Interdisciplinary collaborative care model combined with family empowerment in patients with comorbid hypertension and diabetes: A study on blood pressure/glucose control and psychosocial adaptation based on the COM-B model.
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| Titel: | Interdisciplinary collaborative care model combined with family empowerment in patients with comorbid hypertension and diabetes: A study on blood pressure/glucose control and psychosocial adaptation based on the COM-B model. |
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| Autoren: | Wu J; Department of General Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China., Zhu X; Department of Endocrinology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China., Wu Q; Department of General Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China., Xiao F; Department of Emergency, Hubei No. 3 People's Hospital of Jianghan University, Wuhan, China. |
| Quelle: | Clinical and experimental hypertension (New York, N.Y. : 1993) [Clin Exp Hypertens] 2025 Dec 31; Vol. 47 (1), pp. 2570212. Date of Electronic Publication: 2025 Oct 15. |
| Publikationsart: | Journal Article; Randomized Controlled Trial |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9305929 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-6006 (Electronic) Linking ISSN: 10641963 NLM ISO Abbreviation: Clin Exp Hypertens Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: New York, N.Y. : Marcel Dekker, Inc., c1993- |
| MeSH-Schlagworte: | Hypertension*/therapy , Hypertension*/psychology , Hypertension*/epidemiology , Hypertension*/physiopathology , Patient Care Team* , Empowerment* , Diabetes Mellitus*/therapy , Diabetes Mellitus*/psychology , Diabetes Mellitus*/epidemiology , Family*/psychology, Humans ; Male ; Female ; Middle Aged ; Aged ; Quality of Life ; Adaptation, Psychological ; Blood Pressure/physiology ; Prospective Studies ; Blood Glucose/metabolism ; Glycemic Control/methods ; Comorbidity ; Glycated Hemoglobin |
| Abstract: | Background: To evaluate the efficacy of an interdisciplinary care model with family empowerment (ICCM-FE) on clinical and psychosocial outcomes in patients with hypertension and diabetes. Methods: 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 intervention group ( n = 94) receiving ICCM-FE intervention. Follow-up was conducted over 6 months to assess 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. Results: After 6 months, both groups exhibited significant improvements in SBP, DBP, FPG, and HbA1c ( p < 0.05), with the intervention group achieving better outcomes than the control group ( p < 0.05). The intervention group also demonstrated higher scores on the SF-36, General Self-Efficacy Scale (GSES), and NSNS scale, while lower scores on the PAIS-SR scale compared to the control group ( p < 0.05). Conclusion: Compared with routine care, the ICCM-FE intervention, which incorporates the COM-B model and structured family engagement, significantly improved clinical outcomes and psychosocial adaptation in patients with comorbid hypertension and diabetes. These findings highlight the model's effectiveness in promoting better health behavior, emotional coping, and care satisfaction, supporting its potential for broader clinical application. |
| Contributed Indexing: | Keywords: COM-B model; Interdisciplinary collaborative care model; blood pressure control; comorbid hypertension and diabetes; family empowerment; glucose control; psychosocial adaptation |
| Substance Nomenclature: | 0 (Blood Glucose) 0 (Glycated Hemoglobin) |
| Entry Date(s): | Date Created: 20251015 Date Completed: 20251015 Latest Revision: 20251130 |
| Update Code: | 20251130 |
| DOI: | 10.1080/10641963.2025.2570212 |
| PMID: | 41089039 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Background: To evaluate the efficacy of an interdisciplinary care model with family empowerment (ICCM-FE) on clinical and psychosocial outcomes in patients with hypertension and diabetes.<br />Methods: 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 intervention group ( n = 94) receiving ICCM-FE intervention. Follow-up was conducted over 6 months to assess 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.<br />Results: After 6 months, both groups exhibited significant improvements in SBP, DBP, FPG, and HbA1c ( p < 0.05), with the intervention group achieving better outcomes than the control group ( p < 0.05). The intervention group also demonstrated higher scores on the SF-36, General Self-Efficacy Scale (GSES), and NSNS scale, while lower scores on the PAIS-SR scale compared to the control group ( p < 0.05).<br />Conclusion: Compared with routine care, the ICCM-FE intervention, which incorporates the COM-B model and structured family engagement, significantly improved clinical outcomes and psychosocial adaptation in patients with comorbid hypertension and diabetes. These findings highlight the model's effectiveness in promoting better health behavior, emotional coping, and care satisfaction, supporting its potential for broader clinical application. |
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| ISSN: | 1525-6006 |
| DOI: | 10.1080/10641963.2025.2570212 |