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The Iinterdisciplinary collaborative care model combined with family empowerment (ICCM-FE) intervention based on the COM-B model can effectively improve blood pressure and glucose control in patients with comorbid hypertension and diabetes, enhance their quality of life and psychosocial adaptation, and significantly increase patient satisfaction with nursing care. This intervention has important clinical application value.
To evaluate the efficacy of an interdisciplinary collaborative care model combined with family empowerment (ICCM-FE) based on the COM-B model in managing comorbid hypertension and diabetes, focusing on its impact on blood pressure, glucose control, and psychosocial adaptation. This prospective randomized controlled trial (RCT) enrolled 187 patients with comorbid hypertension and diabetes from January 2023 to March 2024. Patients were randomly assigned to a control group (n = 93) receiving routine care and an observation group (n = 94) receiving ICCM-FE intervention. Follow-up was conducted over 6 months, assessing blood pressure (SBP and DBP), glucose levels (FPG and HbA1c), quality of life (SF-36 scale), psychosocial adaptation (PAIS-SR scale), and nursing satisfaction (NSNS scale) pre- and post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| routine nursing intervention | Other | The control group received routine nursing intervention, including basic drug treatment, diet and exercise guidance, psychological counseling, etc. |
|
| interdisciplinary collaborative care and family empowerment (ICCM-FE) intervention | Other | The observation group received interdisciplinary collaborative care and family empowerment (ICCM-FE) intervention based on the COM-B model on the basis of routine care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| interdisciplinary collaborative care and family empowerment (ICCM-FE) intervention | Other | The observation group received interdisciplinary collaborative care and family empowerment (ICCM-FE) intervention based on the COM-B model on the basis of routine care. |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure Control | Change in systolic blood pressure (SBP) and diastolic blood pressure (DBP) from baseline to 6 months post-intervention. | Baseline and 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life (SF-36 Scale) | Change in SF-36 scores across eight domains (physical function, mental health, role limitations, etc.) from baseline to 6 months post-intervention. | Baseline and 6 months |
| Psychosocial Adaptation (PAIS-SR Scale) |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to Intervention | Compliance rates with the interdisciplinary collaborative care model (ICCM-FE) assessed via follow-up attendance and task completion logs. | Monthly for 6 months. |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science | Xiangyang | 441138 | China |
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| routine nursing intervention | Other | The control group received routine nursing intervention, including basic drug treatment, diet and exercise guidance, psychological counseling, etc. |
|
Change in psychosocial adjustment scores (healthcare orientation, occupational/family environment, psychological stress, etc.) from baseline to 6 months post-intervention.
| Baseline and 6 months. |
| Self-Efficacy (GSES Scale) | Change in General Self-Efficacy Scale (GSES) scores from baseline to 6 months post-intervention. | Baseline and 6 months. |
| Nursing Satisfaction (NSNS Scale) | Patient satisfaction with nursing care measured using the Newcastle Satisfaction with Nursing Services Scale (NSNS) at 6 months post-intervention. | 6 months. |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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