The Korean Journal of Medicine

  • 제83권2호
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  • Pages.210-215
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  • 2012
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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당뇨캠프가 제2형 당뇨병 환자에 미치는 영향

Effects of Diabetic Camp in Type 2 Diabetic Pati

  • 김태균 (충남대학교 의과대학 내과학교실) ;
  • 강예은 (충남대학교 의과대학 내과학교실) ;
  • 김지민 (충남대학교 의과대학 내과학교실) ;
  • 홍우정 (충남대학교 의과대학 내과학교실) ;
  • 김군순 (충남대학교 의과대학 내과학교실) ;
  • 김현진 (충남대학교 의과대학 내과학교실) ;
  • 김영건 (충남대학교 의과대학 내과학교실) ;
  • 구본정 (충남대학교 의과대학 내과학교실)
  • Kim, Tae-Kyun (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kang, Yea-Eun (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Ji-Min (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Hong, Woo-Jeong (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Koon-Soon (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Hyun-Jin (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Young-Kun (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Ku, Bon-Jeong (Department of Internal Medicine, Chungnam National University School of Medicine)
  • 발행 : 2012.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

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, 당화 혈색소, 혈청지질값, 자아존중감, 순응도를 조사하였다. 자아존중감은 Rosenberg 자아존중감 척도를 사용하였고, 순응도는 약물 처방 비율(medication possession ratio)을 이용해측정하였다. 결과: 당화혈색소는 당뇨캠프 전 $8.2\;{\pm}\;1.6%$, 캠프 후 $7.5\;{\pm}\;1.5%$로 유의하게 감소하였다(p = 0.004). 두 군 사이의 자아 존중감 측정에서는 캠프 전 $26.2\;{\pm}\;4.6$, 캠프 후 $29.3\;{\pm}\;4.0$으로 캠프 후에 자아 존중감의 상승을 보였고(p = 0.000), 순응도로 측정된 약물 처방 비율은 캠프전 $0.92\;{\pm}\;0.07$에서 캠프 후 $0.96\;{\pm}\;0.05$로 호전되었다(p = 0.001). 이외에 임상자료에서는 캠프 전후 차이가 없었다. 결론: 제2형 당뇨병 환자에서 당뇨캠프를 통한 교육은 혈당감소와 자아 존중감 향상, 순응도에 효과를 나타낸다.

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.

키워드

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피인용 문헌

  1. Diabetes Education Compliance and Knowledge among Diabetes Patients: Analysis of Patients Who Refuse Diabetes Education at an Academic Medical Center vol.15, pp.1, 2012, https://doi.org/10.4093/jkd.2014.15.1.51
  2. Effects of Activity-Based Personalized Nutrition Education on Dietary Behaviors and Blood Parameters in Middle-Aged and Older Type 2 Diabetes Korean Outpatients vol.5, pp.4, 2016, https://doi.org/10.7762/cnr.2016.5.4.237
  3. Diabetes Camp as Continuing Education for Diabetes Self-Management in Middle-Aged and Elderly People with Type 2 Diabetes Mellitus vol.41, pp.2, 2012, https://doi.org/10.4093/dmj.2017.41.2.99
  4. 한국 청소년의 보건교육 실태분석: 2005년, 2010년 및 2015년 청소년건강행태온라인조사 자료를 중심으로 vol.30, pp.1, 2012, https://doi.org/10.15434/kssh.2017.30.1.59
  5. Current Status and Effects of Nutrition Education Programs for Diabetic Patients in Korea vol.19, pp.2, 2018, https://doi.org/10.4093/jkd.2018.19.2.106
  6. The Effects of the 2030 Diabetes Camp Program on Depression, Anxiety, and Stress in Diabetic Patients vol.20, pp.3, 2012, https://doi.org/10.4093/jkd.2019.20.3.194