CAJ | 학술논문

目的：探讨病友支持团队管理在2型糖尿病患者居家自我管理中的应用效果。方法：将100例居家2型糖尿病患者随机分为对照组与实验组，每组各50例，两组均进行常规的糖尿病知识教育和饮食运动指导，实验组在此基础上加入病友团队支持教育。观察并比较两组患者干预前及干预后6个月的自我管理活动、自我效能、糖化血红蛋白(HbA1c)、体质量指数(BMI)、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖的变化。结果：干预后实验组患者的自我管理活动、自我效能、HbA1c、BMI、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖指标优于对照组，差异有统计学意义(P<0.05)。结论：病友团队支持教育能有效提高居家2型糖尿病患者自我管理行为，增强自我效能感，改善相关代谢指标。
목적：탐토병우지지단대관리재2형당뇨병환자거가자아관리중적응용효과。방법：장100례거가2형당뇨병환자수궤분위대조조여실험조，매조각50례，량조균진행상규적당뇨병지식교육화음식운동지도，실험조재차기출상가입병우단대지지교육。관찰병비교량조환자간예전급간예후6개월적자아관리활동、자아효능、당화혈홍단백(HbA1c)、체질량지수(BMI)、공복상태하요위、혈지、공복혈당、찬후2h혈당적변화。결과：간예후실험조환자적자아관리활동、자아효능、HbA1c、BMI、공복상태하요위、혈지、공복혈당、찬후2h혈당지표우우대조조，차이유통계학의의(P<0.05)。결론：병우단대지지교육능유효제고거가2형당뇨병환자자아관리행위，증강자아효능감，개선상관대사지표。
Objective:To investigate the effect of reciprocal peer support in self-management of patients with type 2 diabetes. Methods:Totally 100 patients with type 2 diabetes were enrolled and randomly divided into control group (n=50) and experimental group (n=50). Both groups were subjected to conventional education on diet and exercise, while the experimental group was added with"reciprocal peer support"supporting education. The two groups were compared in terms of self-care activities, self-efifcacy, glycated hemoglobin (HbA1c), body mass index (BMI), waistline in fasting state, blood lipids, fasting glucose and 2h postprandial blood glucose before the intervention and six months later. Results:The self-care activities, self-efifcacy, HbA1c, BMI, waistline, blood lipids, fasting glucose, 2h postprandial blood glucose of the experimental group were signiifcantly better than those of the control group. Conclusion:Reciprocal peer support can improve self-management behaviors of type 2 diabetic patients, enhance their self-efifcacy and promote their metabolic indexes.