당뇨캠프가 제2형 당뇨병 환자에 미치는 영향
Effects of Diabetic Camp in Type 2 Diabetic Patients
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목적: 당뇨병은 완치되지 못하는 만성 질환이므로 환자 자신에 의한 자가관리가 특히 중요하다. 자가 관리를 위한 교육으로 당뇨병 캠프가 전국적으로 실시되고 있다. 이에 본 연구에서는 당뇨캠프에 참여한 제2형 당뇨병 환자들을 대상으로 캠프의 효과를 평가하고자 하였다. 방법: 2005년 8월부터 2011년 8월까지 대전충청지회 당뇨캠프에 참여한 30명의 제2형 당뇨병 환자를 대상으로 하였다. 캠프 전과 캠프 후의 두 군으로 나누어 신체계측치, 당화혈색소, 혈청지질값, 자아존중감, 순응도를 조사하였다. 자아존중감은 Rosenberg 자아존중감 척도를 사용하였고, 순응도는 약물 처방 비율(medication possession ratio)을 이용해 측정하였다. 결과: 당화혈색소는 당뇨캠프 전 8.2 ± 1.6%, 캠프 후 7.5 ± 1.5%로 유의하게 감소하였다(p = 0.004). 두 군 사이의 자아 존중감 측정에서는 캠프 전 26.2 ± 4.6, 캠프 후 29.3 ± 4.0으로 캠프 후에 자아 존중감의 상승을 보였고(p = 0.000), 순응도로 측정된 약물 처방 비율은 캠프전 0.92 ± 0.07에서 캠프 후 0.96 ± 0.05로 호전되었다(p = 0.001). 이외에 임상자료에서는 캠프 전후 차이가 없었다. 결론: 제2형 당뇨병 환자에서 당뇨캠프를 통한 교육은 혈당감소와 자아 존중감 향상, 순응도에 효과를 나타낸다.
Abstract
Background/Aims:When a patient is diagnosed with diabetes mellitus, it is important to help both the patient and their family members gain knowledge and confidence with regard to self-management. A diabetes camp is an excellent way to recognize the benefits of education. This study was conducted to evaluate the effects of diabetes camp on patients with type 2 diabetes. Methods:This study comprised 30 patients with diabetes who had participated in a diabetes camp from August 2005 through August 2011. The effectiveness of the diabetes camp was examined retrospectively via clinical parameters, compliance behavior, and a self-esteem questionnaire. Results:Glycated hemoglobin (HbA1c; p = 0.004) was significantly decreased, while measures of self-esteem (p = 0.000) and compliance (p = 0.001) were significantly increased after attending the camp. No significant differences were observed in other clinical parameters, such as weight, body mass index (BMI), and lipid profiles, before and after camp attendance. Conclusions:Diabetes camp may be an effective way to control diabetes mellitus. (Korean J Med 2012;83:210-215)
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