CAJ | 학술논문

目的：评价Ⅱ型糖尿病患者通过社区综合干预疗法后对其自我管理能力和治疗效果的影响.方法将100例Ⅱ型糖尿病患者随机分为观察组和对照组,每组各50例,两组患者原治疗方案不变,观察组在维持原治疗方案的基础上进行为期10个月的社区综合干预.分别于干预前后进行糖尿病相关知识问卷调查及自我管理能力的测试,并检测空腹血糖和糖化血红蛋白等.结果综合干预10个月后,观察组有关糖尿病知识掌握情况、自我管理能力大大提高,与对照组比较差异具有统计学意义(P<0.05).观察组空腹血糖(FBG)、餐后2 h血糖(PBG)、糖化血红蛋白(HbAlc)干预前后比较差异具有统计学意义(P<0.05).结论社区综合干预可有效提高Ⅱ型糖尿病患者的糖尿病知识水平和自我管理能力,患者FBG,PBG,HbAlc控制较好,可提高Ⅱ型糖尿病患者的治疗效果.
목적：평개Ⅱ형당뇨병환자통과사구종합간예요법후대기자아관리능력화치료효과적영향.방법장100례Ⅱ형당뇨병환자수궤분위관찰조화대조조,매조각50례,량조환자원치료방안불변,관찰조재유지원치료방안적기출상진행위기10개월적사구종합간예.분별우간예전후진행당뇨병상관지식문권조사급자아관리능력적측시,병검측공복혈당화당화혈홍단백등.결과종합간예10개월후,관찰조유관당뇨병지식장악정황、자아관리능력대대제고,여대조조비교차이구유통계학의의(P<0.05).관찰조공복혈당(FBG)、찬후2 h혈당(PBG)、당화혈홍단백(HbAlc)간예전후비교차이구유통계학의의(P<0.05).결론사구종합간예가유효제고Ⅱ형당뇨병환자적당뇨병지식수평화자아관리능력,환자FBG,PBG,HbAlc공제교호,가제고Ⅱ형당뇨병환자적치료효과.
Objective To evaluate the community comprehensive intervention for patients with type 2 diabetes self-management ability and curative effect. Method 100 patients with type 2 diabetes were randomly divided into the observation group and the control group with 50 cases in each group,the two group in the same treatment and observation group implements community intervention measures for ten months at the same time. Two groups were observed before and after the intervention for diabetes related knowledge questionnaire and self-management ability,fasting blood glucose ( FBG), meal after 2h blood glucose ( PBG), glycated hemoglobin ( HbAlc). Results Comprehensive intervention after 10 months, the FBG, PBG, HbAlc, diabetes knowledge, self-management ability of the observation group were significantly different with the control group ( P<0 . 05 ) . Conclusion Comprehensive community intervention can effectively improve diabetes knowledge and self-management ability of patients with type 2 diabetes,FBG,PBG,HbAlc in observation group is better than control group,improve therapeutic effect of patients with type 2 diabetes.