Kim Ga Hyun, Park Yoonhyung, Lim Hee-Sook
Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan 31151, Korea.
Department of Food and Nutrition, Yeonsung University, Anyang 14011, Korea.
Clin Nutr Res. 2020 Apr 21;9(2):81-89. doi: 10.7762/cnr.2020.9.2.81. eCollection 2020 Apr.
This study was conducted to investigate the status of diabetes education in Korean diabetics and to analyze the association between blood sugar control and diabetes education. A total of 1,904 diabetic patients was classified into two groups (well-controlled group and uncontrolled group) using the 2008-2013 Korean National Health and Nutrition Survey data, and various variables were compared. Of the 1,904 patients, 15.9% had received diabetes education. The uncontrolled group had a low economic level, a high rate of drinking and obesity, and a low rate of moderate exercise. And the rate of drug treatment in the uncontrolled group was high, and the rate of education and nutrition education, and the total number of educations for diabetes were significantly lower than those in the control group. Factors affecting blood glucose control were analyzed drinking (odds ratio [OR], 1.34; 95% confidence interval [CI], 1.06-1.7), moderate exercise (OR, 0.45; 95% CI, 0.34-0.6), overweight and obesity (OR, 1.44; 95% CI, 1.17-1.78), duration of diagnosis (OR, 1.07; 95% CI, 1.05-1.08), treatment method (OR, 2.0; 95% CI, 1.45-2.77), nutritional education (OR, 0.62; 95% CI, 0.46-0.85), and education institution (OR, 0.71; 95% CI, 0.54-0.93). The results of this study support that education on lifestyle management, such as a balanced diet, regular exercise, and normal weight maintenance, is essential for blood glucose control, and patients with long-term treatment need cyclic and continuous education.
本研究旨在调查韩国糖尿病患者的糖尿病教育状况,并分析血糖控制与糖尿病教育之间的关联。利用2008 - 2013年韩国国民健康与营养调查数据,将1904例糖尿病患者分为两组(血糖控制良好组和未控制组),并对各种变量进行比较。在这1904例患者中,15.9%接受过糖尿病教育。未控制组经济水平较低,饮酒率和肥胖率较高,适度运动率较低。而且未控制组的药物治疗率较高,教育率、营养教育率以及糖尿病教育总次数均显著低于对照组。分析了影响血糖控制的因素,包括饮酒(优势比[OR],1.34;95%置信区间[CI],1.06 - 1.7)、适度运动(OR,0.45;95% CI,0.34 - 0.6)、超重和肥胖(OR,1.44;95% CI,1.17 - 1.78)、诊断时长(OR,1.07;95% CI,1.05 - 1.08)、治疗方法(OR,2.0;95% CI,1.45 - 2.77)、营养教育(OR,0.62;95% CI,0.46 - 0.85)以及教育机构(OR,0.71;95% CI,0.54 - 0.93)。本研究结果支持,诸如均衡饮食、规律运动和维持正常体重等生活方式管理教育对于血糖控制至关重要,长期治疗的患者需要周期性和持续性教育。