CAJ | 학술논문

目的探讨糖尿病看图对话对2型糖尿病(T2DM)患者血糖及血脂的影响.方法将110例T2DM患者随机分为实验组60例和对照组50例,实验组采用糖尿病看图对话进行糖尿病健康教育,对照者采用传统授课模式进行健康,观察两组空腹血糖(FPG)、餐后2 h血糖(PBG)、糖化血红蛋白(HbA,c)及血脂水平的变化.结果健康教育后两组FPG、PBC及HbA1c水平均明显下降,与教育前比较差异有统计学意义(P＜0.05).教育后实验组总胆固醇(TC)、甘油三酯(TG)水平略有下降、高密度脂蛋白略有升高,但与对照组比较差异均无统计学意义(P＞0.05);教育后两组FBG、PBG、HbA1c、LDL-C水平比较,差异均有统计学意义(P＜0.05或P＜0.01).结论糖尿病看图对话可有效降低T2DM患者血糖、HbA1c水平,改善血脂异常,是T2DM教育的有效的模式.
목적 탐토당뇨병간도대화대2형당뇨병(T2DM)환자혈당급혈지적영향.방법 장110례T2DM환자수궤분위실험조60례화대조조50례,실험조채용당뇨병간도대화진행당뇨병건강교육,대조자채용전통수과모식진행건강,관찰량조공복혈당(FPG)、찬후2 h혈당(PBG)、당화혈홍단백(HbA,c)급혈지수평적변화.결과 건강교육후량조FPG、PBC급HbA1c수평균명현하강,여교육전비교차이유통계학의의(P＜0.05).교육후실험조총담고순(TC)、감유삼지(TG)수평략유하강、고밀도지단백략유승고,단여대조조비교차이균무통계학의의(P＞0.05);교육후량조FBG、PBG、HbA1c、LDL-C수평비교,차이균유통계학의의(P＜0.05혹P＜0.01).결론 당뇨병간도대화가유효강저T2DM환자혈당、HbA1c수평,개선혈지이상,시T2DM교육적유효적모식.
Objective To observe the effect of diabetes conversation map in treatment of patients with type 2 diabetes (T2DM). Methods From Sep 2009 to July 2010, 110 patients with T2DM were randomly classified into two groups, which observation group were educated with diabetes conversation map and control group with traditional models. The fasting blood glucose (FBG), postal blood glucose(PBG), HbA1c and bloodlipid were observed between the two groups. Results Compared with pre-education, the FPG, PBG and HbA1c were significantly decreased (P ＜0. 05) after education in both groups. Compared with traditional model group,LDL-C were significantly decreased (P ＜0. 05) after education by diabetes conversation map. The TC、TG and HDL-C were no statistically significant (P ＞ 0. 05); FBG、 PBG、 HbA1c、 LDL-C were statistically significant (P ＜0. 05 or P ＜ 0. 01) after education in both groups. Conclusions Diabetes conversation map education model can decrease glycemia, improve the dyslipidemia, and was an effective education model in T2DM.