CAJ | 학술논문

目的：探讨胰岛素管理单元模式对社区2型糖尿病患者自我效能的影响。方法：将社区80例接受胰岛素治疗的2型糖尿病患者随机分为干预组和对照组各40例，干预组接受6个月的社区胰岛素管理单元模式管理，对照组接受社区常规糖尿病管理。比较干预前和干预6个月时两组患者空腹血糖、糖化血红蛋白（ HbA1 c）及自我效能得分。结果：干预6个月时，干预组空腹血糖和HbA1c较对照组下降明显（P＜0．05）；自我效能得分优于对照组（P＜0．05）。结论：实施胰岛素管理单元可以提高社区2型糖尿病患者的自我效能，改善患者的自我管理水平和血糖代谢状况。
목적：탐토이도소관리단원모식대사구2형당뇨병환자자아효능적영향。방법：장사구80례접수이도소치료적2형당뇨병환자수궤분위간예조화대조조각40례，간예조접수6개월적사구이도소관리단원모식관리，대조조접수사구상규당뇨병관리。비교간예전화간예6개월시량조환자공복혈당、당화혈홍단백（ HbA1 c）급자아효능득분。결과：간예6개월시，간예조공복혈당화HbA1c교대조조하강명현（P＜0．05）；자아효능득분우우대조조（P＜0．05）。결론：실시이도소관리단원가이제고사구2형당뇨병환자적자아효능，개선환자적자아관리수평화혈당대사상황。
Objective:To explore the effect of insulin management unit pattern on the self -efficacy of community patients with type 2 diabetes .Methods:80 type 2 diabetic community patients who received insulin therapy were randomly divided into the intervention group and the control group (40 cases in each group).The patients in the intervention group received 6-month community management by fol-lowing insulin management unit pattern;the patients in the control group received routine community management of diabetic patients .The level of fasting blood glucose ,glycosylated hemoglobin ( HbA1 c) and the scores of self -efficacy of the patients were compared between the two groups before the intervention and after the intervention for 6 months.Results:The level of fasting blood glucose and glycosylated hemo-globin (HbA1c) decreased significantly in the intervention group after the intervention for 6 months (P<0.05);the scores of self-effica-cy of the patients were superior in the intervention group to the control group (P<0.05).Conclusion:Implementation of insulin manage-ment unit can improve the self -efficacy of community patients with type 2 diabetes ,and it can improve their self management level and the glucose metabolism .