated by the multi-disciplinary team according to the combination of individualized health education prescription and therapeutic patient education model,could improve the self-management behavior of patients with type 2 diabetes mellitus and had positive effects on the control of blood sugar,blood cholesterol and body weight.It was worthy of clinical use.