“三师共管”诊疗模式对不同病程糖尿病患者的临床疗效观察

BackgroundDiabetes has a high incidence rate and many complicationswhich was an urgent public health problembut the prevention and management is still not ideal. ObjectiveTo observe the effect of Three Division management on metabolic indicators and self-management levels of diabetes patients with different courses of disease. MethodsOne hundred and 81 type 2 diabetes patients from April 2021 to April 2022 were managed by the mode of Three Division management and followed up for more than 6 months. The patients were grouped according to the course of diseaseGroup Acourse of disease10 yearsIn outpatientthe three-division team composed of traditional Chinese medicine practitioners endocrinologists and caregivers carries out comprehensive treatment such as physique identificationcomplication screening medicinefoodexercises and emotion interventionWhen patients are at homethe caregivers carry out intelligent management through intelligent Glucose meter equipment and mobile phone APP. We collected changes in blood glucose and body weight indicators in patients with different disease courses after six months of management. Additionallywe used a questionnaire to gather common issues in patient self-management and fill out the Summary of Diabetes Self-Care Activities Measure-6 SDSCA-6. ResultsThrough the management of the Three Division managementGroup A patients showed significant improvement in reducing fasting blood glucose and postprandial 2-hour blood glucose after the interventionP<0.05. The BMI and waist circumference of groups ABCand D were all reduced compared to before the interventionP<0.05. Common dietary issues in patient self-management included an unreasonable dietary structure38.12%common exercise issues included insufficient exercise volume or intensity36.46%and common monitoring issues included insufficient monitoring37.02%. The self-management levels of groups ABCand D in the four dimensions of "healthy eating" "selfmonitoring" "adherence to medical advice" and "education and communication" all improved compared to before the intervention P<0.001. ConclusionThe Three Division management can improve the self-management ability of diabetes patients and play a good comprehensive role in diabetes. Clinical practice should particularly emphasize the management of patients with a diabetes course of less than one year.