CAJ | 학술논문

目的：探讨分阶段糖尿病达标管理模式（SDTM）在糖尿病健康教育中的应用效果。方法将120例2型糖尿病（T2DM）患者按随机数字表法分为观察组和对照组，每组60例。观察组采用 SDTM 进行健康教育与管理，对照组采用一般的糖尿病教育与管理。6个月后，比较2组血糖、血脂、血压（BP）、体质量指数（BMI）等指标的变化。结果健康教育后2组空腹血糖（FBG）、餐后2h 血糖（P2hBG）、糖化血红蛋白（HbA1c）、胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白（LDL）、BP、BMI 均较教育前显著降低（P ＜0．05），观察组 FBG、P2hBG、HbA1c、TC、TG、LDL 降低较对照组更为显著（P ＜0．05）。观察组 FBG、P2hBG、HbA1c、TC、TG、LDL 达标率较对照组显著升高（P ＜0．05）。结论SDTM 能有效促进 T2DM 患者血糖、血脂的控制，实现两者达标。
목적：탐토분계단당뇨병체표관리모식（SDTM）재당뇨병건강교육중적응용효과。방법장120례2형당뇨병（T2DM）환자안수궤수자표법분위관찰조화대조조，매조60례。관찰조채용 SDTM 진행건강교육여관리，대조조채용일반적당뇨병교육여관리。6개월후，비교2조혈당、혈지、혈압（BP）、체질량지수（BMI）등지표적변화。결과건강교육후2조공복혈당（FBG）、찬후2h 혈당（P2hBG）、당화혈홍단백（HbA1c）、담고순（TC）、삼선감유（TG）、저밀도지단백（LDL）、BP、BMI 균교교육전현저강저（P ＜0．05），관찰조 FBG、P2hBG、HbA1c、TC、TG、LDL 강저교대조조경위현저（P ＜0．05）。관찰조 FBG、P2hBG、HbA1c、TC、TG、LDL 체표솔교대조조현저승고（P ＜0．05）。결론SDTM 능유효촉진 T2DM 환자혈당、혈지적공제，실현량자체표。
Objective To investigate the efficacy of staged diabetes targeting management (SDTM)in health education.Methods A total of 120 patients with type 2 diabetes mellitus (T2DM)were randomly assigned to receive either SDTM(observation group,n=60)or general education and management(control group,n = 60).After 6 months,blood glucose,blood lipid, blood pressure(BP)and body mass index(BMI)were measured in both groups.Results The BP, BMI and levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(P2hBG),glyco-sylated hemoglobin (HbA1c),cholesterol (TC),triglyceride (TG)and low density lipoprotein (LDL)were significantly reduced in both groups after health education(P < 0.05).Compared with control group,SDTM significantly decreased the levels of FBG,P2hBG,HbA1c,TC,TG and LDL and obviously increased the control rates of these indexes(P <0.05).Conclusion SDTM can effectively control the blood glucose and lipid levels in patients with T2DM.