지역사회 중심의 당뇨 사례관리사업 효과

다국어 초록 (Multilingual Abstract)

Background: We first launched the case management program for diabetic patients who were registered in NHIC (National Health Insurance Corporation) in Korea and conducted this study to assess the effectiveness of the program. Methods: During the period from October in 2002 to March in 2003, 30 case managers performed the program for 71 diabetic patients. We evaluated the effectiveness of the program based on the results of fasting blood sugar level, two hour post-prandial blood sugar level, knowledge for diabetes, difficulty index in diabetes management, and the health risk factor changes of them. We analyzed results related to these factors through χ2 test and paired t-test.
Results: The average age of the subjects was
58.9, and the numbers of women and men were 43 and 28 respectively. The fasting blood sugar level and two hour post-prandial blood sugar level decreased from 164.3mg/dl to 146.5mg/dl and from 224.0mg/dl to 203.0mg/dl respectively. The knowledge for diabetes and difficulty index in diabetes management changed from 8.13 to 9.10 and from 3.52 to 2.91 respectively, and these changes were the positive. We observed improvement in self-test of sugar level, foot management, oral hygiene and proper medication but not in self-test of nutritional management. Conclusions: This study revealed that the case management program for diabetic patients who were registered in NHIC is significantly effective. However, the program need to study further to understand its longterm effects.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 2
• Ⅱ. 연구 방법 2
• 1. 사례관리사업 수행체계 개발 3
• 1) 당뇨사례관리 대상자의 선정 3
• 2) 사례관리 업무 개발 3
• 3) 사레관리사업 수행인력 3
• 2. 본 연구의 대상 및 자료분석 3
• Ⅲ. 연구 결과 3
• 1. 대상자의 일반적 특성 3
• 2. 당뇨환자의 혈당 전후 비교 4
• 3. 지식수준과 당뇨관리의 어려움 점수의 전후 비교 4
• 4. 자가관리 정도의 전후 비교 4
• 5. 위험요인 변화 비교 4
• Ⅳ. 고찰 5
• 1. 고찰 5
• 2. 연구 결과에 대한 고찰 5
• Ⅴ. 결론 6