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Nurse-led follow-up care versus routine health education and follow-up in diabetes patients: An effectiveness analysis.
Jiang, Lan; Yan, Jiao; Yao, Jing; Jing, Xi; Chen, Yan; Deng, Yimin; Zhang, Wanyi; Yuan, Yi; Yang, Xiaoyu.
Afiliación
  • Jiang L; Outpatient Department, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Yan J; Department of Nursing, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Yao J; Department of Traditional Chinese Medical Rehabilitation, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Jing X; Department of Cardiology, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Chen Y; Department of Endocrinology and Metabolism, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Deng Y; Outpatient Department, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Zhang W; Department of Neurology, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Yuan Y; Department of Endocrinology and Metabolism, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
  • Yang X; Outpatient Department, Chongqing Emergency Medical Center, Chongqing Fourth People's Hospital, Chongqing University Affiliated Central Hospital, Chongqing, China.
Medicine (Baltimore) ; 103(22): e38094, 2024 May 31.
Article en En | MEDLINE | ID: mdl-39259103
ABSTRACT
Patients with diabetes have physical and psychological issues due to chronic illness. According to the guidelines of the Chinese Diabetes Society, after the diagnosis of patients with diabetes, they should receive routine health education, but this is the passive installation method of education. Nurses have made important contributions to the follow-up, education, and support of patients with diabetes and their families. The objective of this study was to evaluate the effectiveness of nurse-led follow-up care in routine health education and follow-up for patients with diabetes. Medical records of 721 patients with type 1 and type 2 diabetes were reviewed. Patients received nurse-led follow-up care including educational programs + Tai Chi exercises (patients received nurse-led follow-up care including educational programs for 6 months, n = 108), routine health education and follow-up + Tai Chi exercises (patients received routine health education and follow-up for 6 months, n = 205), or Tai Chi exercises only, but did not receive nurse-led follow-up care or routine health education and follow-up (patients received Tai Chi exercises only for 6 months, n = 408) for 6-months. The Zung Self-Rating Depression and Anxiety Scale and Summary of Diabetes Self-Care Activities were used to evaluate anxiety, depression, and self-care activities, respectively. Before the start of follow-up care (BFC), knowledge regarding diabetes and its threat was ≤1.75, anxiety and depression scores were ≥52 each, and self-care activities were ≤37. After 6 months of follow-up care, patients in the patients received nurse-led follow-up care including educational programs for 6 months improved their knowledge regarding diabetes and its threat, anxiety, depression, and self-care activities as compared to their before the start of follow-up care conditions and patients in the RF and patients received Tai Chi exercises only for 6 months at after 6 months of follow-up care conditions (P < .001 for all). Chinese type 1 or 2 diabetes patients had worse physical and psychological conditions and less knowledge regarding diabetes and its threat. Nurse-led aftercare, including educational programs with Tai Chi exercises for 6 months, decreased anxiety and depression and improved knowledge regarding diabetes and its threat and self-care activities in diabetic patients (Level of Evidence IV; Technical Efficacy Stage 5).
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autocuidado / Educación del Paciente como Asunto / Diabetes Mellitus Tipo 2 Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autocuidado / Educación del Paciente como Asunto / Diabetes Mellitus Tipo 2 Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos