CAJ | 학술논문

目的探讨对居家糖尿病患者实施结构性血糖监测的具体措施和管理方法，提高糖尿病患者自我血糖监测效果。方法对102例糖尿病患者实施居家结构性血糖监测6个月，内容包括实施结构性血糖监测的方法、血糖值曲线图的绘制与医患共同解读等关键环节与管理要点，观察实施结构性血糖监测前及管理6个月后患者的空腹血糖，餐后2小时血糖，糖化血红蛋白及评估患者自我血糖监测的依从性。结果实施糖尿病患者居家结构性血糖监测和管理6个月后患者的FBG、PBG、HbA1c水平均低于实施前，差异具有统计学意义；患者自我血糖监测的依从性明显提高，差异具有统计学意义。结论实施糖尿病患者居家结构性血糖监测与强化管理能提高患者自我血糖监测效果，提供个性化血糖谱分析医患互动解读并及时调整治疗方案，使结构性自我血糖监测成为有效的糖尿病患者自我管理的工具。
목적탐토대거가당뇨병환자실시결구성혈당감측적구체조시화관리방법，제고당뇨병환자자아혈당감측효과。방법대102례당뇨병환자실시거가결구성혈당감측6개월，내용포괄실시결구성혈당감측적방법、혈당치곡선도적회제여의환공동해독등관건배절여관리요점，관찰실시결구성혈당감측전급관리6개월후환자적공복혈당，찬후2소시혈당，당화혈홍단백급평고환자자아혈당감측적의종성。결과실시당뇨병환자거가결구성혈당감측화관리6개월후환자적FBG、PBG、HbA1c수평균저우실시전，차이구유통계학의의；환자자아혈당감측적의종성명현제고，차이구유통계학의의。결론실시당뇨병환자거가결구성혈당감측여강화관리능제고환자자아혈당감측효과，제공개성화혈당보분석의환호동해독병급시조정치료방안，사결구성자아혈당감측성위유효적당뇨병환자자아관리적공구。
Objective Explore specific measures and management methods for structural monitoring of blood glucose (SMBG) on diabetic patients at home and their improve self-monitoring blood glucose effects. Methods Implemented structural monitoring of blood glucose on 102 patients for six months. Implementation content included its method, blood glucose graph drawing and other key aspects of common interpretation by doctor and patient as well as management. Observed the patient's fasting blood glucose (FBG), 2h postprandial blood glucose (PBG), glycosylated hemoglobin (HbA1c) and assessed the compliance of patient self-monitoring of blood glucose in the implementation period. Results After structural blood glucose monitoring and management for six months, the patients' FBG, PBG and HbA1c levels were lower than before (P<0.005). Patients' compliance of self-monitoring of blood glucose significantly increased (P<0.005). Conclusion Implementing of structural monitoring of blood glucose in diabetic patients at home and strengthening management can improve patients' self-monitoring of blood glucose results. It can provide personalized blood glucose spectrum analysis and doctor-patient interaction, which help adjust the treatment plan and make the SMBG become effective self-management tools for diabetes patients.