摘要
目的研究糖尿病合并高血压患者在采取以护士为核心多学科护理结合家属参与式延续护理时的作用。方法选取2021年6月—2023年12月寿光市人民医院收治的138例糖尿病合并高血压患者为研究对象,按照不同护理形式分为两组,各69例。对照组采取常规护理,研究组采取以护士为核心多学科护理结合家属参与式延续护理。比较两组护理满意度、生活质量、血压水平、体重指数(body mass index,BMI)及血糖水平。结果研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。护理前,两组生活质量评分比较,差异均无统计学意义(P均>0.05);护理后,研究组生活质量评分均高于对照组,差异均有统计学意义(P均<0.05)。护理前,两组血压、BMI比较,差异均无统计学意义(P均>0.05);护理后,研究组收缩压、舒张压、BMI均低于对照组,差异均有统计学意义(P均<0.05)。护理前,两组血糖水平比较,差异均无统计学意义(P均>0.05);护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异均有统计学意义(P均<0.05)。结论糖尿病合并高血压患者采取以护士为核心多学科护理结合家属参与式延续护理可提高护理满意度和生活质量,同时也能降低血压和血糖水平。
Objective To study the role of nurses as the core of multidisciplinary nursing combined with family participatory continuous nursing in patients with diabetes mellitus complicated with hypertension.Methods A total of 138 patients of diabetes mellitus complicated with hypertension admitted to Shouguang People's Hospital from June 2021 to December 2023 were selected as the research objects.They were divided into two groups according to different nursing forms,69 cases in each group.The control group was given routine nursing,while the study group was given multidisciplinary nursing with nurses as the core combined with family participation continuous nursing.The nursing satisfaction,quality of life,blood pressure levels,body mass index(BMI)and blood glucose levels were compared between the two groups.Results The nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before nursing,there were no significant differences in quality of life scores between the two groups(all P>0.05).After nursing,the quality of life scores of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Before nursing,there were no significant differences in blood pressure and BMI between the two groups(all P>0.05).After nursing,the systolic blood pressure,diastolic blood pressure and BMI of the study group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Before nursing,there were no significant differences in blood glucose levels between the two groups(all P>0.05).After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Multidisciplinary nursing with nurses as the core combined with family participation continuous nursing can improve nursing satisfaction and quality of life in patients with diabetes mellitus complicated with hypertension,and can also reduce blood pressure and blood glucose levels.
作者
董小梅
李云萍
刘亚男
张金凤
刘会国
于春华
DONG Xiaomei;LI Yunping;LIU Yanan;ZHANG Jinfeng;LIU Huiguo;YU Chunhua(Department of Nursing,Shouguang People's Hospital,Shouguang 262700,Shandong,China;Chronic Disease Center,Qingzhou People's Hospital of Shandong Province,Qingzhou 262500,Shandong,China;Department of Physical Examination,Shouguang Hospital of Traditional Chinese Medicine,Shouguang 262700,Shandong,China;Department of Ultrasound,Qingzhou People's Hospital of Shandong Province,Qingzhou 262500,Shandong,China;Department of Infection Management,Qingzhou People's Hospital of Shandong Province,Qingzhou 262500,Shandong,China)
出处
《糖尿病新世界》
2024年第20期5-9,共5页
Diabetes New World
基金
潍坊市卫生健康委员会基金项目(WFWSJK-2024-125)。
关键词
以护士为核心多学科护理
家属参与式延续护理
糖尿病
高血压
生活质量
Multidisciplinary nursing with nurses as the core
Family participation continuous nursing
Diabetes mellitus
Hypertension
Quality of life
作者简介
董小梅(1982-),女,本科,副主任护师,研究方向为护理学;通信作者:于春华(1980-),女,硕士,副主任护师,研究方向为护理学,E-mail:453299201@qq.com。
