护理与康复2025，Vol.24Issue(12)：5-8,14,5.DOI:10.3969/j.issn.1671-9875.2025.12.002
共享决策辅助工具在成人隐匿性自身免疫性糖尿病患者中的应用研究
Study on the application of a shared decision-making aid in patients with latent autoimmune diabetes mellitus in adults
摘要
Abstract
Objective To observe the application effects of a shared decision-making aid in patients with latent autoim-mune diabetes mellitus in adults.Methods A total of 60 patients with latent autoimmune diabetes mellitus in adults admit-ted to the 903rd Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army between January 2023 and December 2024 were enrolled as study subjects.According to the random number table method,the study subjects were divided into an intervention group and a control group,with 30 cases in each group.The control group received traditional physician-centric decision-making model,while the intervention group received interventions using a shared decision-making aid.After 12 weeks of intervention,parameters related to glycemic control such as fasting blood glucose,2-hour postpran-dial blood glucose,HbA1c,and quality of life were compared between the two groups.Results The levels of fasting blood glucose,2-hour postprandial blood glucose,and HbA1c in the intervention group were(5.87±0.87)mmol/L,(7.91±1.16)mmol/L,and(6.42±0.44)%,respectively.The corresponding values in the control group were(6.50±0.99)mmol/L,(9.15±1.19)mmol/L,and(7.14±0.55)%,respectively.The difference in the change of HbA1c before and after the in-tervention was statistically significant(t=4.144,P<0.001).Patients in the intervention group demonstrated significantly higher scores across all dimensions of the SF-36 Health Survey Scales compared to those in the control group(P<0.05).Conclusion Shared decision-making aids can effectively improve glycemic control and enhance the quality of life in patients with latent autoimmune diabetes mellitus in adults.关键词
共享决策/糖尿病/智能辅助工具/血糖Key words
shared decision-making/diabetes mellitus/intelligent aid/blood glucose分类
医药卫生引用本文复制引用
王佳薇,詹静,方倩,覃竞燕,郑玲玉,吕佳,林本庆,董芳..共享决策辅助工具在成人隐匿性自身免疫性糖尿病患者中的应用研究[J].护理与康复,2025,24(12):5-8,14,5.基金项目
浙江省医药卫生科技计划项目,编号2024KY1424 （）
