强化健康教育护理对糖尿病合并高脂血症患者的影响

Effects of intensive health education nursing on patients with diabetes mellitus complicated with hyperlipidemia

目的:观察强化健康教育护理对糖尿病合并高脂血症患者的影响。方法:选取86例糖尿病合并高脂血症的患者作为研究对象,按照随机数字表法将其分为对照组与观察组各43例,对照组给予常规护理,观察组在对照组的基础上给予强化健康教育护理,比较护理前后两组糖尿病知识掌握程度、血脂、血糖水平变化情况及并发症发生情况。结果:护理后观察组糖尿病知识掌握程度明显高于对照组,差异有统计学意义(P<0.05);护理后观察组空腹血糖(FPG)、餐后2 h血糖(2h PG)、总胆固醇(TC)水平及三酰甘油(TG)水平均明显优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.33%(1/43),明显低于对照组的13.95%(6/43),差异有统计学意义(P<0.05)。结论:在常规护理基础上,采用强化健康教育护理可提高患者的疾病知识掌握度,降低血糖、血脂水平和并发症发生率,效果优于单纯常规护理效果。

Objective： To observe effects of intensive health education nursing on patients with diabetes mellitus complicated with hyperlipidemia. Methods： 86 patients with diabetes mellitus complicated with hyperlipidemia were selected as the study subjects.According to the random number table method,they were divided into the control group（ n = 43） and observation group（ n = 43）. The control group received routine nursing,while the observation group was given the intensive health education nursing on the basis of that of the control group. The knowledge of diabetes,the changes of blood lipids and blood sugar levels and complications before and after the nursing of the two groups were compared. Results： After the nursing,the knowledge of diabetes in the observation group was significantly higher than that in the control group,and the difference was statistically significant（ P〈0.05）. After the nursing,the levels of fasting blood glucose（ FPG）,postprandial 2 h blood glucose（ 2 h PG）,total cholesterol（ TC） and triacylglycerol（ TG） in the observation group were significantly better than those of the control group,and the differences were statistically significant（ P〈0. 05）. The complication rate of the observed group was 2. 33%（ 1/43）,significantly lower than the control group of 13. 95%（ 6/43）,and the difference was statistically significant（ P〈0.05）. Conclusions： On the basis of routine nursing,the intensive health education nursing can improve the patients＇ disease knowledge,reduce the blood sugar and blood lipid levels as well as complication rate. Moreover,it is superior to the simple routine nursing