A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients
Background/Aim. Diabetes mellitus (DM) represents a significant and enduring health concern and, due to various complications arising from inadequate management, leads to disability and mortality. The aim of this study was to examine the impact of the family-engaged multidisciplinary collaborative c...
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Military Health Department, Ministry of Defance, Serbia
2024-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400084W.pdf |
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| author | Wang Yan-Ping Peng Lu-Yao Yuan Xian-Ming Chen Ting-Ting Li Lin Deng Kai-Qin |
| author_facet | Wang Yan-Ping Peng Lu-Yao Yuan Xian-Ming Chen Ting-Ting Li Lin Deng Kai-Qin |
| author_sort | Wang Yan-Ping |
| collection | DOAJ |
| description | Background/Aim. Diabetes mellitus (DM) represents a significant and enduring health concern and, due to various complications arising from inadequate management, leads to disability and mortality. The aim of this study was to examine the impact of the family-engaged multidisciplinary collaborative care (FEC) model on the management of type 2 DM (T2DM) in young and middle-aged patients, considering the presence of DM distress. Methods. The study included 98 patients aged 18 to 59 diagnosed with T2DM and experiencing DM distress. The patients were admitted to the Department of Endocrinology of The First People’s Hospital of Jingzhou, in Hubei province, China, between February and December 2023. Using the random number table method, the patients were randomly assigned to either the intervention group (IG) or control group (CG), each consisting of 49 patients. While both groups received standard care, IG additionally received FEC. We assessed and compared glycated hemoglobin (HbA1c) levels, Diabetes Distress Scale (DDS) scores, Summary of Diabetes Self-care Activities (SDSCA) scores, and body mass index (BMI) between the two groups be-fore the intervention and three months after. Results. Three months post-intervention, IG exhibited lower HbA1c levels (6.02 ± 0.63 vs. 6.81 ± 0.85) and DDS scores (25.27 ± 2.70 vs. 34.24 ± 4.46) while demonstrating higher SDSCA scores (30.69 ± 1.91 vs. 25.03 ± 2.13) compared to CG. Additionally, the BMI of patients in IG measured 23.83 ± 2.51 kg/m2, which, compared to the BMI of CG (25.64 ± 3.68 kg/m2), was statistically significant (p < 0.05). Conclusion. The FEC model demonstrated efficacy in lowering HbA1c levels and BMI, mitigating DM distress, and enhancing self-care capabilities among young and middle-aged patients with T2DM experiencing DM-related distress. |
| format | Article |
| id | doaj-art-0935ce67f3224b9fb3e52461a5e3528b |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-0935ce67f3224b9fb3e52461a5e3528b2025-01-30T06:47:06ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202024-01-01811274775910.2298/VSP240206084W0042-84502400084WA multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patientsWang Yan-Ping0Peng Lu-Yao1Yuan Xian-Ming2Chen Ting-Ting3Li Lin4Deng Kai-Qin5Chongqing City Qianjiang District National Vocational Education Center, Qianjiang, China + The First Affiliated Hospital of Yangtze University, Department of Endocrinology, Jingzhou, China + Yangtze University Health Science Center, Jingzhou, ChinaThe First People’s Hospital of Jingzhou, Department of Endocrinology, Jingzhou, ChinaJingzhou Mental Health Center, Department of Non-Drug Therapy, Jingzhou, ChinaYangtze University Health Science Center, Jingzhou, ChinaThe First Affiliated Hospital of Yangtze University, Department of Endocrinology, Jingzhou, China + The First People’s Hospital of Jingzhou, Department of Endocrinology, Jingzhou, China The First Affiliated Hospital of Yangtze University, Department of Neurology, Jingzhou, China + The First People’s Hospital of Jingzhou, Department of Neurology, Jingzhou, ChinaBackground/Aim. Diabetes mellitus (DM) represents a significant and enduring health concern and, due to various complications arising from inadequate management, leads to disability and mortality. The aim of this study was to examine the impact of the family-engaged multidisciplinary collaborative care (FEC) model on the management of type 2 DM (T2DM) in young and middle-aged patients, considering the presence of DM distress. Methods. The study included 98 patients aged 18 to 59 diagnosed with T2DM and experiencing DM distress. The patients were admitted to the Department of Endocrinology of The First People’s Hospital of Jingzhou, in Hubei province, China, between February and December 2023. Using the random number table method, the patients were randomly assigned to either the intervention group (IG) or control group (CG), each consisting of 49 patients. While both groups received standard care, IG additionally received FEC. We assessed and compared glycated hemoglobin (HbA1c) levels, Diabetes Distress Scale (DDS) scores, Summary of Diabetes Self-care Activities (SDSCA) scores, and body mass index (BMI) between the two groups be-fore the intervention and three months after. Results. Three months post-intervention, IG exhibited lower HbA1c levels (6.02 ± 0.63 vs. 6.81 ± 0.85) and DDS scores (25.27 ± 2.70 vs. 34.24 ± 4.46) while demonstrating higher SDSCA scores (30.69 ± 1.91 vs. 25.03 ± 2.13) compared to CG. Additionally, the BMI of patients in IG measured 23.83 ± 2.51 kg/m2, which, compared to the BMI of CG (25.64 ± 3.68 kg/m2), was statistically significant (p < 0.05). Conclusion. The FEC model demonstrated efficacy in lowering HbA1c levels and BMI, mitigating DM distress, and enhancing self-care capabilities among young and middle-aged patients with T2DM experiencing DM-related distress.https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400084W.pdfadultdiabetes mellitustype 2familyoutcome assessmenthealth carestressphysiological |
| spellingShingle | Wang Yan-Ping Peng Lu-Yao Yuan Xian-Ming Chen Ting-Ting Li Lin Deng Kai-Qin A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients Vojnosanitetski Pregled adult diabetes mellitus type 2 family outcome assessment health care stress physiological |
| title | A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients |
| title_full | A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients |
| title_fullStr | A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients |
| title_full_unstemmed | A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients |
| title_short | A multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle-aged patients |
| title_sort | multidisciplinary collaborative care model involving family members in the treatment of type 2 diabetes mellitus and associated diabetes distress in young and middle aged patients |
| topic | adult diabetes mellitus type 2 family outcome assessment health care stress physiological |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400084W.pdf |
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