Diabetes and Metabolism Journal

Korean Diabetes Association (대한당뇨병학회)
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Effect of Diabetes Education Program on Glycemic Control and Self Management for Patients with Type 2 Diabetes Mellitus

당뇨병 교육이 환자의 혈당 조절과 자가 관리에 미치는 영향

Kim, Ji-Hyun;Chang, Sang-Ah
김지현;장상아

  • Published : 20091200
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Abstract

Background: Diabetes mellitus is a chronic disease requiring continuous treatment and vigorous self-management. Reinforcement of effective self management and diabetes education are important factors in successful treatment. The aim of this study was to evaluate the effectiveness of the current diabetes education program on blood glucose control, self-management, and self-efficacy of patients with type 2 diabetes mellitus. Methods: A total of 592 patients with newly diagnosed or uncontrolled type 2 diabetes mellitus were recruited to the diabetes education program from January to December 2007. We surveyed 338 patients from April to July 2008. A total of 117 patients had biochemical examinations and completed a questionnaire about knowledge, self-management and self-efficacy of diabetes treatment (no education group (n = 23), education group (n = 94)). Results: The total scores from the questionnaires and the results of laboratory data showed no differences between the two groups. However, there were significant reductions in hemoglobin A1c level in the education group, as compared with the no education group (P = 0.039). Although the score for knowledge about diabetes mellitus was significantly higher in the education group (P = 0.005), greater knowledge was not reflected in the self-management or self-efficacy of the patients. Conclusion: The current diabetes education program had no effect on the self-management or self-efficacy of patients with diabetes, although did show some degree of association with blood glucose control and diabetes knowledge level. We conclude that a more effective diabetes education program needs to be developed and applied to daily practice for the improvement ofself-efficacy in patients with diabetes mellitus.

연구배경: 당뇨병은 지속적인 치료와 자기관리가 필요한 질환으로 이를 위한 효과적인 자가 관리의 강화와 당뇨병 교육이 중요하다. 현재 시행되고 있는 당뇨병 교육이 환자의 혈당 조절과 자가 관리 및 자아 효능감에 미치는 영향을 알아보고자 하였다. 방법: 2007년 1월부터 12월까지 당뇨병을 처음 진단받거나 당뇨병으로 치료하던 중 혈당 조절이 불량하여 당뇨병 교육을 받도록 한 592명의 환자 중에서 2008년 4월부터 7월까지 당뇨병 교육에 대한 설문 조사에 참여하고 임상 검사를 시행한 117명을 대상으로 하였다. 이들은 각각 교육받지 않은 군(비교육군, 23명)과 교육을 1회 이상 받은 군 (교육군, 94명)으로 나누어 당뇨병의 자가 관리와 당뇨병에 대한 지식, 자기 효능감을 설문지를 이용하여 조사하였으며 임상적 검사 지표로는 당화혈색소, 혈당, 지질수치를 사용하였다. 결과: 당뇨병 교육군에서 비교육군에 비해 당화혈색소 감소치가 유의하게 높았다(P = 0.039). 또한, 당뇨병 교육군에서 비교육군보다 당뇨병 지식 평가 점수가 유의하게 높았으나(P = 0.005). 이러한 효과는 자가 관리와 당뇨병 치료에 대한 자아 효능감에는 반영되지 않았다. 결론: 당뇨병 교육군에서 혈당과 지질 수치가 향상되는 빈도와 당뇨병에 대한 지식수준이 높았다. 그러나 당뇨병 교육이 당뇨병의 자가 관리 및 효능감에 미치는 영향은 미미하게 나타났다. 그러므로, 실제 행동으로 실천할 수 있고 자아 효능감을 증진시킬 수 있는 효율적인 교육 방법의 개발이 필요하다.

Keywords

References

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