Effects of complications simulated experience education in elderly patients with type 2 diabetes mellitus

Abstract

Objective To explore the influence of diabetic complications simulated experience education on blood glucose control and self-behavior management in elderly patients with type 2 diabetes mellitus. Methods A total of 150 elderly patients with type 2 diabetes mellitus were selected according to the diabetic diagnostic criteria by WHO from November 2015 to April 2016. They were randomly divided into intervention group (75 cases, diabetic complications simulated experience education, one-to-one education mode) and control group (75 cases, conventional education for diabetic complications, one-to-one education mode). The differences in fasting blood glucose, 2 hours′ postprandial glucose, glycosylated hemoglobin (HbA1c), and self-management behavior were compared before and one month after intervention. Results There were no difference in general situation, every glucose index, the score of diabetes management self efficacy (Chinese version Diabetes Management Self-Efficacy Scale, C-DMSES), and the score of self-management behavior (Summary of Diabetes Self-Care Activities, SDSCA) between two groups before intervention (P>0.05). After intervention, fasting blood glucose, 2 hours′ postprandial glucose, and HbA1c were (6.51±1.93)mmol/L, (11.08±5.02)mmol/L, (7.52±3.01)% in intervention group, which were lower than (7.31±1.80)mmol/L, (12.81±5.46) mmol/L, (8.84±2.52)% in control group (P<0.05). The scores of C-DMSES and SDSCA in intervention group were higher than those in control group (P<0.01). Conclusions The diabetic complications simulated experience education is better than conventional health education in blood glucose control and self-behavior management in elderly patients with type 2 diabetes mellitus. Key words: Diabetes mellitus, type 2; Aged; Health education; Glucose control; Complications; Simulated experience