延续护理对糖尿病患者血压、血糖以及血脂水平变化的影响  

Effect of continuing nursing on changes of BP, BS and lipid levels in patients with diabetes

作　　者：江玉蓉[1] 谭嘉萌 

机构地区：[1]重庆三峡中心医院内分泌科,重庆404000 [2]重庆三峡中心医院耳鼻喉科,重庆404000

出　　处：《中国医药导报》2015年第14期140-143,共4页China Medical Herald

摘　　要：目的探讨延续护理对糖尿病患者血压、血糖及血脂水平的影响。方法选取2013年1～12月重庆三峡中心医院内分泌科收治的糖尿病患者136例，随机分为两组。其中，对照组68例，予常规护理；实验组68例，给予延续护理模式。干预6个月后检测患者血压、血糖及血脂水平。结果接受不同护理模式后，实验组[收缩压为（120．7±8．9）ramHg，舒张压为（83．5±7．8）mmHg 血压控制明显优于对照组[收缩压为（126．8±14．3）mmHg，舒张压为（89．3±8．8）mm Hg]，差异有统计学意义（P〈0．05）；实验组接受干预后空腹血糖及餐后2h血糖[（7．1±1．6），（9．1±2．6）mmol／L]，明显低于对照组[（8．7±2．3），（10．7±3．3）mmol／L]，差异有统计学意义（．P〈0．05）；治疗后实验组胆固醇、三酰甘油、低密度脂蛋白胆固醇水平[（2．5±0．2）、（1．3±0．5）、（1．8±0．2）mmol／L]较对照组[（3.6±0．2）、（1．5±0．3）、（2．1±0．2）mmol／L]下降明显，差异有统计学意义（P〈0．05）；治疗后实验组高密度脂蛋白胆固醇水平[（1．7±0．3）mmol／L]较对照组[（1．4±0．3）mmol／L]升高更明显，差异有统计学意义（P〈0．05）。结论在糖尿病患者中应用延续护理模式能够明显改善患者血压、血糖及血脂水平，对临床具有指导意义，值得临床推广。Objective To discuss the effect of continuing nursing on blood pressure, blood glucose and blood lipid level in patients with diabetes mellitus. Methods 136 patients with diabetes mellitus in Chongqing Three Gorges Central Hospital who were treated in Department of Endocrinology from January to December 2013 were selected. They were randomly divided into two groups, 68 cases in the control group, received routine nursing; 68 cases in experiment group, received continuing nursing intervention mode. After 6 months of the intervention, the patient＇s blood pressure, blood glucose and blood lipid levels were detected. Results After accepted different nursing model, the blood pressure control in experiment group [systolic blood pressure （120.7±8.9） mm Hg, diastolic blood pressure （83.5±7.8）mm Hg] were significantly better than the control group [systolic blood pressure （126.8±14.3） mm Hg, diastolic blood pressure （89.3±8.8） mm Hg], the differences were statistically significant （P 〈 0.05）. After the experiment group received the intervention, fasting blood glucose and 2 h postprandial blood glucose [（7.1±1.6）, （9.1±2.6） mmol/L] were significantly lower than the control group [（8.7±2,3）, （10.7±3.3） mmol/L], the differences were statistically significant （P 〈 0.05）. After treatment, cholesterol, triglyceride, low density lipoprotein of patients in the experiment group [（2.5±0.2）, （1.3±0.5）, （1.8±0.2） mmol/L] decreased more obviously than those in the control group [（3.6±0.2）, （1.5±0.3）, （2.1±0.2） mmol/L], the differences were statistically significant （P 〈 0.05）. After treatment, high density lipoprotein of patients in the experiment group [（1.7±0.3） retool/L] was significantly higher than the control group [（1.4±0.3） mmol/L], the difference was statistically significant （P 〈 0.05）. Conclusion The application of continuing nursing model for diabetes patients can significantly improve the patient＇s blood pressure, b

关 键 词：延续护理 糖尿病 血脂 血糖 

分 类 号：R473[医药卫生—护理学]