延续性护理干预对老年2型糖尿病合并高血压患者生活质量的影响

Effect of continued nursing intervention on life quality of elderly patients with type 2 diabetes and hypertension

目的探讨延续性护理干预对老年2型糖尿病合并高血压患者生活质量的影响。方法选取老年2型糖尿病合并高血压患者92例,按照随机数字表法随机分为观察组与对照组各46例。对照组采用常规护理干预,观察组在常规护理基础上结合延续性护理干预。比较2组患者干预总满意率,干预前后FPG和Hb A1c、收缩压和舒张压及生活质量评分变化。结果观察组干预总满意率高于对照组(P<0.05);2组FPG和Hb A1c干预后降低(P<0.05);观察组FPG和Hb A1c干预后低于对照组(P<0.05);2组收缩压和舒张压干预后降低(P<0.05);观察组收缩压和舒张压干预后低于对照组(P<0.05);观察组干预后总体健康、精神健康、情感职能、生理职能、生理功能、社会功能评分高于对照组(P<0.05)。结论延续性护理干预老年2型糖尿病合并高血压患者效果明显,可改善患者生活质量。

Objective To investigate effect of continued nursing intervention on life quality of elderly patients with type 2 diabetes and hypertension. Methods A total of 92 hypertension patients with type 2 diabetes admitted in our hospital were randomly divided into observation group with 46 cases and control group with 46 cases. The control group received routine nursing intervention, and observation group added continued nursing. Overall satisfaction, FPG and ttbA1 c after interven- tion, systolic and diastolic blood pressure and quality of life scores were compared. Results Overall satisfaction in the observation group was higher than that in control group （ P 〈 0.05 ）. FPG and HbA1 c of two groups decreased after the intervention （ P 〈 0.05 ）, and FPG and HbA1 c reduced more in the observation group than the control group （ P 〈 0.05 ）. After intervention, systolic and di- astolic pressure in two group were reduced （ P 〈 0.05）. SBP and DBP after intervention group was reduced more than the control group （P 〈 0.05）. Overall health, spirit health, emotional function, role-physical, physical function, and social function score in the observation group were higher than the control group （P 〈 0.05）. Conclusion Continued care for elderly patients with type 2 diabetes and hypertension has significant effect, and it can significantly improve the quality of life of patients.