Effects of expert participation in community chronic diseases management under medical alliance model on disease cognition,health behaviors and blood glucose control in elderly community patients with T2DM
Objective To understand the effects of community chronic disease management with expert participation under medical alliance model on disease cognition,health behaviors and blood glucose control in elderly community patients with T2DM.Methods The research subjects were 220 elderly patients with type 2 diabetes mellitus(T2DM)in the community from September 2020 to July 2022.According to the implementation of expert participation in community chronic disease management under medical alliance model in the hospital in July 2021,110 patients who were given routine strategic management in the community from September 2020 to June 2021 were included in routine management group,and another 110 patients who were given community chronic disease management with expert participation under medical alliance model between July 2021 and July 2022 were enrolled as intensive management group.The disease cognition[Chinese Illness Perception Questionnaire Revised Edition(CIPQ-R)],health behaviors[Summary of Diabetes Self-Care Activities(SDSCA),Chinese Version of Diabetes Management Self-efficacy Scale(DMSES)],blood glucose control[fasting plasma glucose(FPG),2 h postprandial blood glucose(2 h PG),glycated hemoglobin(HbA1c)]and sleep status[Pittsburgh Sleep Quality Index(PSQI)]were compared between the two groups before and after intervention.Results After intervention,the scores of dimensions of CIPQ-R in the two groups were significantly enhanced(P＜0.05),and the scores in intensive management group after intervention were significantly higher than those in routine management group(P＜0.05).The scores of SDSCA and DMSES were significantly increased in the two groups after intervention(P＜0.05),and the scores in intensive management group were significantly higher compared with those in routine management group after intervention(P＜0.05).After intervention,the levels of FPG,2 h PG and HbA1c in the two groups significantly decreased(P＜0.05),and the intensive management group had significantly higher levels after intervention than routine management group(P＜0.05).The scores of dimensions of PSQI of both groups significantly reduced after intervention(P＜0.05),and the scores after intervention were significantly lower in intensive management group compared with those in routine management group(P＜0.05).Conclusion Expert participation in community chronic disease management under medical alliance model can effectively improve the disease cognition level of elderly community patients with T2DM,enhance the health behaviors and strengthen self-care ability,and it is beneficial to blood glucose control and sleep improvement.
Medical alliance modelCommunity chronic disease managementT2DMDisease cognitionHealth behaviorsBlood glucose control
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