摘要
目的探讨协同护理联合系统家庭治疗对糖尿病合并高脂血症患者血糖血脂的控制及生活质量的影响。方法合并高脂血症的糖尿病患者186例,采取随机数字表法分成观察组与对照组各93例。对照组单纯施以常规护理干预,观察组在前者基础上施以协同护理联合系统家庭治疗,分析记录两组干预前后总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)以及生活质量等指标。结果两组相关措施实施后TC、糖化血红蛋白(Hb A1c)、LDL-C、餐后血糖、TG和空腹血糖水平以及SF-36量表各项目评分与本组干预前比较差异显著且观察组优于对照组(均P<0.01);相关干预措施实施后,观察组情绪控制、坚持运动、正确服药、戒烟戒酒、合理饮食、自我监控以及定期复查等遵医行为指标较对照组均存在显著差异(P<0.01)。结论协同护理联合系统家庭治疗能够高效控制病患血脂以及血糖,使病患的生活质量以及相关遵医行为获得显著提高。
Objective To explore the effect of combination of cooperative nursing and system family therapy on control of blood glu- cose and blood lipid and the quality of life of diabetes patients combined with hyperlipidemia. Methods According to random number table method, 186 diabetes patient combined with hyperlipidemia were divided into the control and the observation groups, 93 cases in each group. Patients in the control group only were treated with routine nursing intervention. On base of control group's treatment, patients in the observa- tion group were intervened with systemic family therapy and cooperative nursing, Total cholesterol (TC), low density lipoprotein (LDL)-C, triglyceride (TG) and the quality of life were recorded and analyzed before and after intervention. Results After intervention, TC, glycosy- lated hemoglobin, LDL-C, postprandial blood glucose, TG, fasting blood glucose value and SF-36 scale projects score of the observation group were significantly better than those of control group (P〈0.01). TC, glycosylated hemoglobin, LDL-C, postprandial blood glucose, TG and fasting blood glucose (FBG) and SF-36 scale of before intervention were significantly different from after intervention (P〈0. 01 ) ; After intervention, there were significant differences in emotional control, exercise, drugs properly, to give up smoking and drinking, reasonable diet, self-monitoring and periodic review of indicators such as medical behavior exist between the observation and control groups (P〈0. 01 ). Conclusions Combination of cooperative nursing and system family therapy can efficiently control the blood lipid and blood glucose, in- crease the patient's quality of life and medical compliance behavior, which has significant clinical value.
出处
《中国老年学杂志》
CAS
北大核心
2017年第5期1101-1103,共3页
Chinese Journal of Gerontology
基金
国家自然科学基金项目(No.81371378)
四川省教育厅一般项目(No.16SB0131)
关键词
协同护理
高脂血症
系统家庭治疗
糖尿病
Cooperative nursing
Hyperlipidemia
Systemic family therapy
Diabetes