Abstract
Aim To evaluate the effect of community-nurse-led multidisciplinary team management on glycosylated hemoglobin (HbA1c), quality of life (QOL), hospitalization, and help-seeking behavior in people with type 2 diabetes mellitus (DM). Methods A quasi-experimental trial was conducted among people with type 2 DM from two community centers in China. The intervention group (n = 88) received community-nurse-led multidisciplinary team management for 2 years, while the control group (n = 91) received usual care. Data regarding HbA1c, QOL (assessed by the SF-36), hospitalization, and help-seeking behavior were collected at baseline and at 6, 12, and 24 months. Results During the 24-month project, the intervention group demonstrated 1.08% reduction in HbA1c, whereas the control group achieved an increase of 0.45%. The differences between the two groups were statistically significant (P < 0.001). The intervention group showed greater increased in QOL scores (from 66.43 to 70.47, P < 0.001), more decrease in hospitalization (OR = 2.981, 95% CI: 1.016, 8.752 versus OR = 1.189, 95% CI: 0.411, 3.444; P = 0.028) when compared with the control group. The percentage increase of seeking help from nurses in the intervention group (from 12.5% to 57.3%, P < 0.001) was significantly greater than that in the control group after the intervention. Conclusions Nurse-led multidisciplinary team management is an effective intervention for improving glycemic control, QOL, hospitalization, and help-seeking behavior for people with DM in a community.
Highlights
Diabetes mellitus (DM) is one of the most common chronic diseases in the world
This study aimed to evaluate the effect of nurse-led multidisciplinary team management on hospitalization reduction, help-seeking behavior changes, and quality of life (QOL) in patients with type 2 DM for 24 months
For this quasi-experimental study, participants were assigned based on their residence address: patients who came from Yulin Community Center were assigned to the intervention group and those who came from Tiaosanta Community Center were assigned to the control group
Summary
Diabetes mellitus (DM) is one of the most common chronic diseases in the world. There are more than 463 million diabetics worldwide at present, and with the incidence of this disease increasing, this number is expected to exceed 700 million by 2045 [1]. Most type 2 diabetics receive their care from primary care physicians, resulting in an increasingly heavy workload for physicians [10]. Primary care physicians have typically performed various duties, leading to time-limited visits for patients [11]. The nurses’ autonomy and level of intervention depended on the primary care physician. Numerous interventions have been explored to address the challenges of inadequate control with increasing patients [12,13,14]. Many researchers extended the role of nurses by instituting them as care managers [15,16,17]
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