CAJ | 학술논문

目的探讨2型糖尿病患者的社区护理模式。方法对218例患者进行为期1年的社区护理干预，对比干预前后2型糖尿病患者在健康素养、行为习惯和血糖水平等方面的变化。结果对社区护理1年前后进行比较发现，在糖尿病知识知晓率（x 2=41.65，P＜0.01）、遵医行为率（x 2=31.72，P＜0.01）、自我管理能力率（x 2=30.11，P＜0.01）、坚持运动率等（x2=14.92，P＜0.01）几个方面具有显著提高；空腹血糖水平（t=6.13，P＜0.01）、餐后2h血糖（t=3.15，P＜0.01）、糖化血红蛋白水平（t=9.82，P＜0.01）、BMI指数（t=5.44，P＜0.01）平均有显著下降。结论社区护理模式对2型糖尿病患者健康素养、行为习惯和血糖水平的改善具有较好的效果。
목적탐토2형당뇨병환자적사구호리모식。방법대218례환자진행위기1년적사구호리간예，대비간예전후2형당뇨병환자재건강소양、행위습관화혈당수평등방면적변화。결과대사구호리1년전후진행비교발현，재당뇨병지식지효솔（x 2=41.65，P＜0.01）、준의행위솔（x 2=31.72，P＜0.01）、자아관리능력솔（x 2=30.11，P＜0.01）、견지운동솔등（x2=14.92，P＜0.01）궤개방면구유현저제고；공복혈당수평（t=6.13，P＜0.01）、찬후2h혈당（t=3.15，P＜0.01）、당화혈홍단백수평（t=9.82，P＜0.01）、BMI지수（t=5.44，P＜0.01）평균유현저하강。결론사구호리모식대2형당뇨병환자건강소양、행위습관화혈당수평적개선구유교호적효과。
Objective To explore the community nursing mode of patients with diabetes B. Methods 218 patients were given 1 year of community nursing intervention.The changes of health literacy,behaviour and blood glucose levels of patients with diabetes B before and after intervention were compared. Results The comparison of before and after 1 year of community care found that the diabetes knowledge rate (x2=41.65,P<0.01), compliance behavior rate(x2=31.72,P < 0.01),self-management capacity rate(x2=30.11,P < 0.01), insisted exercise rate(x2=14.92, P< 0.01) had significantly improved; Fasting blood glucose levels(t=6.13,P < 0.01), after meals 2 hours postprandial blood glucose(t=3.15,P < 0.01),levels of glycosylated hemoglobin(t=9.82,P < 0.01),BMI index(t=5.44,P < 0.01) had significantly dropped on average. Conclusion Community nursing mode has better effect for the improvement of health literacy,behaviour and blood glucose levels in patients with diabetes B.