Analysis of the Effectiveness of Interventions Based on the National Standardized Metabolic Disease Management Center Model in Population of Adolescents at High Risk for Diabetes Mellituss
Objective:To explore the applied effects of implementing interventions based on the national standardized Metabolic Management Center(MMC)model in a population of adolescents at high risk for diabetes,and to provide a basis for reducing the incidence of diabetes in the adolescent population.Methods:Students from three high schools in Jiamusi in the spring semester of 2021 were selected for random glycemic screening,and 61 of them with impaired glucose tolerance(IGT)and abnormal fasting glu-cose were screened for hospitalization,and were divided into a control group of 30 and a study group of 31 using a computerized single-blind randomization grouping method.The control group used conventional nursing interventions,and the study group imple-mented nursing interventions based on the MMC model.Glycolipid metabolism indexes,self-care behaviors[Chinese Revised Morisliy Medication Adherence Scale(MMAS-8)score],and disease regression were compared between the two groups.Results:After the intervention,the glycemic and lipid metabolism indexes of the study group were lower than those of the control group,and the differences were statistically significant(t=7.565,3.945,3.664,7.925,P＜0.05).After the intervention,the scores of all di-mensions in the MMAS-8 were higher in the study group than in the control group,and the difference was statistically significant(t=5.442,24.843,11.672,40.221,5.336,19.732,P＜0.05).No diabetic ketoacidosis or diabetes mellitus occurred in the study group,and the total incidence of adverse disease regression was significantly lower than that in the control group,with a statistical-ly significant difference(x2=4.016,P＜0.05).Conclusion:Implementation of the MMC model of intervention for adolescents at high risk for diabetes can lead to early detection of diabetes,glycemic control,improvement of patients'glycemic and lipid metabo-lism indexes,enhancement of self-care behaviors,reduction of diabetes morbidity,and promotion of disease regression.
万方数据
维普
