老年糖尿病合并高血压患者79例社区护理干预效果剖析.docVIP

老年糖尿病合并高血压患者79例社区护理干预效果剖析 　　doi：10.3969/j.issn.1007-614x.2014.14.71 　　摘 要 目的：探讨老年糖尿病合并高血压患者的社区护理干预方法。方法：2010年2月-2012年2月收治老年糖尿病合并高血压患者79例。随机分为两组，观察组40例给予心理护理干预、运动护理干预、饮食护理干预、用药护理、监测血糖和血压护理干预；对照组39例不作任何有关糖尿病和高血压的护理干预，只给予合理有效的常规用药治疗和一般健康教育。结果：观察组行为改变率、血糖及血压控制率均优于对照组，差异均有统计学意义（P0.05）。结论：通过社区有效的护理干预，可以提高患者的遵医行为，减少患者并发症的发生，提高生活质量。 　　关键词 糖尿病 高血压 社区护理干预 　　Analysis the effect of community nursing intervention in 79 elderly diabetic patient combined with hypertension 　　Pan Huaxiu 　　Health Center of Qinnan District Nanzhu Community in Qinzhou city，Guangxi，535099 　　Abstract Objective：To investigate community nursing intervention in elderly patients with diabetes and hypertension.Methods：79 elderly patients with diabetic and hypertension were treated in our hospital from February 2010 to February 2012.They were randomly divided into two groups.The observation group have 40 cases，who were given metally nursing intervention，sports nursing intervention and diet nursing intervention，medication care，monitoring of blood glucose and blood pressure nursing intervention.39 cases in the control group，who were without any care about diabetes and hypertension intervention，only given reasonable and effective conventional drug treatment and general health education.Results：The rate of behavior change，blood sugar and blood pressure control rates in the observation group is higher than in the control group，and the difference was statistically significant（P0.05）.Conclusion：The effective care through community interventions can improve the compliance behavior of patients，reduce patient complications and improve quality of life. 　　Key words Diabetes；Hypertension；Community nursing intervention 　　糖尿病是一种慢性终身性疾病，其中合并高血压是老年糖尿病中最常见的并发症。据国内报道，糖尿病患者中高血压患病率28.4%～48.1%[1]。高血压可导致糖尿病并发症加速恶化，是糖尿病患者并发冠心病死亡的最危险的因素。给予糖尿病合并高血压的老年患者实施社区护理干预，通过行为、心理及治疗等方式，有效地控制患者的血糖和血压，能够预防和延缓糖尿病患者的病情进展，减少心、脑血管、肾病等并发症的发生，改善患者的生存质量。通过对本社区内79例合并高血压病的老年糖尿病患者进行有针对性的心理疏导、健康生活方式和用药指导等护理干预，效果满意，现报告如下。 　　资料与方法 　　2010年2月-2012年2月收