優質護理在高血壓合并糖尿病患者護理中的應用效果觀察及評價

劉麗芳 張洪梅

[摘要] 目的 分析優質護理在高血壓合并糖尿病患者護理中的應用效果觀察及評價。方法 選擇2018年6月—2019年6月期間到該院進行治療的120例高血壓合并糖尿病患者作為研究對象，用電腦隨機法分為對照組和實驗組各60例，對照組患者對其進行常規的護理干預，實驗組患者對其進行優質護理干預，測試他們接受護理前后的血壓和血糖，邀請他們填寫焦慮/抑郁自評量表評分，最終比較兩組患者的心理狀態和滿意度。分析護理要點及其結果。結果 實驗組的血壓血糖低于對照組（P<0.05）;實驗組高血壓合并糖尿病患者焦慮自評量表（SAS）、抑郁自評量（SDS）表得分分別為（45.2±4.3）分和（42.8±6.3）分，均明顯低于對照組的（56.3±5.5）分、（58.1±3.9）分（P<0.05）;實驗組的護理滿意度也高于對照組（P<0.05）。結論 高血壓合并糖尿病患者由于患病心態往往比較焦慮，采用優質護理干預比起常規的干預手段，能起到調節患者心理狀態的作用，增強他們的自信心，降低他們的血壓和血糖，從而提到患者的滿意度，在臨床對高血壓合并糖尿病患者的治療中具有推廣價值。

[關鍵詞] 高血壓合并糖尿病;優質護理;效果

[Abstract] Objective To analyze the observation and effect of high-quality nursing in the nursing of patients with hypertension and diabetes. Methods 120 patients with hypertension and diabetes who were treated in the hospital from June 2018 to June 2019 as the research subjects， and were randomly divided into a control group and an experimental group with 60 cases each by computer random method. Perform routine nursing interventions in the community. The patients in the experimental group received high-quality nursing interventions. They tested their blood pressure and blood glucose before and after receiving care. They were invited to fill in the anxiety/ depression self-rating scale. Finally， the psychological status and satisfaction of the two groups were compared. Analyze the main points of care and their results. Results The blood pressure and blood glucose in the experimental group were lower than those in the control group （P<0.05）. The scores of the self-rating anxiety scale （SAS） and self-depressing scale （SDS） of the hypertension group with diabetes in the experimental group were （45.2±4.3）points and （42.8±6.3）points are significantly lower than the control group's （56.3±5.5）points， （58.1±3.9）points（P<0.05）; the satisfaction of nursing in the experimental group was also higher than that in the control group（P<0.05）. Conclusion Patients with hypertension and diabetes are often more anxious due to the mentality of the disease. Compared with conventional interventions， high-quality nursing intervention can play a role in regulating the psychological state of patients， enhance their self-confidence， reduce their blood pressure and blood glucose， and thus improve the patient's satisfaction， it has promotion value in the clinical treatment of patients with hypertension and diabetes.

[Key words] Hypertension with diabetes; Quality care; Effect

我國已經開始邁入老齡化社會，而老齡化社會伴隨而來的就是糖尿病和高血壓等疾病在人群之間的患病比例提升，這兩類疾病都是臨床中老年人最常見的兩種疾病之一，同時這兩種病癥具有較高概率發生在同一患者身上，根據研究，患有糖尿病的患者有40%概率也患有高血壓這一病癥，而患有高血壓的患者其中也有18%左右的概率患有糖尿病[1]。高血壓合并糖尿病患者會使得動脈粥樣硬化的速度快于常人，進而使得患者心血管疾病發病風險提高，高血壓嚴重的患者還有幾率導致器官衰竭，從而危及生命。高血壓合并糖尿病患者，需要長期服用藥物以維持病情穩定，而長期服用藥物會對患者的經濟產生較大負擔，而患者因為經濟和身體病癥困擾，往往陷入抑郁和焦慮之間。對高血壓合并糖尿病患者進行優質護理干預可以對他們的病情進行有效控制和降低他們的醫療費用[2]。該文選擇2018年6月—2019年6月期間收治的120例患者，對該院患有高血壓合并糖尿病患者的不同護理效果進行探究，分析優質護理的效果，報道如下。