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한국인 2형 당뇨병에서 팀기반 교육이 혈당 조절에 미치는 효과
The Effectiveness of Multidisciplinary Team-Based Education in the Management of Type 2 Diabetes한국인 2형 당뇨병에서 팀기반 교육이 혈당 조절에 미치는 효과
김종호 ( Jong Ho Kim ) , 남윤정 ( Yun Jeong Nam ) , 김원진 ( Won Jin Kim ) , 이경아 ( Kyung Ah Lee ) , 백아란 ( A Ran Baek ) , 박정남 ( Jung Nam Park ) , 김진미 ( Jin Mi Kim ) , 오서영 ( Seo Young Oh ) , 김은희 ( Eun Heui Kim ) , 이민진 ( Min Jin Lee ) , 전윤경 ( Yun Kyung Jeon ) , 김보현 ( Bo Hyun Kim ) , 김인주 ( In Joo Kim ) , 김용기 ( Yong Ki Kim ) , 김상수 ( Sang Soo Kim )
당뇨병(JKD) 19권 2호 119-133(15pages)
UCI I410-ECN-0102-2018-500-004096404
* 발행 기관의 요청으로 구매가 불가능한 자료입니다.

Background: Although clinicians, nurse specialists, pharmacists, and nutritionists expend significant time and resources in optimizing care for patients with diabetes, the effectiveness of integrated diabetes care team approach remains unclear. We assessed the effects of a multidisciplinary team care educational intervention on glycated hemoglobin (HbA1c) levels among diabetes patients. Methods: We conducted a matched case-control study in Korean patients with type 2 diabetes, comparing the propensity scores pertaining to the effectiveness in reducing HbA1c levels between a group receiving an educational intervention and a control group. We included 40 pairs of patients hospitalized between June 2014 and September 2016. HbA1c values measured at baseline, 3 months, and 6 months were compared between the two groups. Results: The educated group showed an improvement in HbA1c levels compared to the control group at 3 months (6.3 ± 2.3% vs. 9.5 ± 4.0%; P = 0.020) and at 6 months (7.5 ± 1.5% vs. 9.6 ± 3.0%; P = 0.106). There was a significant difference in the change in mean HbA1c from baseline to 3 months between the two groups (-35.7 ± 26.1% vs. -9.1 ± 20.5%; P = 0.013). Conclusion: A multidisciplinary team care education intervention was advantageous for improving glucose control in patients with type 2 diabetes, and may help to optimize glycemic control in clinical practice.

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
ACKNOWLEDGEMENT
CONFLICTS OF INTEREST
REFERENCES
Supplementary Table 1. 인슐린 주사행위에 대한 수행정확도 설문지
Supplementary Table 2. 복약순응도 측정(Modified Morisky Scale)
Supplementary Table 3. 영양상담 결과지
[자료제공 : 네이버학술정보]
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