본 연구는 구미시 소재 대학병원의 외래로 방문한 제2형당뇨병 환자 중 당화혈색소가 6.5∼10% 미만으로 의사가영양상담을 의뢰한 30∼60대 환자를 대상으로 하였다. 대상자 중 인슐린 처방 환자를 제외한 49명에게 2016년 12 월부터 2017년 4월까지 NCP를 적용한 영양상담을 실시하고, 그에 따른 식사요법 관련 지식, 수행도 변화와 혈당 조절의 효과를 분석하였다. 영양상담을 실시한 후에 대상자의 체중은 감량되었으며, 당화혈색소의 수치가 감소한 결과를 나타냈다. 또한 식사요법 수행도의 모든 문항에서 장애요인이유의적으로 개선되었다. 본 연구는 당뇨병 환자를 대상으로체계적인 NCP에 기반한 영양상담을 통한 혈당 조절 효과를제시함으로써 임상영양사 업무에서 NCP 적용의 중요성이강조되고 있는 시점에 그 근거를 제공한 의의가 있는 것으로여겨진다.

Objectives: This study examined the effects of nutrition counseling by the nutrition care process (NCP) on diet therapy practice and glycemic control in patients with type 2 diabetes mellitus. Methods: The survey was conducted on 49 patients whose hemoglobin A1c (HbA1c) level ranged from 6.5% to below 10% among patients aged 30∼60s with type 2 diabetes mellitus. Nutrition counseling by the NCP process was carried out twice: first nutrition counseling and follow up counseling. The questionnaires were composed of 54 questions in five fields (general characteristics, health-related behaviors, diet therapyrelated items, dietary life, diet therapy-related knowledge, diet therapy-related barriers). Nutrition intervention in nutrition counseling was performed based on the individualized diagnosis of NCP. Results: All the subjects practiced self-monitoring of their blood glucose levels, regular exercise, and diet therapy after NCP-based nutrition counseling. Diet therapy-related knowledge and practice by the subjects were improved after nutrition counseling. While the intake of boiled white rice decreased, the intake of boiled brown rice and barley rice in the subjects increased significantly. After nutrition counseling, the weight and HbA1c of the subjects decreased. Conclusions: These results suggest that personalized nutrition counseling by NCP process is effective for diet therapy compliance and glycemic control of type 2 diabetic patients.