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
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.
引用
收藏
页数:6
相关论文
共 50 条
[41]   Brain education-based meditation for patients with hypertension and/or type 2 diabetes A pilot randomized controlled trial [J].
Lee, Seung-Ho ;
Hwang, Sun-Mi ;
Kang, Do-Hyung ;
Yang, Hyun-Jeong .
MEDICINE, 2019, 98 (19)
[42]   WhatsApp-based intervention for people with type 2 diabetes: A randomized controlled trial [J].
Yaagoob, Esmaeel ;
Lee, Regina ;
Stubbs, Michelle ;
Shuaib, Fatimah ;
Johar, Raja ;
Chan, Sally .
NURSING & HEALTH SCIENCES, 2024, 26 (02)
[43]   Effect of transitional nursing care on quality of life among patients with type 2 diabetes: A meta-analysis of randomized controlled trials [J].
Putri, Alfiani Rahmi ;
Pimolkatekul, Saranya ;
Wibawa, Yan Adi ;
Nguyen Ngoc Thanh ;
Lawrence, Tirza Jo ;
Gautama, Made Satya Nugraha .
NURSING PRACTICE TODAY, 2023, 10 (04) :305-317
[44]   Web-Based Collaborative Care for Type 2 Diabetes A pilot randomized trial [J].
Ralston, James D. ;
Hirsch, Irl B. ;
Hoath, James ;
Mullen, Mary ;
Cheadle, Allen ;
Goldberg, Harold I. .
DIABETES CARE, 2009, 32 (02) :234-239
[45]   Effect of Health Education Based on Integrative Therapy of Chinese and Western Medicine for Adult Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Study [J].
Shi Mai ;
Liu Zhao-lan ;
Zhu Yan-Bo ;
Xu Mei-Yan ;
Duan Xue-Ying ;
Shi Hui-Mei ;
Jiang Bo ;
Zhang Xiao-Mei ;
Yu Xiao-Han .
CHINESE JOURNAL OF INTEGRATIVE MEDICINE, 2018, 24 (02) :94-102
[46]   A Randomized Comparison of Online- and Telephone-Based Care Management with Internet Training Alone in Adult Patients with Poorly Controlled Type 2 Diabetes [J].
McMahon, Graham T. ;
Fonda, Stephanie J. ;
Gomes, Helen E. ;
Alexis, George ;
Conlin, Paul R. .
DIABETES TECHNOLOGY & THERAPEUTICS, 2012, 14 (11) :1060-1067
[47]   The effect of periodontal therapy on the improvement of glycemic control in patients with type 2 diabetes mellitus: A randomized controlled clinical trial [J].
Singh, Sukhdeep ;
Kumar, Veerendra ;
Kumar, Sheela ;
Subbappa, Anitha .
INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES, 2008, 28 (02) :38-44
[48]   The Effect of Sitagliptin on Carotid Artery Atherosclerosis in Type 2 Diabetes: The PROLOGUE Randomized Controlled Trial [J].
Oyama, Jun-ichi ;
Murohara, Toyoaki ;
Kitakaze, Masafumi ;
Ishizu, Tomoko ;
Sato, Yasunori ;
Kitagawa, Kazuo ;
Kamiya, Haruo ;
Ajioka, Masayoshi ;
Ishihara, Masaharu ;
Dai, Kazuoki ;
Nanasato, Mamoru ;
Sata, Masataka ;
Maemura, Koji ;
Tomiyama, Hirofumi ;
Higashi, Yukihito ;
Kaku, Kohei ;
Yamada, Hirotsugu ;
Matsuhisa, Munehide ;
Yamashita, Kentaro ;
Bando, Yasuko K. ;
Kashihara, Naoki ;
Ueda, Shinichiro ;
Inoue, Teruo ;
Tanaka, Atsushi ;
Node, Koichi .
PLOS MEDICINE, 2016, 13 (06)
[49]   Basal Insulin Substitution with Glargine or Continuous Subcutaneous Insulin Infusion in Adult Type 1 Diabetes Patients-A Randomized Controlled Trial [J].
Bragd, Joakim ;
von Dobeln, Anna ;
Lins, Per-Eric ;
Adamson, Ulf ;
Bergstrom, Jakob ;
Oskarsson, Per .
DIABETES TECHNOLOGY & THERAPEUTICS, 2010, 12 (09) :689-693
[50]   Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes: the stepping up to insulin cluster randomized controlled trial protocol [J].
Furler, John S. ;
Young, Doris ;
Best, James ;
Patterson, Elizabeth ;
O'Neal, David ;
Liew, Danny ;
Speight, Jane ;
Segal, Leonie ;
May, Carl ;
Manski-Nankervis, Jo-Anne ;
Holmes-Truscott, Elizabeth ;
Ginnivan, Louise ;
Blackberry, Irene D. .
IMPLEMENTATION SCIENCE, 2014, 9