Clinical Efficacy of Continuous Nursing Plus Shared Outpatient Care on Remission of Type 2 Diabetes Mellitus
Year: 2026
Type: article
Study design: Observational Study
Abstract: Aims/Background: Type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic metabolic disorders with a gradually increasing global incidence, imposing healthcare burdens on patients. Effective long-term management strategies are crucial for improving patient outcomes and promoting disease remission. Therefore, this study aims to evaluate the efficacy of continuing care services combined with the shared outpatient management model in patients with T2DM. Methods: This retrospective cohort study included 119 patients with T2DM who received treatment and follow-up consultation at Cangnan Hospital of Wenzhou Medical University between January 2024 and December 2024. According to the different nursing methods used, patients were divided into a control group (n = 60, conventional T2DM management) and an observation group (n = 59, conventional T2DM management combined with continuous nursing and shared outpatient management). Continuing care service refers to follow-up and health education that extends from the hospital to the home. At the same time, the shared outpatient management model involves regular group visits that facilitate experience sharing and peer support among patients under multidisciplinary guidance. Clinical indicators, such as fasting blood glucose, 2-hour postprandial blood glucose, fasting C-peptide, 2-hour postprandial C-peptide, body mass index (BMI), glycated hemoglobin A1c (HbA1c), and disease remission rate, were compared between the two groups. Self-management behavior skills were evaluated across five key domains, including exercise, diet, foot care, blood glucose monitoring, and medication adherence. Results: At 3 and 6 months after intervention, patients in the observation group demonstrated significant improvements in several metabolic indicators compared to those in the control group. Specifically, fasting blood glucose and 2-hour postprandial blood glucose were significantly decreased in the observation group (p < 0.05). Furthermore, fasting C-peptide, 2-hour postprandial C-peptide, BMI, and HbA1c were significantly improved in the observation group at 3- and 6-month follow-up time points (p < 0.05). The self-management behavior assessment revealed that the total median score and scores for exercise, diet, foot care, blood glucose monitoring, and medication compliance were all significantly higher in the observation group than in the control group (all p < 0.05). The diabetes remission rate was 20.339% (12/59) in the observation group, which was significantly higher than 6.667% (4/60) in the control group (p = 0.029). Conclusion: The continuing care service combined with a shared outpatient management model can effectively improve the blood glucose control, islet function, and metabolic indicators in T2DM patients, and enhance their self-management ability, highlighting a positive clinical value of this integrated approach in promoting diabetes remission rates.
DOI: 10.31083/bjhm49861
Authors: Chunru Zheng, Xiaohong Chen
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7158291609