強化健康認知護理對高血壓合并糖尿病患者生活質量的改善作用

吳曉霞

[摘要] 目的 探究強化健康認知護理對高血壓合并糖尿病患者生活質量的改善效果。方法 選取該院2018年1—12月收治的高血壓合并糖尿病患者94例，采用摸球法分為研究組和常規組，各47例。研究組采用強化健康認知護理，常規組采用常規護理。護理2個月開展隨訪，觀察健康認知程度評分、生活質量評分及空腹血糖、糖化血紅蛋白、收縮壓、舒張壓變化。結果 研究組健康認知程度評分、生活質量評分均高于常規組，對比差異有統計學意義（P<0.05）。研究組空腹血糖、糖化血紅蛋白等血糖指標及收縮壓、舒張壓等血壓指標均低于常規組，對比差異有統計學意義（P<0.05）。結論 強化健康認知護理在高血壓合并糖尿病患者中具有顯著效果，可改善患者認知及生活質量，有效控制血壓、血糖，值得臨床推廣。

[關鍵詞] 強化健康認知護理;高血壓合并糖尿病;生活質量

[中圖分類號] R473.5? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）01（b）-0171-02

[Abstract] Objective To investigate the effect of intensive health care on the quality of life of patients with hypertension and diabetes. Methods A total of 94 patients with hypertension and diabetes mellitus admitted to the hospital from January to December 2018 were enrolled. The patients were divided into study group and routine group by 47 cases each. The study group used intensive health care care and the routine group used routine care. Follow-up was performed for 2 months， and the health cognitive score， quality of life score， fasting blood glucose， glycosylated hemoglobin， systolic blood pressure， and diastolic blood pressure were observed. Results The health cognition score and quality of life score of the study group were higher than the conventional group， and the correlation was statistically significant （P<0.05）. The blood glucose indexes such as fasting blood glucose and glycosylated hemoglobin in the study group and blood pressure indexes such as systolic blood pressure and diastolic blood pressure were lower than those in the conventional group， and the correlation was statistically significant （P<0.05）. Conclusion Intensive health care nursing has significant effects in patients with hypertension and diabetes. It can improve patients' cognition and quality of life， effectively control blood pressure and blood glucose， and is worthy of clinical promotion.

[Key words] Strengthen health cognitive nursing; Hypertension with diabetes; Quality of life

高血壓合并糖尿病是目前臨床常見合并疾病，高血壓及糖尿病單獨存在均屬于終身性代謝性慢性疾病，具有治療周期長、難治愈、并發癥多等特點[1]。高血壓合并糖尿病可直接導致治療難度增加，且患者受疾病特點影響極易出現不適感及負性心理，外加對疾病認知程度較低，導致治療效果不佳[2]。該院圍繞高血壓合并糖尿病患者治療中護理工作開展研究，就2018年1—12月該院收治的94例中的47例高血壓合并糖尿病患者采用強化健康認知護理，報道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的高血壓合并糖尿病患者94例，采用摸球法分為研究組和常規組，各47例。研究組男25例，女22例;年齡61～84歲，平均（72.5±1.3）歲;病程2～16年，平均（9.2±1.2）歲;常規組男24例，女23例;年齡60～84歲，平均（72.4±1.3）歲;病程2～17年，平均（9.2±1.3）年;兩組一般資料可差異無統計學意義（P>0.05）。具有可比性。

1.2? 方法

研究組采用……