生活方式护理管理对糖尿病合并高血压脑出血患者血糖、血压控制及并发症的影响

Influence of Life Style Nursing Management on Blood Glucose,Blood Pressure Control and Complications in Pa⁃tients with Diabetes Mellitus Complicated with Hypertensive Intracerebral Hemorrhage

目的:探讨生活方式护理管理对糖尿病合并高血压脑出血患者的临床效果。方法:选取2018年8月—2019年8月驻马店市中医院收治的84例糖尿病合并高血压脑出血患者作为研究对象,将所有患者按随机数表法分为两组,每组各42例。对照组患者采用常规护理,观察组患者给予生活方式护理管理,护理时间均持续3个月。对比两组患者血压及血糖指标、并发症、生活质量、护理满意度。结果:护理后,观察组患者空腹血糖、收缩压、舒张压低于对照组患者,差异有统计学意义(t=19.772、4.875、2.427,P<0.05)。观察组患者并发症发生率低于对照组患者,差异有统计学意义(χ2=6.536,P<0.05)。护理后,观察组患者生活质量量表(QOL)中身体、环境、社会、心理均高于对照组患者,差异有统计学意义(t=16.353、15.846、8.727、5.475,P<0.05)。观察组患者护理满意度较对照组患者高,差异有统计学意义(χ2=5.126,P<0.05)。结论:生活方式护理管理能降低糖尿病合并高血压脑出血患者的血糖及血压指标,使并发症的发生率下降,促进生活质量改善,进而获得更高护理满意度。

Objective:To explore the clinical effect of lifestyle nursing management on diabetes mellitus patients with hyperten⁃sive cerebral hemorrhage.Methods:84 patients with diabetes mellitus combined with hypertensive cerebral hemorrhage admitted to the hospital from August 2018 to August 2019 were selected as the study subjects,and all patients were divided into two groups according to the random number table method,with 42 cases in each group.The control group was given conventional care,and the observation group was given lifestyle care management,and both care periods lasted for 3 months.The blood pressure and blood glucose indexes,complications,quality of life,and satisfaction with care were compared between the two groups.Results:Af⁃ter care,fasting blood glucose,systolic blood pressure,and diastolic blood pressure of patients in the observation group were lower than those in the control group,and the differences were statistically significant(t=19.772,4.875,2.427,P<0.05).The complica⁃tion rate of patients in the observation group was lower than that of patients in the control group,and the difference was statistical⁃ly significant(χ2=6.536,P<0.05).After care,patients in the observation group had higher physical,environmental,social,and psy⁃chological quality of life scales(QOL)than patients in the control group,with statistically significant differences(t=16.353,15.846,8.727,5.475,P<0.05).The observation group had higher nursing satisfaction than the control group,and the difference was statis⁃tically significant(χ2=5.126,P<0.05).Conclusion:Lifestyle care management reduces glucose and blood pressure indicators in patients with diabetes mellitus combined with hypertensive cerebral hemorrhage,leading to a decrease in the incidence of complica⁃tions and promoting improved quality of life,which in turn leads to higher care satisfaction.