社区干预在糖尿病合并高血压患者中的应用及效果观察.docVIP

社区干预在糖尿病合并高血压患者中的应用及效果观察 　　【摘要】 目的：分析并研究社区干预在糖尿病合并高血压患者中的临床应用效果。方法：将2012年3月-2014年6月本院所管辖10个社区内的老年糖尿病合并高血压患者300例作为研究对象，将其分成两组，每组150例，对照组患者给予常规药物治疗，观察组患者给予社区干预，观察两组患者临床效果。结果：观察组患者的治疗总有效率、疾病认知率与对照组比较差异均有统计学意义（P0.05）；观察组患者遵医行为、自我控制饮食、控制体重、戒烟酒、定期检查等发生率与对照组比较差异均有统计学意义（P0.05）；且观察组患者干预后血糖水平均优于对照组，差异有统计学意义（P0.05）。结论：给予糖尿病合并高血压患者社区干预，可提高患者临床治愈率和生活质量，减少并发症发生率，值得推广使用。 　　【关键词】 社区干预； 糖尿病； 高血压； 效果 　　Application and Effects of Community Intervention in Diabetic Patients with Hypertension/ SHEN Min，WAN Li-xin.//Medical Innovation of China，2015，12（12）：090-092 　　【Abstract】 Objective：To analyze and explore the clinical application effects of community intervention in diabetic patients with hypertension.Method：300 elderly diabetic patients with hypertension from March 2012 to June 2014 from 10 communities under our jurisdiction were selected as the research objects and divided into two groups with 150 cases each.Patients of the control group were given regular medication， while patients of the observation group were given community intervention.Clinical effects of the two groups of patients were observed.Result：Clinical results showed that there were statistically significant differences between the observation group and the control group in total effective rate and cognitive rate of diseases（P0.05）； there were statistically significant differences between the observation group and the control group in treatment compliance， diet self-control， weight control， quit rate of smoke and drink， and regular examination， etc（P0.05）； blood sugar of the observation group before and after intervention was better than that of the control group and the differences between the two groups were of statistical significance（P0.05）.Conclusion：Community intervention in diabetic patients with hypertension can improve the clinical cure rate and quality of life and reduce the incidence of complications， which is worthy of promotion and application. 　　【Key words】 Community intervention； Diabetes； Hyper