Randomized Controlled Trial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2025; 13(5): 95183
Published online Feb 16, 2025. doi: 10.12998/wjcc.v13.i5.95183
Impact of community public health care on treatment effect, health cognition, and self-management in patients with type 2 diabetes
Hong Shi, Chun Liu, Hong-Yan Luo
Hong Shi, Department of Infrastructure Operation, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Chun Liu, Department of Public Health, Minzu Street Community Health Service Center, Wuhan 430000, Hubei Province, China
Hong-Yan Luo, Caotang Community Health Service Center, Chengdu 610031, Sichuan Province, China
Co-first authors: Hong Shi and Chun Liu.
Author contributions: Shi H, Liu C, and Luo HY designed the research study; Shi H and Liu C performed the research; Luo HY and Liu C contributed new reagents and analytic tools; Shi H, Liu C, and Luo HY analyzed the data and wrote the manuscript. All authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Caotang Community Health Service Center Institutional Review Board.
Informed consent statement: All study participants, or their legal guardians, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors deny any conflict of interest for this article.
Data sharing statement: No other data is available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Yan Luo, MBBS, Doctor, Caotang Community Health Service Center, No. 29 Huanhua Binhe Road, Qingyang District, Chengdu 610031, Sichuan Province, China. 18628365129@163.com
Received: April 24, 2024
Revised: May 27, 2024
Accepted: June 18, 2024
Published online: February 16, 2025
Processing time: 208 Days and 17.1 Hours
Abstract
BACKGROUND

At present, China has become the country with the largest number of individuals with diabetes mellitus (DM) in the world, with a total of approximately 140 million patients, the majority of whom have type 2 DM (T2DM). Based on conventional nursing methods, community home care has important clinical significance in controlling blood sugar and disease progression.

AIM

To explore the impact of community public health nursing on treatment effect, health cognition, and self-management in patients with T2DM.

METHODS

One hundred patients with T2DM were selected as the research subjects. The patients were divided into either a conventional nursing group or community nursing (CN) group using the random number table method. The conventional nursing group (50 cases) received routine care, while the CN group (50 cases) received community public health care in addition to routine care as that for the conventional nursing group. The rate of excellent and good blood glucose control, fasting blood glucose before and after care, 2-h postprandial blood glucose, health cognition, and self-management ability, and patient satisfaction were compared between the two groups.

RESULTS

The CN group had a higher rate of excellent blood sugar control than the conventional nursing group (88% vs 70%, P < 0.05). Before care, there was no significant difference in fasting blood glucose or 2-h postprandial blood glucose between the two groups of patients (P > 0.05). After nursing, fasting blood glucose and 2-h postprandial blood glucose were reduced to varying degrees in both groups, and both blood glucose levels in the CN group were lower than those of the conventional nursing group (P < 0.05). Compared with the scores before care, the cognitive level score for diabetes and self-management ability score improved after care in both groups. The cognitive level and self-management ability of patients in the CN group were higher than those of the conventional nursing group (P < 0.05). The overall satisfaction of the CN group was better than that of the conventional nursing group (98% vs 86%, P < 0.05).

CONCLUSION

Community public health care based on conventional care of T2DM can achieve better blood sugar control, and improve patients’ health cognitive level and self-management ability.

Keywords: Community public health care; Type 2 diabetes; Blood sugar control; Self-management ability; Cognition level

Core Tip: This study investigated the impact of community public health nursing on treatment effect, health cognition, and self-management in patients with type 2 diabetes mellitus. The results demonstrate that community public health care based on conventional care can achieve better blood sugar control, and improve patients’ health cognitive level and self-management ability.