CAJ | 학술논문

目的探讨以行为改变为目标的糖尿病管理项目对2型糖尿病患者行为改变和代谢指标的影响.方法通过建立糖尿病管理团队,编制个体化管理档案,实施教育方案,设定行为改变目标及目标追踪评价,对56例2型糖尿病患者进行为期1年的管理,在管理6个月后评价患者的行为改变情况,1年后比较代谢指标变化.结果管理后6个月本组患者行为目标达成率为96%,1年中行为稳定率为92%.1年后患者的体重指数(BMI)、空腹及餐后2 h血糖、糖化血红蛋白(HbAlc)等指标较管理实施前显著下降.结论以行为改变为目标的糖尿病管理在2型糖尿病患者行为改变和代谢指标控制中有重要意义.
목적 탐토이행위개변위목표적당뇨병관리항목대2형당뇨병환자행위개변화대사지표적영향.방법 통과건립당뇨병관리단대,편제개체화관리당안,실시교육방안,설정행위개변목표급목표추종평개,대56례2형당뇨병환자진행위기1년적관리,재관리6개월후평개환자적행위개변정황,1년후비교대사지표변화.결과 관리후6개월본조환자행위목표체성솔위96%,1년중행위은정솔위92%.1년후환자적체중지수(BMI)、공복급찬후2 h혈당、당화혈홍단백(HbAlc)등지표교관리실시전현저하강.결론 이행위개변위목표적당뇨병관리재2형당뇨병환자행위개변화대사지표공제중유중요의의.
objective To explore the effect of diabetes management program with the goal of behavior changes on behavior change and metabolic index of patients with type 2 diabetes mellitus.Methods By setting up the diabetes management team,establishing personalized management file,carrying out education program,setting the goal of behavior changes and evaluating goal's trace,One-year management was carried out for 56 cases of type 2 diabetic patients.Patients' behavior changes were evaluated after six months management and one year later the metabolic indexes were contrasted.Results After 6 months management,the rate of goal achievement was 96%,the rate of one year behavior stabilization was 92%,the body mass index (BMI),fasting and postprandial blood glucose,glycosylated hemoglobin (HbAlc) one year later were decreased dramatically.Conclusions There is important significance of diabetes management program with the goal of behavior changes for behavior changes and metabolic indexes control in type 2 diabetic patients.