CAJ | 학술논문

目的：探讨社区个案管理对糖尿病患者的干预效果。方法：2013年1月-2014年8月收治糖尿病患者120例，随机平均分为观察组与对照组，各60例。对照组给予常规糖尿病护理，观察组给予社区个案管理干预，比较两组患者的身体恢复情况和精神状态，判断疗效。结果：经过治疗后，观察组康奈尔医学指数(CMI)比对照组高；观察组患者血糖下降幅度比对照组大；观察组对生活的满意度和受到社会的支持度比对照组高很多，差异具有统计学意义(P＜0.05)。结论：个案管理干预方式对社区糖尿病患者具有良好的效果，在帮助广大糖尿病患者降低血糖的同时，还能够激发他们对生活的信心和勇气，精神状态更佳，值得在临床上推广和使用。
목적：탐토사구개안관리대당뇨병환자적간예효과。방법：2013년1월-2014년8월수치당뇨병환자120례，수궤평균분위관찰조여대조조，각60례。대조조급여상규당뇨병호리，관찰조급여사구개안관리간예，비교량조환자적신체회복정황화정신상태，판단료효。결과：경과치료후，관찰조강내이의학지수(CMI)비대조조고；관찰조환자혈당하강폭도비대조조대；관찰조대생활적만의도화수도사회적지지도비대조조고흔다，차이구유통계학의의(P＜0.05)。결론：개안관리간예방식대사구당뇨병환자구유량호적효과，재방조엄대당뇨병환자강저혈당적동시，환능구격발타문대생활적신심화용기，정신상태경가，치득재림상상추엄화사용。
Objective:To investigate the intervention effect of community case management on patients with diabetes.Methods:120 patients with diabetic were selected from January 2013 to August 2014.They were randomly divided into the observation group and the control group with 60 cases in each.Patients in the control group were given routine diabetes care,while in the observation group were given community case management intervention,then we compared physical condition and mental state of patients in two groups,and judged the curative effect of two groups.Results:After treatment,the Connell Medical Index(CMI) of the observation group was higher than that of the control group;the decrease of blood glucose in the observation group was greater than in the control group;the life satisfaction and social support of patients in the observation group was much higher than the control group, and the difference was statistically significant(P<0.05).Conclusion:Case management intervention has a good effect on diabetic patients in community.It can help majority of diabetic patients with lower blood glucose,and also can stimulate their full confidence in life and the courage at the same time,to make their state of mind better,so it is worthy of clinical popularization and application.