CAJ | 학술논문

目的探讨糖尿病个体化管理对患者治疗疗效的影响。方法200例2型糖尿病患者随机分为两组，对照组按常规糖尿病临床路径进行处理，试验组由疾病管理师联合主管医生完成个体化的糖尿病管理；比较两组患者治疗前后血糖、糖化血红蛋白、体重指数（BMI）以及血脂等的差异。结果两组患者管理前后收缩压、FPG、PBG、HbA 1c、血脂以及尿蛋白水平均明显改善（P<0.05），但试验组较对照组改善具有统计学意义（P<0.05），且试验组管理后12个月的BMI较管理前有所改善（P<0.05）。结论疾病管理师参与糖尿病患者个体化管理能有效改善患者预后。
목적탐토당뇨병개체화관리대환자치료료효적영향。방법200례2형당뇨병환자수궤분위량조，대조조안상규당뇨병림상로경진행처리，시험조유질병관리사연합주관의생완성개체화적당뇨병관리；비교량조환자치료전후혈당、당화혈홍단백、체중지수（BMI）이급혈지등적차이。결과량조환자관리전후수축압、FPG、PBG、HbA 1c、혈지이급뇨단백수평균명현개선（P<0.05），단시험조교대조조개선구유통계학의의（P<0.05），차시험조관리후12개월적BMI교관리전유소개선（P<0.05）。결론질병관리사삼여당뇨병환자개체화관리능유효개선환자예후。
Objective To explore the effect of individualized management on diabetics. Methods 200 cases of diabetics were divided into 2 groups randomly. The control group were treatedaccording to the clinical routine methods of diabetes, the study group were treated by disease management advisor combined with the doctor in charge. To compare the difference of the two groups before and after treatment in blood glucose, glycosylated hemoglobin, body mass index ( BMI ) and blood lipid. Results The systolic blood pressure, FPG, PBG, HbA 1c, blood lipids and urinary protein levels were improved signiifcantly after treatment in both groups(P<0.05),but the index in the study group were improved better than .those in the control group(P<0.05),futher more, BMI in the study group after management in 12 months were improved better than before management(P<0.05). Conclusion The participation of disease management advisors in the individualized management mode of diabetics can effectively improve the prognosis of the patients.