CAJ | 학술논문

目的探讨自我效能理论对代谢综合征患者血糖控制的影响。方法选取100例代谢综合征高血糖患者按照随机、开放、对照、平行方法分为对照组与实验组各50例，对照组给予内分泌常规治疗，实验组在常规治疗的基础上进行增强自我效能健康宣教，比较两种方法对患者血糖控制的影响。结果3个月后实验组的自我效能评分、糖化血红蛋白及空腹血糖的控制优于对照组（ P＜0.01或＜0.05）；两组患者餐后2 h血糖控制差异无统计学意义（ P＞0.05）。结论在代谢综合征高血糖患者治疗过程中应用自我效能理论，可以有效改善血糖控制。
목적탐토자아효능이론대대사종합정환자혈당공제적영향。방법선취100례대사종합정고혈당환자안조수궤、개방、대조、평행방법분위대조조여실험조각50례，대조조급여내분비상규치료，실험조재상규치료적기출상진행증강자아효능건강선교，비교량충방법대환자혈당공제적영향。결과3개월후실험조적자아효능평분、당화혈홍단백급공복혈당적공제우우대조조（ P＜0.01혹＜0.05）；량조환자찬후2 h혈당공제차이무통계학의의（ P＞0.05）。결론재대사종합정고혈당환자치료과정중응용자아효능이론，가이유효개선혈당공제。
Objective To investigate the effects of self-efficacy theory on glycemic control in patients withmetabolic syndrome.Methods One hundred metabolic syndrome patients with hyperglycemia were divided into thecontrol group and the experimental group by randomly , open, controlled, parallel method,the two groups receivedregular endocrinology medicine treatment .In addition,the experimental group received health education which basedon self-efficacy theory.The effects of the two methods on glycemic control were compared .Results The self-efficacyscores,glycated hemoglobin and fasting blood glucose control in the experimental group were better than the controlgroup after 3 months(P <0.01 or <0.05);The 2-hour postprandial blood glucose control was not significantly differ -ent between two groups(P >0.05).Conclusion Self-efficacy theory applied in metabolic syndrome patients can ef -fectively improve glycemic control.