Effects of "1+N" extended nursing on medication compliance and self-management ability among type 2 diabetes patients

Objective To explore the effects of "1+N" extended nursing on medication compliance, self-management ability and metabolic indicators among discharged type 2 diabetes patients. Methods From October to December 2017, we selected 300 discharged type 2 diabetes patients from Department of Endocrinology from Shaanxi Provincial People's Hospital as subjects. All of the patients were divided into intervention group and control group with the method of random number table, 150 cases in each group. Control group carried out telephone follow-up post discharge. On the basis of telephone follow-up, intervention group implemented "1+N" extended nursing. We compared the fasting blood glucose (FBG) , bisphosphoglyceric acid (BPG) , glycosylated hemoglobin (HbA1c) , body mass index (BMI) , scores of 8-item Morisky Medication Adherence Scale (MMAS-8) and the scoring rate of Diabetes Self-care Scale (2-DSCS) of patients between two groups 6 months after follow-up. Results After intervention, the FBG, BPG and BMI of intervention group were lower than those of control group with statistical differences (P<0.05) . The number of patients with the high level of compliance of MMAS-8 in intervention group was more than that in control group with a statistical difference (P<0.05) .The item scoring rate of 2-DSCS of patients in intervention group were higher than those in control group with statistical differences. Conclusions "1+N" extended nursing can improve metabolic indicators, medication compliance and self-management ability among type 2 diabetes patients. Key words: Diabetes mellitus, type 2; Extended nursing; Compliance; Self-management ability