标准化代谢性疾病管理中心目标管理在糖尿病合并脑卒中患者护理中的应用

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (959 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of Metabolic Management Center (MMC)target management in the nursing of patients with diabetes complicated with stroke.Methods A total of 80 patients with stroke complicated with type 2 diabetes admitted to Yichun People's Hospital of Jiangxi Province from January 2019 to August 2021 were selected as research objects.According to the sealed envelope lottery method,they were divided into control group (40 cases) and observation group (40 cases).The control group received routine nursing intervention of blood glucose.On the basis of the control group,the blood glucose target management was implemented in the observation group using the supporting facilities of MMC.Fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin,body mass index (BMI),self-management behavior score and activity of daily living (ADL) score were compared between the two groups before intervention and 6 months after intervention.Results There were no statistically significant differences between the two groups in fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level,BMI,waist circumference and abdominal circumference (P ＞0.05).After 6 months of intervention,the fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level and BMI of the two groups were lower than those before the intervention,and the waist circumference and abdominal circumference of the two groups were shorter than those before the intervention,the differences were statistically significant(P＜0.05).After 6 months of intervention,the fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05).After 6 months of intervention,the BMI of the patients in the observation group was lower than that in the control group,and the waist circumference and abdominal circumference of the patients in the observation group were shorter than those in the control group,and the differences were statistically significant (P＜0.05).There were no significant differences in the scores of summary of diabetes self-care activities (SDSCA)and activity of daily living (ADL)between the two groups before intervention (P＞0.05).After 6 months of intervention,the SDSCA and ADL scores of the two groups were higher than those of the group before intervention,and the differences were statistically significant (P＜0.05).After 6 months of intervention,the SDSCA and ADL scores of patients in the observation group were higher than those in the control group,and the differences were statistically significant (P ＜0.05).Conclusion The application of MMC objective management in the nursing of patients with diabetes complicated with stroke can effectively control blood glucose,reduce body weight,improve patients'self-care ability and quality of life,which is worth promoting.

Key words： Metabolic Management Center target management Diabetes mellitus Stroke Nursing Self-management behavior Activity of daily living

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2023/V30/I21/184

[1]	Carracher AM，Marathe PH，Close KL.International Diabetes Federation 2017[J].J Diabetes，2018，10（5）：15-18.
[2]	李苏，陈先丹，杨列禅，等.基于IMB 模型与同伴支持相结合的糖尿病全程教育管理策略构建与应用研究[J].重庆医学，2019，48（5）：891-893.
[3]	张翼飞.“智慧医疗健康中国”MMC 首届智慧慢病管理院长高峰论坛成功举办[J].中华内分泌代谢杂志，2022，38（3）：260-262.
[4]	杨洁，彭莹，石娟，等.国家标准化代谢性疾病管理中心管理在2 型糖尿病患者血糖控制和饮食行为改变中的作用[J].中国护理管理，2021，21（12）：1886-1889.
[5]	韩凌，王丽，丁娟.MMC 信息化平台医护联合会诊在糖尿病患者血糖管理中的应用研究[J].青海医药杂志，2021，51（10）：25-27.
[6]	中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志，2018，51（9）：666-682.
[7]	中华医学会糖尿病学分会.中国2 型糖尿病防治指南（2017 年版）[J].中国实用内科杂志，2018，38（4）：292-344.
[8]	席伟春，陈威凛，董雄伟，等.标准化代谢病管理中心模式管理社区2 型糖尿病的效果评价[J].上海医药，2021，42（14）：55-58.
[9]	季淑，胡涓，杨敬随.标准化代谢性疾病管理中心平台对糖尿病患者出院后自我管理效能影响[J].护理实践与研究，2021，18（12）：1826-1829.
[10]	Shin N，Hill-Briggs F，Langan S，et al.The association of minor and major depression with health problem-solving and diabetes self-care activities in a clinic-based population of adults with type 2 diabetes mellitus[J].J Diabetes，2017，31（5）：880-885.
[11]	张学敏，毕胜，张嗣敏，等.扩展Barthel 指数量表评定脑卒中ADL 能力的效度研究[J].中国康复，2019，34（3）：134-137.
[12]	尉晓琳.基于Omaha 理论的阶段目标性干预在糖尿病合并脑卒中后遗症患者中的应用分析[J].山西医药杂志，2022，51（1）：107-111.
[13]	熊承舜.MMC 管理模式应用于糖尿病临床护理中的效果[J].实用中西医结合临床，2021，21（12）：142-143，159.
[14]	田勇，董其娟，李丽，等.标准化代谢性疾病管理模式在早期糖尿病肾病患者中的应用价值[J].河南医学研究，2021，30（13）：2317-2320.
[15]	史菲菲，胡小磊，施冠华，等.标准化代谢性疾病管理中心平台管理对糖尿病院外患者自我管理能力以及血糖水平的影响[J].护理实践与研究，2021，18（8）：1253-1255.
[16]	王绵炯，林秋强，陈挺阳，等.基于MMC 的代谢性疾病患者延续性干预效果研究[J].中国医药指南，2021，19（11）：36-37，40.
[17]	陈飞，张琼丹，周红丽，等.个案管理师主导的MMC 随访平台在2 型糖尿病患者院内外护理中的应用[J].现代临床护理，2021，20（3）：51-57.
[18]	龚燕，汤娟娟，黄爱华.以国家标准化代谢性疾病管理中心平台为核心的糖尿病全病程健康教育在2 型糖尿病患者中的应用[J].护理实践与研究，2020，17（18）：52-54.
[19]	王绵炯，林秋强，陈挺阳，等.基于国家标准化代谢性疾病管理中心平台在出院后2 型糖尿病患者综合管理中的应用[J].中国处方药，2020，18（8）：185-187.
[20]	庄若，沈金炜，阎蕾，等.基于标准化代谢性疾病管理中心的目标管理模式在初诊糖尿病患者中的应用[J].中华现代护理杂志，2020，26（15）：2010-2014.
[21]	杨嘉颖，龚昱嘉，赖梦宇，等.不同病程的2 型糖尿病患者经标准化代谢性疾病管理后的代谢指标转归[J].中华内分泌代谢杂志，2021，37（2）：106-113.
[22]	李丽，汤艳梅，白淑侠.标准化代谢病中心对糖尿病患者延续护理的作用[J].国际护理学杂志，2021，40（4）：762-765.