CAJ | 학술논문

目的探讨个体化阶梯式疾病管理模式在2型糖尿病治疗中的应用价值。方法选取2011年9月~2013年4月在我院内分泌科就诊的140例2型糖尿病患者，将其随机分为对照组和观察组，每组70例，其中对照组患者采取传统糖尿病护理干预措施，观察组实施个体化阶梯式疾病管理，比较两组干预前后体质量指数、血压、糖化血红蛋白、血糖、和血脂等代谢指标的变化以及对糖尿病知识水平掌握程度。结果干预后观察组体质量指数、收缩压、糖化血红蛋白、空腹血糖、甘油三脂以及高密度脂蛋白改善情况明显优于对照组，差异具有统计学意义(<0.05)；而干预后舒张压、餐后2 h血糖、总胆固醇以及低密度脂蛋白较干预前有所下降，但组间差异无统计学意义(>0.05)；观察组在糖尿病知识水平的掌握程度上明显高于对照组，差异具有统计学意义(<0.05)。结论对2型糖尿病患者实施个体化阶梯式疾病管理可显著改善患者体质量指数、收缩压、糖化血红蛋白、空腹血糖、甘油三脂以及高密度脂蛋白以及提高患者对尿病知识水平掌握。
목적탐토개체화계제식질병관리모식재2형당뇨병치료중적응용개치。방법선취2011년9월~2013년4월재아원내분비과취진적140례2형당뇨병환자，장기수궤분위대조조화관찰조，매조70례，기중대조조환자채취전통당뇨병호리간예조시，관찰조실시개체화계제식질병관리，비교량조간예전후체질량지수、혈압、당화혈홍단백、혈당、화혈지등대사지표적변화이급대당뇨병지식수평장악정도。결과간예후관찰조체질량지수、수축압、당화혈홍단백、공복혈당、감유삼지이급고밀도지단백개선정황명현우우대조조，차이구유통계학의의(<0.05)；이간예후서장압、찬후2 h혈당、총담고순이급저밀도지단백교간예전유소하강，단조간차이무통계학의의(>0.05)；관찰조재당뇨병지식수평적장악정도상명현고우대조조，차이구유통계학의의(<0.05)。결론대2형당뇨병환자실시개체화계제식질병관리가현저개선환자체질량지수、수축압、당화혈홍단백、공복혈당、감유삼지이급고밀도지단백이급제고환자대뇨병지식수평장악。
Objective To explore the clinical application of the disease management model of individualized stepped-nursing intervention in the metabolic control in patients with type 2 diabetes ( DM2). Methods 140 patients with DM2 from September 2011 to April 2014 in the endocrine department of our hosptial were screened . The patients were were randomized in control group and observation group (70 patients in each group).The control group applied conventional nursing while the observation group applied stepped-nursing model.Body mass index ( BMI) , blood pressure, glycated hemoglobin A1c(HbAlc),blood glucose, lipids and control criteria were observed.Results BMI,systolic blood pressure( SBP) levels, HbAlc, fasting blood sugar(FBS) ,triglycerides(TG), high-density lipoprotein (HDC-C) and diabetic knowledge score were bet er improvement in the observation group compared with the control group (P>0.05) , others were no significant dif erences ( <0.05).Conclusion Stepped-nursing model is useful in overal treatment of patients with type 2 diabetes, it improves the condition of BMI , SBP levels , HbAlc, FBS ,TG, HDC-C and increases the command of diabetic knowledge.