CAJ | 학술논문

目的：探讨个体化教育路径联合数据库管理模式的实施对于住院中青年2型糖尿病患者疾病认知水平、自护行为及代谢指标、心理状态和生存质量的影响。方法利用便利抽样抽取在丽水市人民医院住院的中青年2型糖尿病患者52例，对其进行系统的教育前评估，参照路径实施个体化糖尿病教育，出院后纳入糖尿病患者数据库管理平台进行随访和管理，比较患者教育前后糖尿病知识掌握程度及随访3个月、6个月、1年患者自护行为状况、焦虑／抑郁状态、综合代谢指标及生存质量等的变化。结果本组患者经教育后糖尿病知识问卷平均分从教育前的（40．6±4．2）分升至（83．1±2．9）分，出院时糖代谢指标控制情况较入院时明显改善，随访1年后焦虑及抑郁患者比例分别从教育前的51．9％、28．8％下降至14．0％、12．0％，经教育后随访1年自护行为得分与教育前比较明显提升，随访期间各项指标仍能保持在相对较好地水平，SF-36生活质量量表中8个维度得分及综合得分均呈上升趋势，差异有统计学意义（P ＜0．05）。结论教育路径联合数据库管理模式能有效提高住院中青年2型糖尿病患者的疾病认知水平，促使其建立和维持较好的自护行为，改善其综合代谢指标、焦虑／抑郁状态，提高生存质量。
목적：탐토개체화교육로경연합수거고관리모식적실시대우주원중청년2형당뇨병환자질병인지수평、자호행위급대사지표、심리상태화생존질량적영향。방법이용편리추양추취재려수시인민의원주원적중청년2형당뇨병환자52례，대기진행계통적교육전평고，삼조로경실시개체화당뇨병교육，출원후납입당뇨병환자수거고관리평태진행수방화관리，비교환자교육전후당뇨병지식장악정도급수방3개월、6개월、1년환자자호행위상황、초필／억욱상태、종합대사지표급생존질량등적변화。결과본조환자경교육후당뇨병지식문권평균분종교육전적（40．6±4．2）분승지（83．1±2．9）분，출원시당대사지표공제정황교입원시명현개선，수방1년후초필급억욱환자비례분별종교육전적51．9％、28．8％하강지14．0％、12．0％，경교육후수방1년자호행위득분여교육전비교명현제승，수방기간각항지표잉능보지재상대교호지수평，SF-36생활질량량표중8개유도득분급종합득분균정상승추세，차이유통계학의의（P ＜0．05）。결론교육로경연합수거고관리모식능유효제고주원중청년2형당뇨병환자적질병인지수평，촉사기건립화유지교호적자호행위，개선기종합대사지표、초필／억욱상태，제고생존질량。
Objective To explore the effects of individualized education path combined database management on cognition,self-care behavior and metabolism,mental state and quality of life among young patients with type 2 diabe-tes.Methods Using convenience sampling method,52 cases of young inpatient with type 2 diabetes were investigated by systematic education evaluation,individualized diabetes education path,then entered into the follow-up and management of database management platform.Their changes of knowledge,self-care behavior,anxiety/depression,comprehensive meta-bolic index and quality of life before and after the education 3 months,6 months,and 1 year were compared.Results The average score was increased from (40.6 ±4.2)to (83.1 ±2.9).Comprehensive metabolic index was increase significant-ly.After 1 year follow-up,the proportion of patients with anxiety was decreased from 51.9% to 14.0%,the proportion of patients with depression was decreased from 28.8% to 12.0%.The self-care behavior improved significantly.8 dimensions of SF-36 score and comprehensive score showed an upward trend,the difference was statistically significant (P < 0.05 ). Conclusion Education path combined database management mode can effectively improve the cognitive level of young pa-tients with type 2 diabetes,promote the establishment and maintenance of self-care behavior,and improve their comprehen-sive metabolic index,the status of anxiety and depression,and improve their quality of life.