CAJ | 학술논문

目的：评估新型的个体化阶梯式疾病管理模式对2型糖尿病临床治疗的效果。方法将2型糖尿病患者随机分为实验组和对照组，实验组采取个体化阶梯式疾病管理，对照组采取传统糖尿病护理，观察疾病管理对糖化血红蛋白、血糖、血压、血脂以及体质量指数、腰臀比等的影响。结果个体化阶梯式疾病管理组患者的代谢指标和传统糖尿病组相比较，其体质量指数、糖化血红蛋白、空腹血糖、收缩压、甘油三酯控制明显低于对照组（P ＜0．05），患者对糖尿病知识水平掌握程度相应更全面（P ＜0．05）；而餐后血糖、舒张压、总胆固醇、低密度脂蛋白、腰臀比仅有降低趋势，无统计学差异（P ＞0．05），高密度脂蛋白亦仅略有升高，无统计学差异（P ＞0．05）。结论个体化阶梯式疾病健康管理对2型糖尿病的疾病控制明显有效，可显著改善患者体质量指数、糖化血红蛋白、空腹血糖、收缩压、甘油三酯以及患者对糖尿病知识的掌握。
목적：평고신형적개체화계제식질병관리모식대2형당뇨병림상치료적효과。방법장2형당뇨병환자수궤분위실험조화대조조，실험조채취개체화계제식질병관리，대조조채취전통당뇨병호리，관찰질병관리대당화혈홍단백、혈당、혈압、혈지이급체질량지수、요둔비등적영향。결과개체화계제식질병관리조환자적대사지표화전통당뇨병조상비교，기체질량지수、당화혈홍단백、공복혈당、수축압、감유삼지공제명현저우대조조（P ＜0．05），환자대당뇨병지식수평장악정도상응경전면（P ＜0．05）；이찬후혈당、서장압、총담고순、저밀도지단백、요둔비부유강저추세，무통계학차이（P ＞0．05），고밀도지단백역부략유승고，무통계학차이（P ＞0．05）。결론개체화계제식질병건강관리대2형당뇨병적질병공제명현유효，가현저개선환자체질량지수、당화혈홍단백、공복혈당、수축압、감유삼지이급환자대당뇨병지식적장악。
ABSTRACT:Objective To assess the effectiveness of the disease management model of stepped-nursing intervention in the metabolic control in patients with type 2 diabetes (DM2). Methods 114 patients with DM2 were randomized in experimental group and control group.The experimental group applied stepped-nursing model while the control group applied conventional nursing.Blood glucose,glycated hemoglobin A1c,body mass index (BMI),waist -hip ratio (WHR),blood pressure,lipids and control criteria were observed.Results BMI,glycated hemoglobin A1c,fasting blood sugar(FBS),triglycerides,systolic blood pressure (SBP)levels and diabetic knowledge score decreased significantly in the stepped-nursing group(P <0.05).The decrease levels in postprandial blood sugar(PBS),diastolic blood pressure (DBP),total cholesterol (TC),LDL cholesterol and WHR reduced,which showed no significant difference(P >0.05). The levels of HDL cholesterol were slightly improved,which showed no significant difference(P >0.05).Conclusion Stepped-nursing model is useful in overall treatment of patients with type 2 diabetes,it improves the condition of glycated hemoglobin A1c,SBP levels FBS and triglycerides and increases the command of diabetic knowledge.