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A Study on the Treatment Status and Treatment Compliance of Diabetics Who Visited the Health Centers of Daejeon City

대전시 보건소 내원 당뇨병환자들의 치료실태 및 치료 순응도에 관한 연구

  • Lee, Tae-Yong (Dept. of Preventive Medicine and Public Health, College of Medicine, Chungnam National University) ;
  • Kim, Kwang-Hwan (Department of Hospital Management Gykonyang University)
  • 이태용 (충남대학교 의과대학 예방의학교실) ;
  • 김광환 (건양대학교 병원관리학과)
  • Published : 2009.05.31

Abstract

This study has been conducted from July 30, 2007 to February 24, 2008 on 677 patients who were receiving diabetic treatment at the Health Centers of Deajeon City to find out their blood sugar level adjustment and their treatment compliance. As a result, 58.5% of them showed less than 200mg/dl of blood sugar level, and 67.9% showed their HbA1C of less than 7%, meaning that many of diabetic patients did not have their blood sugar level properly adjusted. And their after-meal blood sugar level and HbA1C adjustment varied depending upon the Health Centers. 88.0% of them were taking medicines for diabetic treatment regularly, and many of them were recognizing the need of dietary and exercise therapies to treat their diabetes. In conclusion, patients were recognizing that regular intakes of medicines, dietary and exercise therapies were very helpful to treatment of diabetes, but their treatments of HbA1C and blood level adjustment were not properly done as shown by their after-meal blood sugar level. The results were greatly different between the Health Centers, so there is a great need to cope with this situation.

본 연구는 대전시 보건소에서 당뇨병치료를 받고 있는 환자 577명을 대상으로 치료순응도 및 혈당 조절 실태를 2007년 7월 30일부터 2008년 2월 24일까지 조사하였다. 조사결과 식후 혈당수준이 200mg/dl 미만인 경우가 58.5%, HbA1C가 7% 미만인 경우가 67.9%로 많은 당뇨병환자에게서 혈당조절이 제대로 되고 있지 않았다. 또한 식후 혈당수준과 HbA1C 조절정도는 보건소마다 차이가 있었다. 당뇨병 치료약을 규칙적으로 복용하는 경우는 88.0%로 높게 나타났고 당뇨병을 관리하기 위해 식이, 운동요법이 필요하다고 인지하는 환자가 많았다. 결론적으로 환자들은 약의 규칙적인 복용과 식이 및 운동요법이 당뇨병관리에 매우 도움이 된다는 사실을 잘 인지하고 있지만 실제로 HbA1C와 식후 혈당수준으로 평가한 혈당조절은 제대로 되고 있지 못했다. 이와 같은 결과는 보건소마다 차이가 크므로 이에 대한 대책이 시급하다고 본다.

Keywords

References

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