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公共卫生护理对糖尿病合并高血压患者的效果

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目的 了解公共卫生护理干预对糖尿病合并高血压患者的临床护理效果及应用价值.方法 在枣庄市立医院门诊选择2022年1-12月50例糖尿病合并高血压的患者作为研究对象,以随机数字表法将研究对象分为干预组和对照组,每组各25例.对照组实施临床常规护理,干预组患者在对照组基础上实施公共卫生护理,比较两组患者护理后的血糖、血压水平.结果 干预组的空腹血糖为(6.22±0.76)mmol/L、糖化血红蛋白为(6.10±0.63)%、餐后2 h血糖为(7.16±1.26)mmol/L、舒张压为(84.25±4.24)mmHg、收缩压为(122.72±9.54)mmHg,优于对照组的(6.83±0.81)mmol/L、(7.17±0.89)%、(8.44±1.37)mmol/L、(91.34±3.47)mmHg、(131.37±10.15)mmHg,差异均有统计学意义(P<0.05).结论 糖尿病合并高血压患者要对其进行及时、有效的护理干预,以此来加速患者的康复进程.在对糖尿病合并高血压患者进行公共卫生护理时,可以从饮食、用药、心理和运动等多个方面进行护理,对于促进患者遵从健康行为,养成良好的生活习惯,增强患者自我护理意识,控制患者的病情发展具有重要意义,值得临床推广与应用.
Effect of public health nursing on patients with diabetes mellitus combined with hypertension
Objective To understand the clinical nursing effect and application value of public health nursing intervention on patients with diabetes mellitus combined with hypertension.Methods Among the outpatients of Zaozhuang Municipal Hospital,50 patients with diabetes mellitus combined with hypertension from January to December 2022 were selected as the research objects and divided into intervention group and control group with 25 cases in each group by using random number table method.The control group received clinical routine nursing,and the intervention group received public health nursing on the basis of the control group.The blood glucose and blood pressure levels of the two groups after nursing were compared.Results The levels of fasting blood glucose,glycated hemoglobin,2-hour postprandial blood glucose,diastolic blood pressure and systolic blood pressure in the intervention group were(6.22±0.76)mmol/L,(6.10±0.63)%,(7.16±1.26)mmol/L,(84.25±4.24)mmHg,(122.72±9.54)mmHg,respectively,which were significantly better than those in the control group with(6.83±0.81)mmol/L,(7.17±0.89)%,(8.44±1.37)mmol/L,(91.34±3.47)mmHg,(131.37±10.15)mmHg,and the differences were statistically significant(P<0.05).Conclusion For patients with diabetes mellitus combined with hypertension,timely and effective nursing intervention must be carried out to accelerate the recovery process of patients.When carrying out public health nursing for patients with diabetes mellitus combined with hypertension,nursing could be carried out from many aspects,such as diet,medication,psychology and exercise.It was of great significance to promote patients to follow healthy behaviors,develop good living habits,enhance patients'self-care awareness,and control patients'disease development.It was worthy of clinical promotion and application.

Public health nursingDiabetes mellitusHypertension

陈红艳

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枣庄市立医院医保科,山东 枣庄 277100

公共卫生护理 糖尿病 高血压

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(5)