CAJ | 학술논문

目的：探讨同伴教育在糖尿病前期患者中的应用效果。方法：口服葡萄糖耐量试验（OGTT ）筛选社区医院162例糖尿病前期患者，将8个社区的82例患者设为同伴组，便于开展同伴教育，另外12个社区的80例患者设为对照组，采用常规教育管理。2组均干预15个月，于干预前后记录2组患者空腹血糖（FPG ）、餐后2h血糖（2hPG ）、糖化血红蛋白（HbA1C ）、自我管理量表得分，记录糖尿病前期患者进展为糖尿病的发生率。结果：同伴组FPG、2hPG、HbA1C干预前后差值显著低于对照组，自我管理量表得分显著高于对照组，差异有统计学意义（ P＜0．05）；干预15个月后，同伴组出现4例进展为糖尿病，而对照组出现9例，2组糖尿病发生率比较差异有统计学意义（ P＜0．05）。结论：同伴教育可以显著改善糖尿病前期患者血糖水平，提高自我管理能力，降低糖尿病前期进展为糖尿病的风险，具有重要的临床意义。
목적：탐토동반교육재당뇨병전기환자중적응용효과。방법：구복포도당내량시험（OGTT ）사선사구의원162례당뇨병전기환자，장8개사구적82례환자설위동반조，편우개전동반교육，령외12개사구적80례환자설위대조조，채용상규교육관리。2조균간예15개월，우간예전후기록2조환자공복혈당（FPG ）、찬후2h혈당（2hPG ）、당화혈홍단백（HbA1C ）、자아관리량표득분，기록당뇨병전기환자진전위당뇨병적발생솔。결과：동반조FPG、2hPG、HbA1C간예전후차치현저저우대조조，자아관리량표득분현저고우대조조，차이유통계학의의（ P＜0．05）；간예15개월후，동반조출현4례진전위당뇨병，이대조조출현9례，2조당뇨병발생솔비교차이유통계학의의（ P＜0．05）。결론：동반교육가이현저개선당뇨병전기환자혈당수평，제고자아관리능력，강저당뇨병전기진전위당뇨병적풍험，구유중요적림상의의。
Objective] To explore the application effects of peer education on patients with pre-diabetes .[Method]162 cases of patients with pre-diabetes were chosen with OGTT ,and 82 patients in eight communities were set as peer group ,the other 80 patients were set as control group .Both of this two groups were checked the FPG ,2hPG ,HbA1C and self-management scale score before and after the intervention and recorded the rate of changefrom pre -diabates to disbates . [Result]It was shown that FPG ,2hPG ,HbA1C in peer group before or after the intervention were significantly lower than thatof control group , but the self-management scale score was significantly higherthan that of control group .There was significant difference be-tween two groups .(P<0 .05);After intervention for 15 months ,the rate of change from pre-diabates to diabetes in peer group (4/82 ) was significantly lower than that in control group (9/80 ) ,the difference was statistically significant ( P<0 .05 ) . [Conclusio]Peer education can significantly decreaseblood sugar levels ,improve the ability of self-management ,reduce the risk of pre-diabetes developed into diabetes ,which has important clinical significance .