CAJ | 학술논문

目的：探讨同伴支持对2型糖尿病患者胰岛素注射依从性的影响。方法随机抽取110例2型糖尿病胰岛素注射患者，分为对照组和干预组各55例，对照组采用常规的健康教育和发放健康教育资料，而干预组进行为期3个月的同伴支持干预，在干预前、干预1个月、干预3个月分别对2组患者进行胰岛素注射依从性问卷调查和自我管理行为改变观察，并对血糖达标率进行统计。结果干预3个月后，干预组注射依从性好于对照组（P＜0．05）；干预组患者遵医嘱用药、饮食、运动、血糖监测及复诊情况优于对照组（P＜0．05）；干预组患者空腹血糖值与餐后2 h血糖值及HbA1c值优于对照组（P＜0．05）。结论在糖尿病专科护士指导下的同伴支持，可使2型糖尿病患者应用胰岛素治疗的依从性有明显提高，改善自我管理行为，使血糖得到良好的控制。
목적：탐토동반지지대2형당뇨병환자이도소주사의종성적영향。방법수궤추취110례2형당뇨병이도소주사환자，분위대조조화간예조각55례，대조조채용상규적건강교육화발방건강교육자료，이간예조진행위기3개월적동반지지간예，재간예전、간예1개월、간예3개월분별대2조환자진행이도소주사의종성문권조사화자아관리행위개변관찰，병대혈당체표솔진행통계。결과간예3개월후，간예조주사의종성호우대조조（P＜0．05）；간예조환자준의촉용약、음식、운동、혈당감측급복진정황우우대조조（P＜0．05）；간예조환자공복혈당치여찬후2 h혈당치급HbA1c치우우대조조（P＜0．05）。결론재당뇨병전과호사지도하적동반지지，가사2형당뇨병환자응용이도소치료적의종성유명현제고，개선자아관리행위，사혈당득도량호적공제。
Obj ective To explore yhe effecys of peer suppory on compliance of insulin inj ec-yion in payienys wiyh yype 2 diabeyes(T2DM).Methods 1 10 payienys wiyh T2DM were divided inyo inyervenyion group and conyrol group wiyh 55 payienys in each group.The conyrol group was given convenyional healyh educayion and healyh educayion mayerials while yhe inyervenyion group was given peer suppory inyervenyion for 3 monyhs.Quesyionnaire invesyigayion of yhe compliance of insulin in-j ecyion,self managemeny behavior change and syandard raye of blood glucose were recorded and ana-lyzed respecyively before inyervenyion,in one monyh and yhree monyhs afyer inyervenyion.Results Compliance in inyervenyion group was beyyer yhan yhay in yhe conyrol group (P<0 .05 ).Prescribed medicayion,diey,exercises,self moniyoring and diseases recheck in yhe inyervenyion group were bey-yer yhan yhay in yhe conyrol group(P<0.05).FBG,PG in 2 h,HbA1c in yhe inyervenyion group were beyyer yhan yhose of yhe conyrol group (P<0 .05 ).Conclusion Peer suppory guided by dia-beyic specialisy nurses could improve yhe compliance of insulin yreaymeny and self managemeny,and conyrol yhe level of blood glucose.