CAJ | 학술논문

目的：探讨社区慢病管理治疗在糖尿病治疗和护理中的作用。方法选取2013年4~6月我社区分管的确诊为2型糖尿病患者,共计300例。将上述患者随机分为管理组和对照组,每组患者150例。医护人员给予对照组患者常规社区慢病治疗管理,管理组以此为基础,建立糖尿病社区学习小组,以社区、家庭或自成立小组为单位对相关健康知识进行学习,医护人员对患者实行优质护理方案,定期检测其血糖变化情况。结果管理组患者的糖尿病认知程度、服药依从性、生活方式改善、血糖达标率均优于对照组患者,P <0.01。结论社区慢病管理治疗是一种有效治疗和管理2型糖尿病患者的护理方案,加深2型糖尿病患者对于该类疾病的认识,从心理上改善患者的治疗积极性,为患者病情治疗和恢复创造有利条件,值得临床广泛推广和深入研究。
목적：탐토사구만병관리치료재당뇨병치료화호리중적작용。방법선취2013년4~6월아사구분관적학진위2형당뇨병환자,공계300례。장상술환자수궤분위관리조화대조조,매조환자150례。의호인원급여대조조환자상규사구만병치료관리,관리조이차위기출,건립당뇨병사구학습소조,이사구、가정혹자성립소조위단위대상관건강지식진행학습,의호인원대환자실행우질호리방안,정기검측기혈당변화정황。결과관리조환자적당뇨병인지정도、복약의종성、생활방식개선、혈당체표솔균우우대조조환자,P <0.01。결론사구만병관리치료시일충유효치료화관리2형당뇨병환자적호리방안,가심2형당뇨병환자대우해류질병적인식,종심리상개선환자적치료적겁성,위환자병정치료화회복창조유리조건,치득림상엄범추엄화심입연구。
Objective To investigate the efficacy of community- based chronic disease intervention for nursing care and treatment of diabetes mellitus. Methods Three hundred patients proven with type 2 diabe-tes cared at our community were recruited between April and June 2013.Then the patients were grouped ran-domly into a management group and a control group,150 cases in each group.The control group received con-ventional community treatment of chronic disease management,the management group founded diabetes com-munity learning groups,members from the community,from the family,or from the self-establishment team studied the relevant knowledge of health.The medical staff offered high-quality care program for patients and regularly monitored their blood glucose changes. Results Patients of the management group had better dia-betes awareness,medication adherence,lifestyle changes,standard blood sugar rates and other aspects than patients of the control group,P <0.01. Conclusion Community chronic disease treatment is an effective care program for management of type 2 diabetes.It can effectively improve the patients understanding of this kind disease,improve the active treatment psychology,create favorable conditions for the patient's treatment and recovery,and is worthy of practice recommendation and in-depth research.