CAJ | 학술논문

目的分析社区医师随访对社区开展2型糖尿病管理的效果.方法随机选取住院2型糖尿病患者99例,按照区组随机化方法分为管理组(49例)和对照组(50例).由社区医师对管理组患者在社区进行2型糖尿病随访管理,对照组患者自觉到内分泌专科门诊随访.比较两组患者进行差异化管理10个月后相关指标的变化.结果管理组管理后体质量指数(BMI)、空腹血糖(FBG)、三酰甘油(TG)、总胆固醇(TC)等指标明显优于对照组,差异有统计学意义(P＜0.05);糖尿病相关行为遵医率明显优于对照组,差异有统计学意义(P＜0.05).影响2型糖尿病患者血糖控制多因素分析中,高BMI、高FBG、高TG、高TC是影响2型糖尿病患者血糖控制的危险因素,而高的血压达标率、高的糖尿病饮食依从率、高的遵医嘱用药率则对2型糖尿病患者血糖控制有促进作用.结论社区开展社区医师2型糖尿病随访管理有助于提高糖尿病管理效果及质量.
목적 분석사구의사수방대사구개전2형당뇨병관리적효과.방법 수궤선취주원2형당뇨병환자99례,안조구조수궤화방법분위관리조(49례)화대조조(50례).유사구의사대관리조환자재사구진행2형당뇨병수방관리,대조조환자자각도내분비전과문진수방.비교량조환자진행차이화관리10개월후상관지표적변화.결과 관리조관리후체질량지수(BMI)、공복혈당(FBG)、삼선감유(TG)、총담고순(TC)등지표명현우우대조조,차이유통계학의의(P＜0.05);당뇨병상관행위준의솔명현우우대조조,차이유통계학의의(P＜0.05).영향2형당뇨병환자혈당공제다인소분석중,고BMI、고FBG、고TG、고TC시영향2형당뇨병환자혈당공제적위험인소,이고적혈압체표솔、고적당뇨병음식의종솔、고적준의촉용약솔칙대2형당뇨병환자혈당공제유촉진작용.결론 사구개전사구의사2형당뇨병수방관리유조우제고당뇨병관리효과급질량.
Objective To analyze the effect of community physicians' following-up on type 2 diabetes management in community.Methods A total of 99 local patients with type 2 diabetes,who were selected randomly and divided into management group (49 cases) and control group(50 cases).The patients in management group were accepted diabetes management in community with community physicians' following-up.The patients in control group were followed to see the doctor in endocrinology clinic based ontheir consciousness.The changes of related indicators between two groups after 10 months of different kinds of diabetes management were compared.Results After management,the levels of body mass index (BMI),fasting blood glucose (FBG),triacylglycerol (TG),total cholesterol (TC),etc in management group were significantly better than those in control group,and there were significant differences (P ＜ 0.05).The medical compliance rate of diabetes-related behavior in management group was significantly better than that in control group,and there was significant difference (P ＜ 0.05).The multi-factor analysis showed that high level of BMI,FPG,TG,TC were risk factors of blood glucose control in type 2 diabetes (P ＜ 0.05),while high level of success rate of blood pressure,prescribed rate of medication,adherence rates of diabetes diet had promotion to blood glucose control of type 2 diabetes.Conclusion Type 2 diabetes management in community with community physicians'following-up is useful for improving diabetes management effectiveness and quality.