CAJ | 학술논문

目的：了解个体化管理模式下不同年龄段糖尿病患者的依从性和疗效。方法：将100例2型糖尿病按<40岁、40~59岁、≥60岁分成三个年龄组，比较三组患者在个体化管理模式下的依从性和HbA1c以及血脂达标情况。结果：（1）年龄在40~59岁之间的患者依从性总分低于其他两组患者（P<0.05）；≥60岁的患者依从性总分最高（P<0.05）；三组患者药物依从性评分无明显差异（P>0.05），饮食、运动、自我监测三个维度在40~59岁组评分最低，而≥60岁的患者评分最高。<40岁的患者自护行为维度评分要高于其他两组（P<0.05）。（2）40~59岁段患者HbA1c和血脂的达标率明显低于其他两组患者（P<0.05），而达标时间明显长于其他两组（P<0.05）。结论：个体化管理干预应该根据不同年龄阶段患者，有针对性地进行指导，提高糖尿病患者饮食治疗依从性，从而改善预后。
목적：료해개체화관리모식하불동년령단당뇨병환자적의종성화료효。방법：장100례2형당뇨병안<40세、40~59세、≥60세분성삼개년령조，비교삼조환자재개체화관리모식하적의종성화HbA1c이급혈지체표정황。결과：（1）년령재40~59세지간적환자의종성총분저우기타량조환자（P<0.05）；≥60세적환자의종성총분최고（P<0.05）；삼조환자약물의종성평분무명현차이（P>0.05），음식、운동、자아감측삼개유도재40~59세조평분최저，이≥60세적환자평분최고。<40세적환자자호행위유도평분요고우기타량조（P<0.05）。（2）40~59세단환자HbA1c화혈지적체표솔명현저우기타량조환자（P<0.05），이체표시간명현장우기타량조（P<0.05）。결론：개체화관리간예응해근거불동년령계단환자，유침대성지진행지도，제고당뇨병환자음식치료의종성，종이개선예후。
Objective:To investigate the compliance and curative effect of patients with different ages of individualized management of diabetes. Method:100 cases of type 2 diabetes mellitus were divided into three age groups(before 40 ages,40 ages to 59ages,after 60 ages),the compliance and HbA1c and lipid of the three groups under the individualized management model were compared. Result:(1)Aged 40~59 patients compliance score was lower than the other two groups of patients(P<0.05);The total compliance score of the patients of age more than 60 was the highest(P<0.05);there was no significant difference in the total compliance scores of the three groups(P>0.05);diet,exercise,self monitoring three dimensions lowest score in the 40~59 years old group,,and the highest score belonged to the patients of age more than 60. Self-care behavior score In the age less than 40 group was higher than that in the other two groups(P<0.05);(2)HbA1c and blood lipid in patients with 40~59 years was significantly lower than the other two groups of patients(P<0.05),and the standard time was longer than the other two groups(P<0.05). Conclusion:Intervention should be individualized management according to the patients with different ages,targeted to guide,improve diabetes diet treatment compliance,so as to improve the prognosis.