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Journal of Korean Academy of Fundamentals of Nursing 2004;11(3): 275
제 2형 당뇨환자 비만도별 인터넷 당뇨 교육 효과 비교
김희승1, 김경미2
1가톨릭대학교 간호대학
2가톨릭대학교 성모병원 감염관리실
Comparison of the Effects of Internet Diabetic Education on Obesity in Type 2 Diabetic Patients
Hee-Seung Kim1, Kyung-Mi Kim2
1College of Nursing, Catholic University
2Department of Hospital Infection Control, St. Mary's Hospital, Catholic University
Abstract
Purpose: The purpose of this study was to evaluate the effects on obesity of nurse education using the short message service (SMS) of cellular phones and wire Internet.
Method: Forty patients in an experimental group, which was assessed pre- and post intervention, completed this study. The patients were divided into two groups according to degree of obesity. The goal of the intervention was to keep blood glucose concentrations close to the normal range. The intervention was applied weekly for 3 months. Participants were requested to input the blood glucose level everyday at http://www.biodang.com by cellular phone or wire internet. The researcher sent optimal recommendations to each patient using SMS of cellular phones and wire Internet. The plasma glucose levels and serum lipids were measured before and after the intervention.
Results: After 3 months of education, Glycosylated hemoglobin (HbAlc) decreased by 1.4% in non-obese patients and 0.7% in obese patients. Fasting plasma glucose (FPG) decreased 22.6mg/dl in non-obese patients and 22.3mg/dl in obese patients. Two-hour plasma glucose (2HPG) decreased 97.0mg/dl in non-obese patients and 67.8mg/dl in obese patients.
Conclusion: These results indicate that a nurse SMS intervention would improve HbAlc, FPG, and 2HPG in both non-obese and obese patients.
Key words: Type 2 diabetes | Obesity | Education
주요어: 제2형 당뇨병 | 당뇨교육 | 비만도