Volume 21 Issue 4
Apr.  2023
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XU Juan, HU Xinyi, YIN Quanzhong, GU Yihang. Application of comprehensive geriatric assessment combined with medical association grading diagnosis and treatment in senile diabetes patients[J]. Chinese Journal of General Practice, 2023, 21(4): 615-618. doi: 10.16766/j.cnki.issn.1674-4152.002943
Citation: XU Juan, HU Xinyi, YIN Quanzhong, GU Yihang. Application of comprehensive geriatric assessment combined with medical association grading diagnosis and treatment in senile diabetes patients[J]. Chinese Journal of General Practice, 2023, 21(4): 615-618. doi: 10.16766/j.cnki.issn.1674-4152.002943
shu

Application of comprehensive geriatric assessment combined with medical association grading diagnosis and treatment in senile diabetes patients

doi: 10.16766/j.cnki.issn.1674-4152.002943
  • 1.

    Department of Endocrinology, Jiangyin Hospital, Nantong University, Jiangyin, Jiangsu 214400, China

Funds:

 XYFY2020006

 JLY2021074

 LSD2022007

 LD2022005

  • Received Date: 2022-10-11
    Available Online: 2023-05-31
    Abstract
  •   Objective  To study the application value of comprehensive geriatric assessment (CGA) combined with medical association grading diagnosis and treatment in screening the risk factors and comprehensive intervention effect of senile diabetes patients.  Methods  A total of 624 elderly patients who received medical treatment in Jiangyin People's Hospital Medical Group from January 2018 to August 2022 were selected, the incidence of diabetes was investigated according to whether they were of advanced age. CGA was used to analyze the differences of various indicators between non-diabetes and diabetes groups in 319 elderly people, and binary logistic regression analysis was used to analyze the influencing factors. Then, 40 elderly patients with diabetes were selected and randomly divided into study group and control group, with 20 patients in each group. The study group was managed using a hierarchical diagnosis and treatment model in a medical consortium, while the control group was managed using traditional methods. After 3 months, various indicators of the two groups of patients were compared.  Results  The prevalence of diabetes in the elderly (37.6%, 120/319) was significantly higher than that in the non-elderly (29.8%, 91/305; χ2=4.218, P=0.040). The elderly diabetes group and the non-diabetes group had statistically significant differences in 23 indicators (P < 0.05). The degree of education (OR=0.322), smoking history (OR=4.398), family history of diabetes (OR=7.714), HbA1c (OR=16.609), BMI (OR=1.200), comorbidity index (OR=1.240), number of drugs taken (OR=1.259), cognitive dysfunction (OR=7.594), sleep disorder (OR=4.101), depression (OR=4.745), apparent weakness (OR=8.200), and constipation (OR=4.003) were the risk factors for senile diabetes. After 3 months of effective intervention on controllable factors, the various blood glucose indicators and the incidence of adverse reactions were all significantly reduced in the senile diabetes patients (P < 0.05).  Conclusion  CGA combined with medical association-general practice grading diagnosis and treatment mode can manage senile diabetes more effectively.

     

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    • References(16)
  • [1]
    United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects 2019: Highlights[Internet]. (2019-08-21)[2022-09-28]. https://www.un.org/development/desa/publications/world-population-prospects-2019-highlights.html.
    [2]
    BORNSTEIN S R, RUBINO F, KHUNTI K, et al. Practical recommendations for the management of diabetes in patients with COVID-19[J]. Lancet Diabetes Endocrinol, 2020, 8(6): 546-550. doi: 10.1016/S2213-8587(20)30152-2
    [3]
    亓倩倩, 辛红菊, 周洲薇, 等. 老年综合征对老年2型糖尿病患者的躯体功能和跌倒风险的影响[J]. 中华全科医学, 2022, 20(3): 424-427, 502. doi: 10.16766/j.cnki.issn.1674-4152.002368

    QI Q Q, XIN H J, ZHOU Z W, et al. Effect of senile syndrome on physical function and risk of falls in elderly patients with type 2 diabetes mellitus[J]. Chinese Journal of General Practice, 2022, 20(3): 424-427, 502. doi: 10.16766/j.cnki.issn.1674-4152.002368
    [4]
    张玉彩, 谢春, 香利强, 等. 紧密型医联体模式下全科医学科建设探索[J]. 中华全科医学, 2019, 17(4): 661-665. doi: 10.16766/j.cnki.issn.1674-4152.000761

