健康指导在高血压糖尿病患者中的应用效果

Application Effect of Health Education in Patients with Hypertension and Diabetes Mellitus

目的:探讨健康指导应用于高血压糖尿病患者的护理效果。方法:笔者所在医院2012年3月对某单位1000例员工进行疾病筛查,其中高血压糖尿病患者180例作为观察组,采取健康指导护理干预,另选取同期150例高血压糖尿病患者作为对照组,并采取常规护理方法,观察比较两组患者护理后血压、血糖改善情况、遵医情况及护理满意度。结果:经护理后,两组患者的收缩压、舒张压、空腹血糖及餐后2 h血糖等指标均明显低于护理前,观察组护理后的收缩压(118.14±1.43)mm Hg明显低于对照组的(135.66±0.95)mm Hg;舒张压(74.19±1.32)mm Hg明显低于对照组的(89.41±2.59)mm Hg;空腹血糖(4.13±0.35)mmol/L明显低于对照组的(6.76±0.94)mmol/L;餐后2 h血糖(5.47±0.69)mmol/L明显低于对照组的(9.65±1.55)mmol/L;且疾病知识、均衡饮食、按时服药及血糖监测等遵医率均明显高于对照组,观察组的护理满意度97.22%(175/180)明显高于对照组的74.67%(112/150),差异均有统计学意义(P<0.05)。结论:对高血压糖尿病患者实施健康指导具有显著疗效,能够改善患者的血压,降低血糖,值得在社区广泛推广应用。

Objective： To investigate the nursing effect of health guidance on the application of hypertensive and diabetic patients.Method： A total of 1000 employees in a unit were screened for disease in the author＇s hospital in March 2012.Among them, 180 patients with hypertension and diabetes mellitus were selected as the observation group, they were given health guidance for nursing intervention.150 patients with hypertension and diabetes mellitus at the same period were selected as the control group, they were given conventional nursing methods.The improvement of blood pressure, blood sugar, compliance behavior and nursing satisfaction between the two groups after nursing were observed and compared.Result： After nursing, the systolic blood pressure, diastolic blood pressure, fasting blood glucose and 2-hour postprandial blood glucose of the two groups were significantly lower than before nursing, the systolic blood pressure of the observation group was （118.14±1.43）mm Hg, which was significantly lower than （135.66 ± 0.95）ram Hg of the control group, the diastolic blood pressure of the observation group was （74.19±1.32）mm Hg, which was significantly lower than （89.41±2.59）mm Hg of the control group, the fasting blood glucose of the observation group was （4.13 ± 0.35）mmol/L, which was significantly lower than （6.76±0.94）mmol/L of the control group, the 2-hour postprandial blood glucose of the observation group was （5.47±0.69）mmol/L, which was significantly lower than （9.65 ± 1.55）mmol/L of the control group, the compliance rate of disease knowledge, a balanced diet, taking medicine on time and blood glucose monitoring in the observation group were significantly higher than those in control group, and the nursing satisfaction of the observation group was 97.22%（175/180）, which was significantly higher than 74.67%（112/150） of the control group, the differences were statistically significant（P〈0.05）.Conelusion： The implementation of health education to patients with hypertension and diabetes mellitus has obvious curative effect, can improve the patient＇s blood pressure, reduce blood sugar, is worth to be widely applied in the community.