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基于老年评估的个性化管理在老年高血压伴糖尿病中的应用

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目的 探讨基于老年评估的个性化管理在老年高血压伴糖尿病患者中的应用价值。方法 选取2019年1月—2024年1月石河子市人民医院收治的120例老年高血压伴糖尿病患者为研究对象。以随机数字表法分为对照组与观察组,各60例。对照组实施常规管理模式,观察组实施基于老年评估的个性化管理。比较2组管理情况。结果 管理后,观察组患者收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、空腹血糖(fasting blood glucose,FBG)及餐后2 h血糖(2-hour postprandial blood glucose,2 hPG)水平分别为(135。74±7。48)mmHg、(81。63±3。58)mmHg、(5。68±0。57)mmol/L、(7。34±1。08)mmol/L,均低于对照组的(140。68±8。55)mmHg、(86。59±4。63)mmHg、(6。34±0。76)mmol/L、(8。19±1。33)mmol/L,差异有统计学意义(P<0。05)。管理后,观察组生活质量综合评定问卷(generic quality of life inventory 74,GQOL-74)中心理功能、躯体功能、社会功能、物质生活评分分别为(78。91±5。42)分、(80。16±6。32)分、(73。82±6。07)分、(76。45±6。38)分,均高于对照组的(72。68±6。73)分、(74。59±8。68)分、(67。94±5。68)分、(69。84±7。07)分,差异有统计学意义(P<0。05)。观察组总满意度为96。67%,高于对照组的83。33%,差异有统计学意义(P<0。05)。结论 在老年高血压伴糖尿病患者管理中应用基于老年评估的个性化管理能有效控制血压、血糖水平,也能使患者生活质量及满意度提升。
Application of Individualized Management Based on Elderly Assessment in Elderly Hypertension With Diabetes
Objective To explore the application value of individualized management based on elderly assessment in elderly patients with hypertension and diabetes. Methods A total of 120 elderly patients with hypertension and diabetes treated in Shihezi City People's Hospital from January 2019 to January 2024 were selected as the study objects. They were divided into control group and observation group by random number table method,60 cases in each group. The control group implemented conventional management mode,and the observation group implemented individualized management based on elderly assessment. The management situation of the two groups was compared. Results After management,the levels of systolic blood pressure (SBP),diastolic blood pressure (DBP),fasting blood glucose (FBG),and 2-hour postprandial blood glucose (2 hPG) in the observation group were (135.74±7.48) mmHg,(81.63±3.58) mmHg,(5.68±0.57) mmol/L,(7.34±1.08) mmol/L,which were lower than (140.68±8.55) mmHg,(86.59±4.63) mmHg,(6.34±0.76) mmol/L,(8.19±1.33) mmol/L in the control group,the differences were statistically significant (P<0.05). After management,the scores of psychological function,physical function,social function and material life in the generic quality of life inventory 74 (GQOL-74) in the observation group were (78.91±5.42) points,(80.16±6.32) points,(73.82±6.07) points and (76.45±6.38) points,which were higher than (72.68±6.73) points,(74.59±8.68) points,(67.94±5.68) points and (69.84±7.07) points in the control group,the differences were statistically significant (P<0.05). The total satisfaction of the observation group was 96.67%,which was higher than 83.33% of the control group,the difference was statistically significant (P<0.05). Conclusion The application of individualized management based on elderly assessment in the management of elderly patients with hypertension and diabetes can effectively control blood pressure and blood sugar levels,and can also improve the quality of life and satisfaction of patients.

elderly assessmentindividualized management modehypertensiondiabetesquality of lifesatisfaction

蒙华、段丹华、杨莹

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石河子市人民医院老年医学科,新疆石河子 832002

老年评估 个性化管理模式 高血压 糖尿病 生活质量 满意度

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(22)