CAJ | 학술논문

目的：探讨中医整体观在社区老年糖尿病患者自我管理教育中的应用效果。方法：2012年7-12月随机选取老年糖尿病随访患者54例，评定并比较糖尿病患者在接受自我管理教育中结合中医整体观指导前后的自护行为和心理状况。结果：患者在接受干预前与干预后3个月各项因子分相比较显示，在情绪管理、运动管理、定期测量血糖、足部管理和饮食管理方面差异有统计学意义(P＜0.01)。高低血糖管理和药物管理方面差异无统计学意义(P＞0.05)。患者接受干预前与干预后3个月心理焦虑与抑郁状态评分差异有统计学意义(P＜0.01)。结论：自我管理教育中应用中医整体观能有效改善社区老年糖尿病患者不良情绪，促进患者糖尿病自护行为的形成，提高老年患者的生活质量。
목적：탐토중의정체관재사구노년당뇨병환자자아관리교육중적응용효과。방법：2012년7-12월수궤선취노년당뇨병수방환자54례，평정병비교당뇨병환자재접수자아관리교육중결합중의정체관지도전후적자호행위화심리상황。결과：환자재접수간예전여간예후3개월각항인자분상비교현시，재정서관리、운동관리、정기측량혈당、족부관리화음식관리방면차이유통계학의의(P＜0.01)。고저혈당관리화약물관리방면차이무통계학의의(P＞0.05)。환자접수간예전여간예후3개월심리초필여억욱상태평분차이유통계학의의(P＜0.01)。결론：자아관리교육중응용중의정체관능유효개선사구노년당뇨병환자불량정서，촉진환자당뇨병자호행위적형성，제고노년환자적생활질량。
Objective:To explore the effect of applicated holistic concept of traditional Chinese medicine in self management education on elderly patients with diabetes in community.Methods:54 elderly diabetic patients were selected from July to December 2012.We evaluated the behavior of self-care and the psychological status in patients before and after they received self-management education and guidance in combination with the holistic concept of traditional Chinese medicine,then compared the results.Results:Compared various factor scores in 3 months before and after the intervention,the differences in the emotional management,sports management,regular measurement of blood glucose,foot management and catering management were statistically significant(P<0.01).The differences in high and low blood sugar management and drug management were not statistically significant(P>0.05).There were statistically significant differences in psychological anxiety and depression score between 3 months before and after intervention(P<0.01).Conclusion:Holistic concept of traditional Chinese medicine applicated in holistic self-management education can effectively improve the negative emotion of elderly patients with diabetes in community, and promote the formation of self-care mellitus behavior,so it can improve the quality of life in elderly patients.