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
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.
维普
万方数据