首页|国家标准化代谢性疾病管理中心模式在初诊2型糖尿病视网膜病变中的应用

国家标准化代谢性疾病管理中心模式在初诊2型糖尿病视网膜病变中的应用

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目的 探讨国家标准化代谢性疾病管理中心(MMC)模式在初诊T2DM视网膜病变中的应用效果.方法 选取2020年6月至2022年4月到广西南宁市第二人民医院内分泌科就诊的80例初诊T2DM患者,按随机数字表分为观察组和对照组各40例.对照组用优质护理模式,观察组在对照组基础上结合MMC模式管理.比较干预前及干预6个月、12个月、18个月后两组患者糖尿病知识测试问卷(DKT)评分、自我管理效能量表(C-DMSES)评分及糖尿病性视网膜病变(DR)程度积分.结果 干预后两组患者DKT评分、C-DMSES评分较干预前提高;干预后6个月、12个月、18个月,观察组DKT评分、C-DMSES评分高于对照组(P<0.001).干预后两组患者DR程度积分比较差异无统计学意义(P>0.05);干预后18个月,观察组DR程度积分有所减少,但差异无统计学意义(P>0.05),对照组DR程度积分高于干预前和干预后6个月(P<0.05).结论 MMC模式管理初诊T2DM患者能提高其防治糖尿病知识水平,提升自我管理糖尿病及DR的效能,从而有效控制糖尿病,预防和控制DR进展.
Application effect of the mode of National Metabolic Management Center in newly diagnosed type 2 diabetic retinopathy
Objective To investigate the effect of the mode of National Metabolic Management Center (MMC) in newly diagnosed type 2 diabetes mellitus (T2DM) retinopathy.Methods A total of 80 newly diagnosed T2DM patients who visi-ted the Endocrinology Department of the Second Nanning People's Hospital of Guangxi from June 2020 to April 2022 were se-lected.All patients were divided into observation group and control group according to random number table,with 40 patients in each group.The control group were given high-quality nursing mode,while the observation group were integrated with MMC mode on the basis of control group.And then,the diabetic knowledge test questionnaire ( DKT) score,self-manage-ment effectiveness scale ( C-DMSES) score and diabetic retinopathy ( DR) degree score were compared between the two groups before intervention and at 6,12 and 18 months after intervention.Results After intervention,the DKT scores and C-DMSES scores of both groups increased compared to those before intervention;at 6,12,and 18 months after intervention,the DKT score and C-DMSES score in the observation group were higher than those in the control group ( P<0.001).There was no statistically significant difference in the DR scores between the two groups after intervention ( P>0.05);after 18 months of intervention,the DR score in the observation group decreased slightly,but difference was not statistically signifi-cant ( P>0.05),while the DR score in the control group was higher than those before intervention and 6 months after inter-vention (P<0.05).Conclusion MMC model management can improve the knowledge levels of diabetes prevention and treatment of newly diagnosed T2DM patients,and improve the efficiency of self-management of diabetes and DR,so as to ef-fectively control diabetes,and prevent and control the progression of DR.

National Metabolic Management Center (MMC)type 2 diabetes mellitus (T2DM)diabetic retinopathy (DR)follow-up management

韦美娟、张帆、苏庆建、梁玫瑰、颜新、张君、杨健、刘欣欣、农桂媛

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广西南宁市第二人民医院内分泌科,广西南宁530031

国家标准化代谢性疾病管理中心 2型糖尿病 糖尿病性视网膜病变 随访管理

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(10)