AIM To explore the effect of multidisciplinary cooperation mode on blood glucose fluctuation and quality of life in patients with type 2 diabetes mellitus complicated with coronary heart disease.
METHODS 106 patients with type 2 diabetes complicated with coronary heart disease admitted from August 2017 to August 2018 were selected as observation objects. They were divided into conventional intervention group and multidisciplinary cooperative mode intervention group according to random number table method, with 53 cases in each group. Conventional intervention group was treated with conventional intervention while cooperative intervention group was treated with multidisciplinary cooperative mode intervention. The intra-day average blood glucose fluctuation range (MAGE), daily average absolute difference of blood glucose (MODD), average postprandial blood glucose fluctuation range (MPPGE) and maximum blood glucose fluctuation range (LAGE) of blood glucose fluctuation index were compared. Fasting blood glucose (FBPG) and 2 h postprandial blood glucose (2hPPG); Quality of life; Mental state index anxiety (SAS) score and depression (SDS) score; Self-perceived burden (SPBS) score and management satisfaction.
RESULTS after intervention, MAGE, lag, MPPGE, MODD in the collaborative intervention group were significantly lower than those in the conventional intervention group (all P < 0.05). FBPG and 2hPPG were significantly lower than those in conventional intervention group (P < 0.05 for both). The scores of all dimensions of quality of life were significantly lower than those of routine intervention group (P < 0.05). SAS and SDS scores were lower than those of routine intervention group (all P < 0.01); SPBS score was significantly lower than that of routine intervention group (P < 0.01). Management satisfaction was higher than that of routine intervention group (96% vs 83%, P < 0.05).
CONCLUSION Multidisciplinary cooperation mode reduces blood sugar fluctuation degree of patients with type 2 diabetes complicated with coronary heart disease, improves blood sugar control effect, improves patients' quality of life, and improves management satisfaction, which is worthy of promotion.
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