CAJ | 학술논문

目的：探讨健康宣教干预社区老年糖尿病伴手足癣患者的效果。方法：选择老年糖尿病并发手足癣患者157例，分成宣教组79例，给予健康宣教及外用自制咪康唑联苯苄唑乳膏，2次/d；对照组78例，单纯外用相同药膏；两组均治疗1个月。于治疗结束及停药2个月后分别进行疗效评价，观察两组的治疗效果。结果：治疗结束时，宣教组总有效率73.41%（59/79），对照组为67.95%（53/78），组间差异无统计学意义（P＞0.05）。停药2个月后，宣教组总有效率67.08%（53/79），对照组为48.72%（38/78），组间差异有统计学意义（P＜0.05）。结论：健康宣教合并外用药治疗老年糖尿病并发手足癣疗效优于单纯药物治疗，方法简单，适合社区及临床推广。
목적：탐토건강선교간예사구노년당뇨병반수족선환자적효과。방법：선택노년당뇨병병발수족선환자157례，분성선교조79례，급여건강선교급외용자제미강서련분변서유고，2차/d；대조조78례，단순외용상동약고；량조균치료1개월。우치료결속급정약2개월후분별진행료효평개，관찰량조적치료효과。결과：치료결속시，선교조총유효솔73.41%（59/79），대조조위67.95%（53/78），조간차이무통계학의의（P＞0.05）。정약2개월후，선교조총유효솔67.08%（53/79），대조조위48.72%（38/78），조간차이유통계학의의（P＜0.05）。결론：건강선교합병외용약치료노년당뇨병병발수족선료효우우단순약물치료，방법간단，괄합사구급림상추엄。
Objective: To explore the efifcacy of the health education in the intervention of the community elderly diabetic patients with tinea pedis and tinea manus.Methods:One hundred and iffty-seven cases of the elderly diabetic patients complicated with tinea pedis and tinea manus were selected and divided into an educational group with 79 cases who were given with the health education and the topical miconazole bifonazole cream twice a day, and a control group with 78 cases who was only given the same topical cream. Both groups received a month of the treatment. After 2 months of the treatment and withdrawal, the effect was observed in both groups.Results: At the end of the treatment, the total efifciency was 73.41% (59/79) in the educational group, and 67.95% (53/78) in the control group and the difference between two groups had no statistical signiifcance (P>0.05). After two months of withdrawal, the total efifciency was 67.08% (53/79) in the educational group, and 48.72% (38/78) in the control one, the difference between two groups had the statistical signiifcance (P<0.05).Conclusion: The health education combined with the external drug in the treatment of the elderly diabetic patients with tinea pedis and tinea manus was more effective than the drug treatment alone, whose method is simple and suitable for the community and clinical application.