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Application of hospital-community-home linkage management model in patients with type 2 diabetic nephropathy.

Author information

Affiliations

  • 1. Department of Education, Shanxi Bethune Hospital, Taiyuan, 030032, Shanxi, China.
      Authors
    • Xu HM 1
    • Wu ZP 1
    (2 authors)
  • 2. Department of Internal Medicine, Shanxi Bethune Hospital, Xiaodian District, 99 Longcheng Street, Taiyuan, 030032, Shanxi, China.
      Authors
    • Zhai YP 2
    (1 author)
  • 3. Department of Nursing, Shanxi Bethune Hospital, Taiyuan, 030032, Shanxi, China.
      Authors
    • Zhu WJ 3
    • Wang XJ 3
    (2 authors)
  • 4. Department of Breast Surgery, Shanxi Bethune Hospital, Taiyuan, 030032, Shanxi, China.
      Authors
    • Li M 4
    (1 author)
  • 5. Department of Nursing, Taiyuan City Central Hospital, Taiyuan, 030009, Shanxi, China.
      Authors
    • Wang P 5
    (1 author)

Journal of Health, Population, and Nutrition, 07 Mar 2024, 43(1):40
https://doi.org/10.1186/s41043-024-00521-7 PMID: 38454510 

Abstract 

Objective

To explore the effect of the hospital-community-home (HCH) linkage management mode in patients with type 2 diabetic nephropathy (DN).

Method

A total of 80 patients with type 2 DN hospitalised in the Department of Nephrology of our hospital between July 2021 and June 2022 were recruited and subsequently divided into the observation group and the control group using the random number table method, with 40 patients in each group. The control group received routine health education and discharge guidance. The HCH linkage management model was implemented for the observation group based on routine care. The improvements in compliance behaviour, biochemical parameters of renal function, blood glucose level and self-management ability were compared before the intervention and at 3 and 6 months after the intervention.

Results

After the intervention, the scores for compliance behaviour of the observation group were better than those of the control group, with a statistically significant difference (P < 0.05). The biochemical indicators of renal function and blood glucose level were significantly lower in the observation group compared with in the control group, with a statistically significant difference (P < 0.05). After the intervention, the observation group showed a great improvement in self-management ability and cognition of the disease, with significant differences (P < 0.05).

Conclusion

The HCH linkage management mode can improve the compliance behaviour of patients with type 2 DN, effectively improve the renal function and blood sugar level of patients, enhance the self-management ability and cognition of the disease and delay the development of the disease.

Full text links 

Read article at publisher's site: https://doi.org/10.1186/s41043-024-00521-7

Read article for free, from open access legal sources, via Unpaywall: https://jhpn.biomedcentral.com/counter/pdf/10.1186/s41043-024-00521-7Unpaywall

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