Evaluation of comprehensive health management by community hospital of the elderly type 2 diabetic patients in Nanjing

Objective To explore the effect on the community hospital comprehensive health management of the elderly type 2 diabetic patients about habits, physiological and biochemical indicators, health knowledge for the further community diabetes health management. Methods A total of 336 elderly patients with type 2 diabetes mellitus in a community hospital in Nanjing were selected and self-assessment status, health knowledge score, lifestyle and physiological and biochemical indicators were analyzed by Wilcoxon test and chi-square test between the two groups before and after management from March 2013 to December 2016. Results The management group were better than the control group in the pain discomfort, anxiety and depression, healthy self-assessment score, health knowledge scores, monitor fast plasma glucase (FPG) regularly, healthy diet score, three kinds of exercise, daily sitting time and FPG after management by community hospital(all P<0.05). The health knowledge score difference of management group(6.66±6.46)before and after management is higher than the control group(4.64±6.91), the moderate intensity and low intensity exercise increased time of management group ((0.39±218.46,81.51±351.10) min/week) is longer than control group ((-47.77±230.38,18.40±327.75) min/week), and the sitting time difference of management group ((-10.40±139.07) min/day) is better than control group ((28.30±115.93)min/day) (all P<0.05).Conclusions Comprehensive health management such as health lectures, regular follow-up and personalized counseling can effectively improve the elderly type 2 diabetes patients with health status and lifestyle, control blood sugar levels, ameliorate the psychological status and improve the quality of life.