Effects of "hospital-community-family" model in continuous nursing among diabetics

Abstract

Objective To explore the effects of hospital-community-family continuous nursing model in continuous nursing among diabetics. Methods From February 2018 to February 2019, a total of 102 diabetic out-patients at the Third Affiliated Hospital of South Medical University were selected by stratified random sampling. Patients were divided into control group and observation group with the random number table, 51 cases in each group. Control group carried out routine follow-up nursing. Observation group implemented hospital-community-family continuous nursing. We compared the fasting blood glucose (FBG) , 2-hour postprandial blood glucose (2h PG) , glycosylated hemoglobin (HbA1c) , scores of the Champion Health Belief Model Scale (CHBMS) , Health-Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ) and Quality of Life Scale for Patients with Type 2 Diabetes Mellitus (DMQLS) of two groups before and after intervention. Results After intervention, the FBG, 2 h PG and HbA1c of observation group were (7.11±1.25) mmol/L, (9.15±1.24) mmol/L and (8.15±0.59) % respectively lower than those [ (8.56±1.31) mmol/L, (11.21±1.35) mmol/L and (10.99±1.12) %]of control group with statistical differences (t=5.719, 8.026, 16.022; P<0.05) . After intervention, the scores of CHBMS, HPLP-Ⅱ and DMQLS of observation group were (4.16±0.34) , (4.09±0.35) and (165.24±5.21) respectively higher than those [ (3.52±0.42) , (3.24±0.41) and (154.18±4.39) ]of control group with statistical differences (t=8.458, 11.260, 11.593; P<0.05) . Conclusions Application of hospital-community-family continuous nursing in patients with type 2 diabetes mellitus helps the glucose control, improves health belief, health behavior and quality of life which is worthy of being used widely in clinical application. Key words: Diabetes mellitus; Glucose control; Continuous nursing; Hospital-community-family