The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus
Objective. We aim to evaluate the impact of diabetes management shared care clinic (DMSCC) on glycated hemoglobin A1c (HbA1c) compliance and self-management abilities in patients with type 2 diabetes mellitus (T2DM). Methods. This study was a prospective cohort study of patients with T2DM participat...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2023/2493634 |
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| author | Tian Jiang Chao Liu Ping Jiang Wenjun Cheng Xiaohong Sun Jing Yuan Qiaoling Wang Yanlei Wang Shihui Hong Haiyan Shen Dongchun Zhu Yi Zhang Fang Dai Jing Hang Jiguo Li Honglin Hu Qiu Zhang |
| author_facet | Tian Jiang Chao Liu Ping Jiang Wenjun Cheng Xiaohong Sun Jing Yuan Qiaoling Wang Yanlei Wang Shihui Hong Haiyan Shen Dongchun Zhu Yi Zhang Fang Dai Jing Hang Jiguo Li Honglin Hu Qiu Zhang |
| author_sort | Tian Jiang |
| collection | DOAJ |
| description | Objective. We aim to evaluate the impact of diabetes management shared care clinic (DMSCC) on glycated hemoglobin A1c (HbA1c) compliance and self-management abilities in patients with type 2 diabetes mellitus (T2DM). Methods. This study was a prospective cohort study of patients with T2DM participating in the DMSCC. At baseline and after management, the HbA1c levels were measured, the HbA1c compliance rate were calculated, and the Summary of Diabetes Self-Care Activities-6 (SDSCA-6), Diabetes Empowerment Scale-DAWN Short Form (DES-DSF), and Problem Areas in Diabetes Scale—Five-item Short Form (PAID-5) were completed. These pre- and post-management data were compared. Results. A total of 124 eligible patients were enrolled. After the diabetes management of DMSCC, the average HbA1c decreased and the HbA1c compliance rate increased significantly (P < 0.01). SDSCA-6 showed significant improvement in physical activity, glycemic monitoring, smoking (P < 0.01), and taking medication (P < 0.05). DES-DSF suggested a greater willingness to try to effectively treat diabetes (P < 0.05). PAID-5 indicated significant improvement in diabetes-related emotional distress. Conclusion. DMSCC can help patients with T2DM reduce HbA1c, increase HbA1c compliance, improve diabetes self-management behaviors, empowerment, and diabetes-related emotional distress and serve as an effective exploration and practice of diabetes self-management education and support. |
| format | Article |
| id | doaj-art-0a21f280ce284576ad29e43f15366cf0 |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-0a21f280ce284576ad29e43f15366cf02025-02-03T06:45:40ZengWileyInternational Journal of Clinical Practice1742-12412023-01-01202310.1155/2023/2493634The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes MellitusTian Jiang0Chao Liu1Ping Jiang2Wenjun Cheng3Xiaohong Sun4Jing Yuan5Qiaoling Wang6Yanlei Wang7Shihui Hong8Haiyan Shen9Dongchun Zhu10Yi Zhang11Fang Dai12Jing Hang13Jiguo Li14Honglin Hu15Qiu Zhang16Department of EndocrinologyDepartment of EndocrinologyDepartment of Outpatient Changjiang RoadDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of Outpatient Changjiang RoadDepartment of Outpatient Changjiang RoadDepartment of PharmacyDepartment of EndocrinologyDepartment of EndocrinologyBeijing Health Technology Co., LTDBeijing Health Technology Co., LTDDepartment of EndocrinologyDepartment of EndocrinologyObjective. We aim to evaluate the impact of diabetes management shared care clinic (DMSCC) on glycated hemoglobin A1c (HbA1c) compliance and self-management abilities in patients with type 2 diabetes mellitus (T2DM). Methods. This study was a prospective cohort study of patients with T2DM participating in the DMSCC. At baseline and after management, the HbA1c levels were measured, the HbA1c compliance rate were calculated, and the Summary of Diabetes Self-Care Activities-6 (SDSCA-6), Diabetes Empowerment Scale-DAWN Short Form (DES-DSF), and Problem Areas in Diabetes Scale—Five-item Short Form (PAID-5) were completed. These pre- and post-management data were compared. Results. A total of 124 eligible patients were enrolled. After the diabetes management of DMSCC, the average HbA1c decreased and the HbA1c compliance rate increased significantly (P < 0.01). SDSCA-6 showed significant improvement in physical activity, glycemic monitoring, smoking (P < 0.01), and taking medication (P < 0.05). DES-DSF suggested a greater willingness to try to effectively treat diabetes (P < 0.05). PAID-5 indicated significant improvement in diabetes-related emotional distress. Conclusion. DMSCC can help patients with T2DM reduce HbA1c, increase HbA1c compliance, improve diabetes self-management behaviors, empowerment, and diabetes-related emotional distress and serve as an effective exploration and practice of diabetes self-management education and support.http://dx.doi.org/10.1155/2023/2493634 |
| spellingShingle | Tian Jiang Chao Liu Ping Jiang Wenjun Cheng Xiaohong Sun Jing Yuan Qiaoling Wang Yanlei Wang Shihui Hong Haiyan Shen Dongchun Zhu Yi Zhang Fang Dai Jing Hang Jiguo Li Honglin Hu Qiu Zhang The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus International Journal of Clinical Practice |
| title | The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus |
| title_full | The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus |
| title_fullStr | The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus |
| title_full_unstemmed | The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus |
| title_short | The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus |
| title_sort | effect of diabetes management shared care clinic on glycated hemoglobin a1c compliance and self management abilities in patients with type 2 diabetes mellitus |
| url | http://dx.doi.org/10.1155/2023/2493634 |
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