The effect of multidisciplinary team and experience-based co-design on the care of older adult patients with type 2 diabetes: A randomized controlled trial

被引：0
作者：
Zhuang, Yujun [1 ]
Ye, Hongjiang [2 ]
Yang, Xiaoyan [1 ]
Zheng, Lifang [1 ]
Chen, Zhizhen [1 ]
Jiang, Jianjia [1 ]
Mou, Lunpan [1 ]
Li, Pingping [3 ]
Qin, Jiawei [1 ]
Dai, Yaduan [1 ]
Mao, Yanling [1 ]
机构：
[1] Fujian Med Univ, Quanzhou Hosp 1, Quanzhou, Peoples R China
[2] Fujian Med Univ, Fuzong Clin Med Coll, Hosp Joint Logist Support Force 900, Fuzhou, Peoples R China
[3] Community Hlth Serv Ctr Fengze Dist, Fengze St, Quanzhou, Fujian, Peoples R China
来源：
DIABETES RESEARCH AND CLINICAL PRACTICE | 2025年 / 221卷
关键词：
Experience-based co-design; Glycemic control; Older adult patients with type 2 diabetes; Multidisciplinary team; Quality of life; MDT;
D O I：
10.1016/j.diabres.2025.112028
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This study evaluates the impact of a multidisciplinary team (MDT) approach combined with experience-based co- design (EBCD) on managing elderly patients with type 2 diabetes, focusing on glycemic control, metabolic indicators, and quality of life. A randomized controlled trial conducted from October to December 2023 included 216 hospitalized patients at Quanzhou First Hospital. Patients were randomly assigned to either the MDT-EBCD intervention or standard care group and followed for 26 weeks. Outcomes measured included BMI, fasting blood glucose (FBG), glycated hemoglobin (HbA1c), lipid profiles, renal function, and quality of life. No significant baseline differences were observed between the groups. Post-intervention, the MDT-EBCD group showed significant improvements in BMI, FBG, HbA1c, lipid profiles, and renal function (P < 0.01), alongside enhanced quality of life dimensions like emotional function, vitality, and social functioning compared to the control group (P < 0.05). These findings support the MDT-EBCD model as an effective framework for improving comprehensive diabetes care in the elderly.
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页数：6
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