CAJ | 학술논문

目的：探讨医院-社区管理模式对2型糖尿病患者自我行为和血糖水平的影响。方法选择社区336例2型糖尿病患者，应用医院-社区管理模式对患者进行干预，干预前后评价患者血糖相关指标及自我行为情况。结果干预后患者服药依从性、合理饮食、定期检查、自我监测、运动锻炼方面达标率均较干预前高；空腹血糖（fasting blood-glucose，FBG）、餐后2 h血糖（2 hour postprandial blood glucose，2 hPBG）、糖化血红蛋白（glycosylated hemoglobin，HbA1 c）均优于干预前，差异均有统计学意义（P＜0.05）。结论实施医院-社区管理模式能帮助患者建立正确的行为，促进患者血糖水平的改善。
목적：탐토의원-사구관리모식대2형당뇨병환자자아행위화혈당수평적영향。방법선택사구336례2형당뇨병환자，응용의원-사구관리모식대환자진행간예，간예전후평개환자혈당상관지표급자아행위정황。결과간예후환자복약의종성、합리음식、정기검사、자아감측、운동단련방면체표솔균교간예전고；공복혈당（fasting blood-glucose，FBG）、찬후2 h혈당（2 hour postprandial blood glucose，2 hPBG）、당화혈홍단백（glycosylated hemoglobin，HbA1 c）균우우간예전，차이균유통계학의의（P＜0.05）。결론실시의원-사구관리모식능방조환자건립정학적행위，촉진환자혈당수평적개선。
Objective To investigate the influence of hospital-community integrated management mode on self behavior and blood glucose level in patients with typeⅡdiabetes .Method Three hundred and thirty-six patients with type II diabetes were treated with hospital-community integrated management. The index of biochemical indicators and self behaviors were compared between pre-and post-intervention.Result After intervention,the patients had improvements not only in medication compliance,rationale dieting,regular examination and self monitoring and physical exercises,but also in the indexes of biochemical indicators including fasting blood glucose(FBG),2 hour postprandial blood glucose(2 hBG), glycosylated hemoglobin(HbA1 c),(all P<0.05).Conclusion The hospital-community integrated management mode is helpful for the patients to form a right behavioral pattern and thus promoting the normalizations of biochemical indicators.