糖尿病合并高脂血症患者行综合护理干预对患者血脂血糖及生活质量的影响研究

Effect of comprehensive nursing intervention on blood glucose and quality of life in patients with diabetes mellitus and hyperlipidemia

目的探讨糖尿病合并高脂血症患者行综合护理干预对患者血脂血糖及生活质量的影响。方法选取自2014年1月-2016年12月于我院进行治疗的糖尿病合并高脂血症患者110例,依据随机数字表法分为对照组和观察组,其中对照组行常规护理及健康教育方案。观察组在对照组的基础进行综合护理干预方案。比较两组患者血糖血脂控制情况、治疗依从性以及生活质量。结果干预前两组患者血糖、血脂等指标无统计学差异,组间差异不具有统计学意义(P> 0. 05)。干预后两组患者血脂血糖等指标较治疗前均有改善,差异有统计学意义(P <0. 05)。干预后相比于对照组,观察组血脂血糖等指标改善组间差异有统计学意义(P <0. 05)。干预后观察组各项治疗依从性明显优于对照组,组间差异具有统计学意义(P <0. 05)。干预前两组患者生活质量无显著差异,组间差异不具有统计学意义(P> 0. 05)。干预后两组患者生活质量较治疗前均有改善,差异具有统计学意义(P <0. 05)。观察组干预后较对照组改善更为显著,组间差异具有统计学意义(P <0. 05)。结论糖尿病合并高脂血症患者行综合护理干预,可以有效降低患者血糖、血脂水平,提高患者治疗依从性,改善患者生活质量,具有重要的临床意义。

Objective To explore the effect of comprehensive nursing intervention on blood glucose and quality of life in patients with diabetes mellitus and hyperlipidemia. Methods Choose our hospital since 01 2014 to 12 2014 treated 110 diabetic patients with hyperlipidemia,were divided into control group and observation group. The control group was given routine nursing and health education,and the observation group was given comprehensive nursing intervention on the basis of the control group. The control of blood glucose and blood lipid,therapeutic compliance and quality of life were compared between the two groups. Results Before intervention,there was no significant difference in blood sugar and blood lipids in the two groups,and there was no statistical difference between the groups（ P〈0. 05）. After intervention,the indexes of blood lipid and blood glucose in the two groups were improved compared with those before the treatment,and the difference was statistically significant（ P〈0. 05）. Compared with the control group,the indexes of blood lipid and blood glucose in the observation group improved more significantly,and the difference between the groups was statistically significant（ P〈0. 05）. The treatment compliance in the observation group was significantly better than that in the control group,and the difference between the groups was statistically significant（ P〈0. 05）. There was no significant difference in the quality of life between the two groups before intervention,and there was no statistically significant difference between the groups（ P〉0. 05）. After intervention,the quality of life of the two groups were improved,and the difference was statistically significant（ P〈0. 05）. The improvement of the observation group was more significant than that of the control group,and the difference between the groups was statistically significant（ P〈0. 05）. Conclusion Comprehensive nursing intervention for diabetic patients with hyperlipidemia can effectively reduce blood sugar and blood lipid level,improve treatment compliance and improve the quality of life of patients,which has important clinical significance.