울산시 보건소 당뇨교실에 참가한 당뇨환자의 교육 효과에 관한 연구

Abstract

최근 유병률이 증가하고 있는 당뇨병 환자에 대한 영양교육의 효과를 알아보기 위하여 울산시 보건소에서 환자 36명을 대상으로 교육을 실시하였다. 설문지를 통하여 교육 전과후의 신체계측, 혈당, 당뇨병의 합병증과 임상 증상을 조사하였고, 식습관의 변화와 교육의 효과 등을 분석한 결과를 요약하면 다음과 같다.

당뇨교육 후 체중이 감소한 경향으로 나타났고, BMI(kg/m')는 교육 전후가 거의 변화가 없는 것으로 나타났다. 당뇨교실 전후의 혈당치를 조사한 결과 공복시 혈당이 교육전보다 교육 후 줄어들었다(p<0.1). 식후 혈당치는 170.0 ± 70.71mg/dl에서 158.50 ± 40.31mg/dl로 줄어드는 경향으로 나타났다.

교육전후의 건강증상의 상관관계를 보면 눈흐림 증상이 유의적으로 감소된 것으로 나타났고, 갈증을 느끼는 경우도 감소한 경향이 나타났다. 교육 후에 교육 전보다 식사 조절을 많이 하는 것으로 나타났고, 식품교환표를 이용하여 식사조절을 하는 것으로 나타났다. 당뇨교실교육은 91.7%가 도움이 되었다고 당뇨교실이 효과적인 것으로 나타났다.

The purpose of this study was to evaluate the effect of nutrition education for diabetic patients commuting to a local health center in Ulsan city. We examined the effect of nutrition education on physical characteristics and blood glucose by comparing before and after education with questionnaire. All diabetic subjects were interviewed for general characteristics, diabetic complications, food habits and education effect.

BMI was no difference before and after education. Fasting glucose level were significantly lower after education and postprandial glucose level were decreased after education (158.50 ± 40.31mg/dl) compared before education(170.0 ± 70.71mg/dl). but there was no significance in postprandial glucose. When we compared before and after diabetic symptoms, sights disturbance were decreased aftar education and the symptoms of polydipsia were decreased after education. The diabetic subjects were executed diet therapy after education. This study showed that nutrition education for diabetic patient was effective in significant changes.

The purpose of this study was to evaluate the effect of nutrition education for diabetic patients commuting to a local health center in Ulsan city. We examined the effect of nutrition education on physical characteristics and blood glucose by comparing before and after education with questionnaire. All diabetic subjects were interviewed for general characteristics, diabetic complications, food habits and education effect.

BMI was no difference before and after education. Fasting glucose level were significantly lower after education and postprandial glucose level were decreased after education (158.50 ± 40.31mg/dl) compared before education(170.0 ± 70.71mg/dl). but there was no significance in postprandial glucose. When we compared before and after diabetic symptoms, sights disturbance were decreased aftar education and the symptoms of polydipsia were decreased after education. The diabetic subjects were executed diet therapy after education. This study showed that nutrition education for diabetic patient was effective in significant changes.