지역사회의 포괄적 지지가 경제적으로 어려운 60세 이상 노인 당뇨병환자의 혈당조절에 미치는 영향 (Effects of Comprehensive Support on Glycemic Control Using Community Networks in Low- Income Elderly Patients with Diabetes)

서지정보

· 발행기관 : 대한당뇨병학회
· 수록지 정보 : Diabetes and Metabolism Journal / 32권 / 5호 / 453 ~ 461페이지
· 저자명 : 김남훈, 이윤정, 김혜옥, 오초롱, 박주리, 박수연, 김희영, 서지아, 김난희, 최경묵, 백세현, 최동섭, 김신곤

초록

Background: Diabetes is common among elderly, and low-income is associated with poor adherence to
treatment and increased mortality. We evaluated whether comprehensive support using community networks
improves glycemic control among low-income elderly patients with diabetes.
Methods: A total of 49 low-income elderly patients with type 2 diabetes, mean age 73 years, were enrolled.
For 1 year, study subjects underwent various lifestyle modification programs provided by community
networks. The biochemical data including glycemic markers and anthropometric data were obtained at the
baseline and at the end of the study. Also, the patients were asked to complete a questionnaire about their
quality of life, self-confidence and self-care behavior.
Results: After lifestyle modification program, overall changes of fasting plasma glucose, HbA1c, blood
pressure, body weight, and other biochemical markers were not significantly different. In a subgroup analysis
of 21 patients with poorly controlled diabetes (fasting glucose > 140 mg/dL or HbA1c > 7.5%), fasting
plasma glucose was significantly reduced (P = 0.030). Among patients with baseline HbA1c level ≥ 8%,
HbA1c levels after intervention decreased from 9.33 ± 1.07% to 8.27 ± 1.15% (P = 0.092). The results of the
questionnaires revealed significant increases in the scores of quality of life, self-confidence and self-care
behavior (P < 0.05).
Conclusion: Among low-income, elderly patients with type 2 diabetes, lifestyle modification through
community networks showed no significant changes in glycemic control markers. More intensive and precise
interventions using community networks are needed for the glycemic control of low-income, elderly patients
with type 2 diabetes. (KOREAN DIABETES J 32:453-461, 2008)

영어초록

Background: Diabetes is common among elderly, and low-income is associated with poor adherence to
treatment and increased mortality. We evaluated whether comprehensive support using community networks
improves glycemic control among low-income elderly patients with diabetes.
Methods: A total of 49 low-income elderly patients with type 2 diabetes, mean age 73 years, were enrolled.
For 1 year, study subjects underwent various lifestyle modification programs provided by community
networks. The biochemical data including glycemic markers and anthropometric data were obtained at the
baseline and at the end of the study. Also, the patients were asked to complete a questionnaire about their
quality of life, self-confidence and self-care behavior.
Results: After lifestyle modification program, overall changes of fasting plasma glucose, HbA1c, blood
pressure, body weight, and other biochemical markers were not significantly different. In a subgroup analysis
of 21 patients with poorly controlled diabetes (fasting glucose > 140 mg/dL or HbA1c > 7.5%), fasting
plasma glucose was significantly reduced (P = 0.030). Among patients with baseline HbA1c level ≥ 8%,
HbA1c levels after intervention decreased from 9.33 ± 1.07% to 8.27 ± 1.15% (P = 0.092). The results of the
questionnaires revealed significant increases in the scores of quality of life, self-confidence and self-care
behavior (P < 0.05).
Conclusion: Among low-income, elderly patients with type 2 diabetes, lifestyle modification through
community networks showed no significant changes in glycemic control markers. More intensive and precise
interventions using community networks are needed for the glycemic control of low-income, elderly patients
with type 2 diabetes. (KOREAN DIABETES J 32:453-461, 2008)

참고자료

· 없음