摘要
[目的]研究公共卫生护理干预在改善糖尿病合并高血压病人预后生活质量、糖代谢指标的应用价值。[方法]将2016年3月—2017年9月于我院就诊的200例糖尿病合并高血压病人按随机数字表法分成两组,对照组100例,采用常规护理;研究组100例,采用公共卫生护理干预。比较两组病人干预前后糖代谢指标、血压水平及生活质量情况。[结果]护理干预前,两组病人糖代谢指标水平(FBG、2hPG)比较差异无统计学意义(P>0.05);两组干预后FBG、2hPG较干预前降低,差异有统计学意义(P<0.05);护理干预前两组病人血压指标(舒张压、收缩压)比较差异无统计学意义(P>0.05);两组干预后舒张压、收缩压较干预前降低,差异有统计学意义(P<0.05);两组SF-36评分较干预前升高,差异有统计学意义(P<0.05)。研究组高于对照组。[结论]公共卫生护理干预在糖尿病合并高血压病人中应用效果显著,能长期、有效改善病人糖代谢指标,调节血糖、血压水平,提高病人生活质量。
Objective:To analyze the clinical value of public health nursing interventions in improving the prognosis quality of life and the index of glucose metabolism in patients with diabetes mellitus complicated with hypertension.Methods:A total of 200 patients with diabetes mellitus complicated with hypertension admitted to our hospital from March 2016 to September 2017 were divided into two groups according to the random number table method,100 cases in each group.The control group received routine care;the intervention group received public health care interventions.The glucose metabolism index,blood pressure level and quality of life were compared between the two groups before and after the intervention.Results:Before the nursing intervention,there was no significant difference in the level of glucose metabolism between the two groups[fasting blood glucose(FBG),postprandial 2 h blood glucose(2 h PG)](P>0.05);after the intervention,the level of FBG and 2 hPG were lower than those before the intervention,the difference was statistically significant(P<0.05).Before the nursing intervention,there was no significant difference in the blood pressure indexes(diastolic blood pressure and systolic blood pressure)between the two groups(P>0.05).After the intervention,the diastolic blood pressure and systolic blood pressure were lower than those before the intervention,the difference was statistically significant(P<0.05).The SF 36 scores of the two groups after the intervention were significantly higher than those before the intervention(P<0.05).Conclusions:Public health nursing intervention had a significant effect in patients with diabetes mellitus complicated with hypertension.It could improve the glucose metabolism index,regulate blood sugar and blood pressure level,and improve the quality of life of patients.
作者
易丹
Yi Dan(Department of Public Health,Wuhan First Hospital,Hubei 430024,China)
出处
《全科护理》
2018年第31期3848-3851,共4页
Chinese General Practice Nursing
关键词
糖尿病合并高血压
公共卫生护理干预
生活质量
糖代谢
diabetes mellitus complicated with hypertension
public health nursing intervention
prognosis quality of life
glucose metabolism
