Objective To evaluate the effectiveness of the shared medical appointments (SMA) in the management of type 2 diabetes mellitus (T2DM) and its impact on self-management behavior and efficacy and quality of life led by specialist nurses. Methods 30 patients with T2DM going to the endocrine clinic of a hospital from September to December 2020 were selected to participate in the SMA. The body mass index,Summary of Diabetes Self-care Activities (SDSCA) scale and Diabetes Management Self-efficacy Scale (DMSES) and Diabetes Specific Quality of Life (DSQL) scale were compared before the intervention and 3 months after the intervention. Results After 3 months of intervention,there was no statistical significance in the control rate of blood glucose compared with that before intervention (P=0.310). Waist circumference,total cholesterol and triglycerides of the patients after the intervention were significantly lower than those before the intervention (P<0.05). The total scores and the score of each dimension (diet,foot care) in SDSCA,and the DMSES score after the intervention were higher than those before (P<0.05). After the intervention,the total scores of DSQL and the scores of physiological dimension,psychological dimension and social relationship dimension were significantly lower than those before the intervention (P<0.05). Conclusion The SMA can effectively improve the waist circumference,total cholesterol and triglycerides of diabetic patients,improve the self-management ability,self-management efficiency,and the quality of life of patients with type 2 diabetes.

Objective To explore the feasibility of case management combining mobile medical application（mHealth APP） for patients with type 2 diabetes（T2DM） and its impact on self-management behavior and empowerment abilities. Methods A total of 300 inpatients with type 2 diabetes in a tertiary hospital in Jiangsu were enrolled from April 2017 to March 2018,and they were randomly divided into 2 groups：case management control group（n=150） and case management combining mHealth APP intervention group（n=150）. Both groups received case management during hospitalization. After discharge,the patients in the control group continued to receive case management,while the intervention group was managed by mHealth APP on the basis of the control group. The biochemical indexes were monitored and the SDSCA scale and DES-SF scale were completed before the intervention and 12 months after the intervention. Results Before the intervention,there was no statistically significant difference between the 2 groups. The total scores and the score of each dimension（Diet,Exercise,Blood Glucose Monitoring,Medication and Foot Care）in SDSCA,and the DES-SF score were higher than those before the intervention（P<0.01）. 12 months after the intervention,there were no significant difference in the total score and each dimension score of self-management behavior between the 2 groups（P>0.05）. But we found that the total time of nursing management and specialist nursing outpatient service in one year was significantly less than that of the control group（P<0.01）,and the improvement of the total score and items 4,8 of the DES-SF scale in the intervention group was significant than that in the control group（P<0.05） after one-year intervention. In the intervention group,HbA1c,HOMA-IR and TC were significantly reduced after 12 months of intervention（P<0.01）,and self-management behaviors and empowerment ability were significantly improved after 12 months of intervention（P<0.01）. Conclusion The case management combining mHealth APP can stimulate the inherent potential of self-care of patients with type 2 diabetes. It can improve various metabolic indicators and self-management capabilities while saving time and human resources effectively.