CAJ | 학술논문

目的：探讨糖尿病患者自我管理能力培训对提高患者糖尿病知识、自我管理技能以及对糖尿病代谢指标控制的影响。方法对2009年11月～2010年11月在我院治疗的2型糖尿病患者161例，予问卷形式测试培训前后糖尿病知识及自我管理水平，分别采集培训前后空腹血糖、餐后2h血糖、糖化血红蛋白、血脂水平，并测量体重及血压，监测糖代谢控制指标。结果161例患者培训结束后，糖尿病知识评分及自我管理能力评分较培训前明显提高（ P＜0．001）；空腹血糖、餐后2 h血糖、糖化血红蛋白、甘油三酯、胆固醇、低密度脂蛋白、收缩压、舒张压、体重指数均低于培训前水平（P＜0．05）。结论糖尿病自我管理能力的培训，能有效促进糖尿病患者病情的良性转归，提高糖尿病患者的生存质量。
목적：탐토당뇨병환자자아관리능력배훈대제고환자당뇨병지식、자아관리기능이급대당뇨병대사지표공제적영향。방법대2009년11월～2010년11월재아원치료적2형당뇨병환자161례，여문권형식측시배훈전후당뇨병지식급자아관리수평，분별채집배훈전후공복혈당、찬후2h혈당、당화혈홍단백、혈지수평，병측량체중급혈압，감측당대사공제지표。결과161례환자배훈결속후，당뇨병지식평분급자아관리능력평분교배훈전명현제고（ P＜0．001）；공복혈당、찬후2 h혈당、당화혈홍단백、감유삼지、담고순、저밀도지단백、수축압、서장압、체중지수균저우배훈전수평（P＜0．05）。결론당뇨병자아관리능력적배훈，능유효촉진당뇨병환자병정적량성전귀，제고당뇨병환자적생존질량。
Objective To investigate the effects of self management ability training on diabetic knowledge acquire-ment ,self management technique ,and metabolic index .Method 161 type II diabetic patients who meet the WHO di-agnostic criterion were included from November 2009 to November 2010 .Diabetic knowledge and self management ability were measured by questionnaire .Fasting blood-glucose ,2 h after meal blood-glucose ,glycosylated hemoglo-bin ,blood lipid ,body weight and blood pressure was assessed to determine diabetes control .Result After training , the scores of diabetic knowledge and self management ability were higher than that before training (P<0 .001);The fasting blood-glucose ,2 h after meal blood-glucose ,glycosylated hemoglobin ,triglyceride ,cholesterol ,low density lipoprotein ,systolic pressure ,diastolic pressure ,and BMI were lower than that before training (P<0 .05) .Conclu-sion The training of self management ability of diabetic patients was significantly improved the prognosis of diabetes and quality of living for diabetic patients .