Abstract
Objective To explore the effects of nursing intervention under community family responsibility doctor contract mode on insulin therapy knowledge, compliance, self-management ability and glucose control in elderly diabetic patients. Methods From June 2015 to May 2016, 100 elderly diabetic inpatients of Endocrinology Department in Shangqiu First People's Hospital of He'nan Province were selected by convenience sampling. All of the patients were randomly divided into observation group and control group, 50 cases in each group. Patients of control group accepted routine community intervention post discharge. On the basis of control, patients of observation group were treated with signing family responsibility doctor service agreement and community nursing intervention. The follow-up was carried out for six months post discharge. The insulin therapy knowledge, injection compliance of insulin and score of self-management behavior, changes of fasting blood-glucose of patients in two groups were compared. Results Three and six months after intervention, the scores of insulin therapy knowledge and injection compliance of patients in observation group were higher than those in control group; the scores of insulin therapy knowledge and injection compliance of patients in two groups six months after intervention were lower than those three months after intervention with significant differences (P<0.05) . There was an interaction effect between the group factor and time factor in fasting blood-glucose between two groups with a significant difference (F=6.943, P<0.001) . There was an interaction effect between the group factor and time factor in total score of self-management behavior of elderly diabetic patients in two groups with a significant difference (F=6.243, P<0.001) . Conclusions The nursing intervention under community family responsibility doctor contract mode for elderly diabetic patients is conducive for patients to mastering insulin therapy knowledge, improving injection compliance of insulin and self-management ability as well as glucose control. Key words: Diabetes mellitus; Self-management; Family responsibility physicians; Contract mode
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