Original Article
The multiple intervention study on type 2 diabetes in community comprehensive management based on clinical treatment
Bin Dong, Jiajun Yuan, Yingxia Zhou, Luo Lu, Liebin Zhao
Published 2016-12-20
Cite as Chin J Health Manage, 2016, 10(6): 424-428. DOI: 10.3760/cma.j.issn.1674-0815.2016.06.003
Abstract
ObjectiveTo evaluate the necessity and practicability of optimizing the management of type 2 diabetes mellitus in community after acquiring the peer education and the music therapy to their physical and mental issues and sleep problems.
MethodsTotally 179 type 2 diabetes mellitus patients who were followed up in Ruijin 2nd community health service center, the random numbers table used to randomize the patients into 2 groups:control group (97 cases) and experiment group (96 cases), the conventional treatment was used in control group. Besides the conventional treatment measures, the peer support was used by patients in the experiment group. In the second step, 45 patients were met the inclusion and the exclusion criteria, the random numbers table used to randomize the patients into 2 groups:the multiple intervention group (22 cases) and the conventional treatment group (23 cases), the multiple intervention included the music therapy, the peer support and the sleep health education, the conventional treatment included the conventional treatment and the sleep health education. The t test was used to compare the patient's HbA1c and other quantitative data in two groups of patients after the intervention.
ResultsIn the first stage of research, compared with the control group patients, the patients 'HbA1c in intervention group was significantly improvement after 6 months (7.26%±1.37% vs.7.53%±1.63%, t=2.148, P<0.05),besides, the intervention group individuals achieved significant improvement in diabetic self-management behaviors and self-efficacy after 6 months, and the improvement in self-efficacy of peer support group was significant different compared with routinely educated patients (104.09±16.40 vs.110.96± 13.86, t=2.120, P<0.05), and the PHQ-9 (5.95±4.02 vs.2.55±1.67, t=2.630, P<0.05) between the two group had significant difference, while no improvement was found in PSQI, BMI, and WHR between intervention group and control group.
ConclusionsPeer support could improve the blood glucose metabolism in patients with type 2 diabetes. With the effect of yoga music and physical exercises, peer support can improve the quality of sleep and decrease depression in T2DM patients, who also have sleep disorders and mild depression.
Key words:
Type 2 Diabetes mellitus; Peer support; Intervention studies
Contributor Information
Bin Dong
Shanghai Children's Medical Center, Shanghai Institute of Children Health Management, School of Medicine, Shanghai Jiaotong University , Shanghai 200172, China
Jiajun Yuan
Xinhua Hospital, School of Medicine, Shanghai Jiaotong University , Shanghai 200092, China
Yingxia Zhou
Shanghai Institute of Endocrine and Metabolic Diseases, Shanghai Clinical Center for Endocrine and Metabolic Diseases, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
Luo Lu
Shanghai Institute of Endocrine and Metabolic Diseases, Shanghai Clinical Center for Endocrine and Metabolic Diseases, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
Liebin Zhao
Shanghai Children's Medical Center, Shanghai Institute of Children Health Management, School of Medicine, Shanghai Jiaotong University , Shanghai 200172, China
