2型糖尿病合并高血压患者个性化延续护理研究  

Personalized Extended Care in Patients with Type 2 Diabetes and Hypertension

作　　者：代晓茹[1] 李彬[1] 多伶俐[1] Dai Xiaoru;Li Bin;Duo Lingli(Harrison International Peace Hospital, Hengshui, 053000)

机构地区：[1]哈励逊国际和平医院

出　　处：《基因组学与应用生物学》2019年第5期2344-2348,共5页Genomics and Applied Biology

基　　金：河北省2016年度医学科学研究重点课题(20160325)资助

摘　　要：为探讨个性化延续护理对2型糖尿病合并高血压患者生活质量及服药依从性影响,本研究选取2015年6月至2017年1月在哈励逊国际和平医院治疗的150例2型糖尿病合并高血压患者,随机分组,对照组患者应用常规护理,试验组患者给予个性化延续护理,观察比较两组患者血糖、血压、焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS)、自尊量表(self-esteem scale,SES)、依从性差异。结果显示,12个月后试验组患者空腹血糖(7.59±1.26) mmol/L,糖化血红蛋白(glycated hemoglobin, HbAIC)(5.62±1.28)%较对照组明显下降(p<0.05);12个月后试验组患者收缩压(116.08±9.41) mmHg、舒张压(90.35±6.92) mmHg明显低于对照组(p<0.05);试验组患者SAS (35.13±4.27)分、SDS (31.42±2.09)分、SES (25.01±5.85)分同对照组比较明显改善(p<0.05);试验组患者依从性97.33%、不良生活习惯改善94.67%、健康知识掌握98.67%同对照组比较显著升高(p<0.05)。本研究结论初步表明针对2型糖尿病合并高血压患者应用个性化延续护理可改善患者血糖和血压水平,提高患者生活质量和治疗依从性,值得推广应用。In order to explore the impact of personalized continuation care on quality of life and medication compliance in patients with type 2 diabetes and hypertension. In this study, 150 patients with type 2 diabetes mellitus complicated with hypertension who were treated at Harrison International Peace Hospital from June 2015 to January 2017 were randomly assigned. The patients in the control group were given routine care, and the patients in the experimental group were given individualized continuous nursing. The blood glucose, blood pressure,self-rating anxiety scale(SAS), self-rating depression scale(SDS), self-esteem scale(SES), and compliance differences were compared between the two groups. The results showed that after 12 months, the fasting blood glucose(7.59±1.26) mmol/L, glycated hemoglobin(HbAIC)(5.62±1.28)% was significantly lower in the experimental group than in the control group(p<0.05);12 months later the systolic blood pressure(116.08±9.41) mmHg and diastolic blood pressure(90.35±6.92) mmHg in the experimental group were significantly lower than those in the control group(p<0.05). The SAS(35.13±4.27) score and SDS(31.42±2.09) score in the experimental group. SES(25.01±5.85) was significantly improved in the same control group(p<0.05). The compliance of patients in the experimental group was 97.33%, the improvement of bad habits was 94.67%, and the acquisition of health knowledge was 98.67%, which was significantly higher than that of the control group(p<0.05). This study initially indicated that the use of individualized continuous nursing for patients with type 2 diabetes and hypertension can improve blood sugar and blood pressure levels, improve patient quality of life and treatment compliance, and it is worthy of promotion and application.

关 键 词：个性化延续护理 2型糖尿病 高血压 心理状态 服药依从性 

分 类 号：R473.5[医药卫生—护理学]