CAJ | 학술논문

目的：通过糖尿病的社区管理，树立患者对糖尿病的正确认识，从而引导糖尿病的正确预防、治疗、预防并发症等。方法从现代医学模式的高度出发，结合社区医疗卫生与周围社会环境、医学理念协调发展方面着手，建立糖尿病管理中心，指导全科医师对社区120例糖尿病患者实施综合管理。通过综合管理，评价管理后患者的疾病认知水平、自我保健能力掌握程度和遵医率进行比较。结果通过建立糖尿病管理中心对社区糖尿病患者实施综合管理，患者对糖尿病及其并发症知识的认识有了进一步的提高，生活方式有了明显的改变，不良生活方式纠正率有了进一步的改善，血糖自测率、遵医率有了明显的提高。结论糖尿病的社区管理是项需持之以恒又繁复的工作，充分利用社区医疗资源，实行全科医生对糖尿病患者的一对一管理，运用健康教育、生活方式的干预、药物治疗的体化综合管理方法，对社区糖尿病的2、3级预防是有效的，值得进一步讨论和推广。
목적：통과당뇨병적사구관리，수립환자대당뇨병적정학인식，종이인도당뇨병적정학예방、치료、예방병발증등。방법종현대의학모식적고도출발，결합사구의료위생여주위사회배경、의학이념협조발전방면착수，건립당뇨병관리중심，지도전과의사대사구120례당뇨병환자실시종합관리。통과종합관리，평개관리후환자적질병인지수평、자아보건능력장악정도화준의솔진행비교。결과통과건립당뇨병관리중심대사구당뇨병환자실시종합관리，환자대당뇨병급기병발증지식적인식유료진일보적제고，생활방식유료명현적개변，불량생활방식규정솔유료진일보적개선，혈당자측솔、준의솔유료명현적제고。결론당뇨병적사구관리시항수지지이항우번복적공작，충분이용사구의료자원，실행전과의생대당뇨병환자적일대일관리，운용건강교육、생활방식적간예、약물치료적체화종합관리방법，대사구당뇨병적2、3급예방시유효적，치득진일보토론화추엄。
Objective through the community management of diabetes patients, establish the correct understanding of diabetes, so as to guide the prevention, treatment, prevention of complications of diabetes. Methods from the perspective of modern medical model, combined with the community health and social environment, the coordinated development of medical philosophy aspects, establishing the diabetic management center, to guide the practitioner community on the implementation of comprehensive management in 120 patients with diabetes mellitus. through integrated management, evaluation management after the patient's disease, cognitive level of self care ability to grasp the degree and the rate of compliance were compared. Results through the establishment of diabetic management center to implement the comprehensive management of community patients with diabetes, patients know about the knowledge of diabetes and its complications has been further improved, way of life has changed significantly, unhealthy lifestyle corrective rate has been further improved, blood sugar self testing rates, compliance rates are improved obviously. Conclusion community management of diabetes is a need to persevere and complicated work, make full use of community health resources, a GP in diabetic patients on a management, using the way of life of health education, intervention, treatment of integrated management method, is effective in 2, 3 grade prevention of diabetes in community, worthy of further study and promotion.