CAJ | 학술논문

目的：探讨社区护理干预对老年（≥65岁）2型糖尿病患者自我管理行为的影响。方法将2012年10月至2013年9月建立档案的104例65岁及以上老年2型糖尿病患者随机分为观察组和对照组，各52例。对照组患者进行常规糖尿病知识教育，观察组患者在对照组基础上，采取护理人员对患者进行家访，给予一对一、面对面的社区护理干预。应用2型糖尿病自我管理行为量表分别对两组患者社区护理干预前后进行测评。结果经过6个月的社区护理干预，观察组患者饮食控制、运动锻炼、药物依从性、血糖监测、足部护理等得分[（4.88±0.85）、（5.81±0.59）、（5.51±0.77）、（2.26±0.73）、（3.69±0.36）分]均高于对照组[（4.06±0.89）、（4.32±0.83）、（4.12±0.67）、（1.67±0.52）、（2.03±0.61）分]，空腹血糖和餐后2 h血糖水平[（6.06±1.36）、（10.16±2.33）mmol/L]明显低于对照组[（7.01±1.74）、（11.45±2.52）mmol/L]，差异均有统计学意义（P＜0.05）。结论实施社区护理干预能显著改善老年（≥65岁）2型糖尿病患者的自我管理行为。
목적：탐토사구호리간예대노년（≥65세）2형당뇨병환자자아관리행위적영향。방법장2012년10월지2013년9월건립당안적104례65세급이상노년2형당뇨병환자수궤분위관찰조화대조조，각52례。대조조환자진행상규당뇨병지식교육，관찰조환자재대조조기출상，채취호리인원대환자진행가방，급여일대일、면대면적사구호리간예。응용2형당뇨병자아관리행위량표분별대량조환자사구호리간예전후진행측평。결과경과6개월적사구호리간예，관찰조환자음식공제、운동단련、약물의종성、혈당감측、족부호리등득분[（4.88±0.85）、（5.81±0.59）、（5.51±0.77）、（2.26±0.73）、（3.69±0.36）분]균고우대조조[（4.06±0.89）、（4.32±0.83）、（4.12±0.67）、（1.67±0.52）、（2.03±0.61）분]，공복혈당화찬후2 h혈당수평[（6.06±1.36）、（10.16±2.33）mmol/L]명현저우대조조[（7.01±1.74）、（11.45±2.52）mmol/L]，차이균유통계학의의（P＜0.05）。결론실시사구호리간예능현저개선노년（≥65세）2형당뇨병환자적자아관리행위。
Objective To explore the effects of community nursing interventions on self-management behavior of the el-derly diabetic(Type2) patients with 65 years old or above. Methods A total of 104 of elderly diabetic patients with 65years old or above filed in the hospital from October 2012 to September 2013 were divided into the observation group and the control group , (52 samples of each group) respectively. The patients of the control group were taught with routine diabetic knowledge only. Whereas the observation group were not only taught with routine diabetic knowledge but also were made familiy visit and given one-to-one and face-to-face community nursing intervention.The diabetic (Type 2) self-management behavior scale was applied to assess the community nursing effect before and after intervention. Results After 6-month community nursing interventions ,the patients in the observation group got higher scores on diet control,physical training,drug compliance,blood glucose monitoring, pedal nursing than those of the control group(P<0.05)[(4.88±0.85)、(5.81±0.59)、(5.51±0.77)、(2.26±0.73)、(3.69±0.36)] vs [(4.06±0.89)、(4.32±0.83)、(4.12±0.67)、(1.67±0.52)、(2.03±0.61)]. The values of fasting blood glucose and blood glucose 2 hours after meal were lower than those of the control group significantly,which haddifference in statistical significance[(6.06±1.36), (10.16±2.33) vs (7.01±1.74)、(11.45±2.52)mmol](P<0.05). Conclusion The implementation of community nursing interven-tions could improve the self-management behavior of diabetic(Type 2) patients of 65 years old or above significantly.