    ZHANG Y C, XIE C, XIANG L Q, et al. Exploration of the construction of general practice department under the mode of close medical association[J]. Chinese Journal of General Practice, 2019, 17(4): 661-665. doi: 10.16766/j.cnki.issn.1674-4152.000761
    [5]
    BEARD J R, OFFICER A M, CASSELS A K. The world report on ageing and health[J]. Gerontologist, 2016, 56(Suppl 2): S163-166. doi: 10.1093/geront/gnw037
    [6]
    SUETOMI R, OHTA Y, AKIYAMA M, et al. Adrenomedullin has a cytoprotective role against endoplasmic reticulum stress for pancreatic β-cells in autocrine and paracrine manners[J]. J Diabetes Investig, 2020, 11(4): 823-833. doi: 10.1111/jdi.13218
    [7]
    DANY F, DEWI R M, TJANDRARINI D H, et al. Urban-rural distinction of potential determinants for prediabetes in Indonesian population aged ≥15 years: a cross-sectional analysis of indonesian basic health research 2018 among normoglycemic and prediabetic individuals[J]. BMC Public Health, 2020, 20: 1509. doi: 10.1186/s12889-020-09592-7
    [8]
    ZYWNO H, BZDEGA W, KOLAKOWSKI A, et al. The influence of coumestrol on sphingolipid signaling pathway and insulin resistance development in primary rat hepatocytes[J]. Biomolecules, 2021, 11(2): 268. doi: 10.3390/biom11020268
    [9]
    TOSUR M, VIAU-COLINDRES J, ASTUDILLO M, et al. Medication-induced hyperglycemia: pediatric perspective[J]. BMJ Open Diabetes Res Care, 2020, 8(1): e000801. DOI: 10.1136/bmjdrc-2019-000801.
    [10]
    GRAHEK I, SHENHAV A, MUSSLICK S, et al. Motivation and cognitive control in depression[J]. Neurosci Biobehav Rev, 2019, 102: 371-381. doi: 10.1016/j.neubiorev.2019.04.011
    [11]
    段卉妍, 黄文雅, 黄晓飞. 失眠与2型糖尿病相关性的研究进展[J]. 中国糖尿病杂志, 2022, 30(1): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTL202201007.htm

    DUAN H Y, HUANG W Y, HUANG X F. Research progress on correlation between insomnia and type 2 diabetes mellitus[J]. Chinese Journal of Diabetes, 2022, 30(1): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTL202201007.htm
    [12]
    LIU H T, GAO Y. Efficacy of short-term intensive treatment with insulin pump to improve islet β-cell function in newly diagnosed type 2 diabetes via inhibition of oxidative stress[J]. Exp Ther Med, 2019, 18(3): 2293-2298. http://pubmed.ncbi.nlm.nih.gov/31452715/
    [13]
    朱文华, 方力争, 臧国尧, 等. 医疗服务联合供给模式下的全科医学分级诊疗探索[J]. 中华医院管理杂志, 2018, 34(3): 181-184.

    ZHU W H, FANG L Z, ZANG G Y, et al. Exploration of graded diagnosis and treatment of general practice under the mode of combined medical service supply[J]. Chinese Journal of Hospital Administration, 2018, 34(3): 181-184.
    [14]
    FENG T Y, LI K, ZHENG P, et al. Weighted gene coexpression network analysis identified microRNA coexpression modules and related pathways in type 2 diabetes mellitus[J]. Oxid Med Cell Longev, 2019, 2019: 9567641. DOI: 10.1155/2019/9567641.
    [15]
    BERGMANS R S, RAPP A, KELLY K M, et al. Understanding the relationship between type 2 diabetes and depression: lessons from genetically informative study designs[J]. Diabet Med, 2021, 38(2): e14399. DOI: 10.1111/dme.14399.
    [16]
    WHITAKER K M, LUTSEY P L, OGILVIE R P, et al. Associations between polysomnography and actigraphy-based sleep indices and glycemic control among those with and without type 2 diabetes: the multi-wthnic study of atherosclerosis[J]. Sleep, 2018, 41(11): zsy172. DOI: 10.1001/jama.2016.19720.
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