ABSTRACT
Objective To observe the effect of medication compliance and self-efficacy of schizophrenia patients with diabetes by continuing self-management education. Methods A total of 60 patients with schizophrenia with diabetes diagnostic criteria were divided into experimental group (30 cases) and control group (30 cases) by the admission number, 2 groups received conventional drug treatment, the control group received general preaching health education pattern, were each issued a health education manual, with schizophrenia and diabetes health knowledge division, the test group on the basis of the continuation of the implementation of self-management education, followed up 12 months after discharge, compared 2 groups of patients with medication compliance and recurrence rate, with General Perceived Self-Efficacy Scale (GSES) assessment level of 2 groups of patients with self-efficacy, fasting blood glucose (FPG) was determined by automatic biochemical analyzer, 2 hours postprandial blood glucose (2 hPBG). Results Six months after discharge, 82.1%(23/28) cases were complete compliance, 14.3%(4/28) cases of partial compliance, 3.6%(1/28) cases of non-compliance, 55.2%(16/29)cases of the control group complete compliance, 27.6%(8/29) cases of partial compliance, 17.2%(5/29) cases of non-compliance, the differences between two groups were statistically significant (χ2=37.41, P<0.05). The 12 month test group of full compliance discharged 75.0%(21/28) cases, 14.3%(4/28) cases of partial compliance, 10.7%(3/28) cases of non-compliance, 31.0%(9/29) cases of the control group complete compliance, 31.0%(9/29) cases of partial compliance, 37.9%(11/29) cases of non-compliance, the test group compliance was higher than the control group (χ2=11.27, P<0.05). The score after 6 months and 12 months respectively for the test group general self-efficacy scored 35.32 ± 2.02, 34.18 ± 1.77, control group scored 24.03 ± 3.04, 22.48 ± 2.01, the differences between two groups were statistically significant (t=16.445, 23.304, P<0.01). After 6 months in test group FPG and 2 hPBG were (5.71 ± 1.05), (9.46 ± 1.37) mmol/L, control group were (7.79 ± 1.05),(12.28 ± 2.07) mmol/L, the differences between two groups were statistically significant (t=7.483, 6.023, P<0.01). 12 months after discharge in test group FPG and 2 hPBG respectively (5.89±1.13), (9.68±1.09) mmol/L, control group (9.14±1.19), (13.17±1.42) mmol/L, test group FPG and 2 hPBG were lower than the control group (t=10.550, 7.431, P<0.01). After 6 months and 12 months, the recurrence rate of experimental group were 7.1% (2/28) and 24.1% (7/29) respectively, and control group were 14.3%(4/28) and 44.8%(13/29), the recurrence rate of experimental group was lower than the control group, there was significant difference between 2 groups (χ2=4.326, 6.225, P< 0.05 or 0.01). Conclusions Self-management education can improve the medication compliance and self-efficacy, improve mental symptoms and sugar metabolism, and reduce the recurrence rate.
ABSTRACT
<p><b>OBJECTIVE</b>To investigate celluar toxicity and antibacterial property of nano-silver coating modified denture base and to provide a theortical basis for clinical application.</p><p><b>METHOD</b>The samples were divided into coating group and denture base group. Samples in coating groups were treated with silver ion sputtering and were further divided into the 10, 20, 40, 60, 80, 100 s subgroups according to their sputtering time. Surface microstructure of samples in coating groups and denture base group were observed by scanning electron microscopy (SEM), and composition of material surface were determined with energy dispersive spectrum (EDS) analysis. Methyl thiazolyl terazolium (MTT) method was used to analysis L929 cells proliferation rate and cell toxicity grade while the coating groups (n = 6) and group test specimens (n = 6), negative control (polyethylene, PE) (n = 6) and positive control group (PVC-org.Sn) (n = 6) were co-cultured with L929 cells. The antibacterial properties of coating groups were investigated by using the bacterial membrane adhering method with Streptococcus mutans and Candida albicans.</p><p><b>RESULTS</b>SEM observation showed that the surface of control group specimens were smooth, whereas dense and uniform distributed nano silver particles were visible on the surface of coating group specimens. The silver particles were round, and the diameter size was 10 nm. MTT assay showed that after being co-cultured with specimens in control group, L929 cell had higher proliferation rate than 100% at 24, 48, 72 h, and cytotoxicity were graded 0. The membrane adhering method results showed that all of bacterial colonies were found in control group, but without anything at the coating groups.</p><p><b>CONCLUSIONS</b>Deposition of nano silver on the denture base surface by ion sputtering method is a viable method. There's no cytotoxicity of series Ag-coating material. Nano-silver modified denture base material benefits L929 cell surface proliferation and has antibacterial action.</p>