图文式延续护理健康教育在老年糖尿病合并高血压患者中的应用

Application of graphic continuous nursing health education in elderly patients with diabetes mellitus complicated with hypertension

目的观察图文式延续护理健康教育对老年糖尿病合并高血压患者中的应用。方法选取2020年3月—2021年3月在本院就诊的88例老年糖尿病合并高血压患者,采用随机数字表法将患者分为对照组与研究组,每组各44例。对照组采用常规延续护理健康教育,研究组采用图文式延续护理健康教育,比较两组干预前后的血糖、血压水平、糖尿病自我管理行为量表(SDSCA)、糖尿病特异性生存质量量表(DSQL)评分。结果干预前,两组患者的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)、收缩压(SBP)、舒张压(DBP)水平、DSQL评分、SDSCA评分比较,差异均无统计学意义(P>0.05)。干预后,研究组的FBG、2 h PG、HbA1c、SBP、DBP水平低于对照组,差异具有统计学意义(P<0.05),研究组的DSQL评分中,生理、心理、治疗和社会维度评分均低于对照组(P<0.05),SDSCA评分高于对照组,差异具有统计学意义(P<0.05)。结论图文式延续护理健康教育在老年糖尿病合并高血压患者中的应用效果良好,能够有效降低患者的血压和血糖水平,提升患者的自我护理能力和生活质量。

Objective To observe the effect of graphic continuation nursing health education on elderly patients with diabetes mellitus complicated with hypertension.Methods A total of 88 elderly patients with diabetes mellitus and hypertension who come to our hospital for treatment from March 2020 to March 2021 were selected as the research objects.The patients were randomly divided into the control group and the study group,with 44 cases in each graoup.The control group adopted routine continuing nursing health education,and the research group adopted graphic continuing nursing health education,the levels of blood glucose,blood pressure,SDSCA and diabetes mellitus specific quality of life(DSQL)before and after intervention were compared between the two groups.Results Before the intervention,there was no significant difference in fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG),glycated hemoglobin(HbA1c),systolic blood pressure(SBP),diastolic blood pressure(DBP),DSQL and SDSCA between the two groups(P>0.05).After intervention,the levels of FBG,2 h PG,HbA1c,SBP and DBP in the study group were lower than those in the control group(P<0.05).After intervention,The DSQL scores of physiological dimension,psychological dimension,therapeutic dimension and social dimension were lower in the study group than those in the control group,and the SDSCA scores were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion The application of graphic continuous health education in elderly patients with diabetes mellitus complicated with hypertension can effectively reduce the level of blood pressure and blood glucose,improve self-care ability and quality of life.