ABSTRACT
Objective:To investigate of AIDET communication model in caring for type 2 diabetes mellitus of hospitalized patients.Methods:A total of 113 patients with type 2 diabetes mellitus treated in our department from January 2018 to November 2019 were enrolled, and divided into the control group(receiving a conventional communication mode)and the observation group(receiving an AIDET communication mode)according to a time order in the selecting of the research patients.The changes of self-care behavior and glucose metabolism index were evaluated and analyzed between the two groups.Results:On admission, the fasting blood glucose, 2-h postprandial blood glucose and glycosylated hemoglobin were(9.1±1.7)mmol/L, (13.8±2.9)mmol/L and(8.4±3.5)% in the observation group, and(9.4±2.1)mmol/L, (14.1±3.2)mmol/L and(8.1±2.9)% in the control group, respectively, with no statistically significances( P>0.05). At discharge, the observation group versus the control group showed a statistically significantly improved levels in FPG of(5.9±1.5)mmol/L vs.(7.8±1.9)mmol/L, in 2h-PBG of(10.1±3.7)mmol/L vs.(12.8±3.9)mmol/L and in glycosylated hemoglobin of(6.3±1.2)% vs.(7.5±0.9)%, respectively( P<0.05). The scores of management of poor blood glucose, foot care, blood glucose monitoring, medication compliance, regular exercise and diet control were higher in the observation group than in the control group at discharge( P<0.05). Conclusions:The application of AIDET communication mode can effectively enhance the self-care behavior of patients and help improve the glucose metabolism in hospitalized patients with type 2 diabetes mellitus.It has very positive effects on controlling the development of type 2 diabetes mellitus and improving the quality of life.
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Objective To assess the effectiveness of traditional Chinese Medicine (TCM ) syndrome differentiation treatment for diabetic nephropathy in elderly patients. Methods A total of 96 elderly patients with diabetic nephropathy admitted to our hospital from January 2015 to December 2017 were recruited and divided into a regular care group (n= 48)and a TCM group(n= 48).Both groups received conventional treatment ,with TCM syndrome differentiation treatment added to the TCM group. The effectiveness of the treatment modalities was compared. Results In the regular care group ,significant effectiveness was observed in 12 patients ,effectiveness in 24 patients ,and ineffectiveness in 12 patients ,with a total effectiveness rate of 75％ .In the TCM group ,significant effectiveness was seen in 18 patients ,effectiveness in 27 ,and ineffectiveness 3 ,with a total effectiveness rate of 93％. The total effectiveness rate of the TCM group was higher than that of the regular care group(χ2 =6.400 ,P=0.011).After treatment ,fasting blood glucose ,2 h postprandial blood glucose , urea nitrogen ,creatinine ,and 24 h urine protein in the TCM group were significantly lower than in the regular care group and than pre-treatment levels(P<0.05). Conclusions TCM differentiation can not only significantly improve the treatment effectiveness in elderly patients with diabetic nephropathy ,but also relieve the clinical symptoms.
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Objective To evaluate the effect of ultrasonic debridement for treating diabetic foot ulcers (DFU). Methods Randomized controlled trials ,quasi-experimental studies and cohort studies of ultrasonic debridement for DFU were searched from the Cochrane Library ,PubMed ,EMbase ,CBM ,VIP and CNKI. Two authors screened ,evaluated and extracted research articles ,and conducted meta-analysis on studies that met the quality standards. Results A total of six studies including 624 patients were included. Of them ,four studies included the outcome on the average wound healing time ,and meta-analysis showed that ,compared with traditional debridement ,ultrasonic debridement could shorten the average healing time for wounds[weighted mean differences(WMD)= -20.78 ,95% CI :-35.72-5.85 ,P=0.006].Three studies included the outcome on the average wound healing rate ,and meta-analysis showed that ultrasonic debridement had a higher average wound healing rate than traditional debridement (WMD=22.53 ,95% CI :19.19~25.87 ,P＜0.001). Two studies included the outcome on the average wound healing area ,and meta-analysis showed no significant difference between ultrasonic debridement and traditional debridement (WMD= -5.82 ,95% CI :-18.43~ 6.80 ,P= 0.370). Conclusions Ultrasonic debridement is superior to traditional debridement in treating diabetic foot ulcers.