147例老年重度高血压合并糖尿病患者护理干预效果分析.docVIP

精品论文 参考文献 147例老年重度高血压合并糖尿病患者护理干预效果分析 （成都市慢性病医院 四川成都 610083） 　　【摘要】目的：探讨护理干预措施对老年重度高血压患者治疗效果的影响。方法：将参加研究的147例重度高血压合并糖尿病患者随机分为对照组和干预组，对照组按医嘱用药，只跟踪观察无其他护理方式; 干预组除按医嘱用药外，同时进行全面的护理干预。每周对所有患者进行一次血压测量，2年后汇总分析干预效果。结果：干预组2年后的收缩压和舒张压均显著低于对照组，差异有统计学意义(P＜0.05)；干预组的高血压有效率显著高于对照组，差异有统计学意义(P＜0.01)；干预组血糖水平与对照组相比有显著降低（P＜0.05）；干预组心脑肾等并发症的发生率显著低于对照组，差异有统计学意义(P＜0.05)。结论：护理干预明显改善了高血压治疗效果，减少并发症的发生。 　　【关键词】护理干预；高血压；糖尿病 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】1007-8231（2016）16-0186-02 　　Effect of Nursing Intervention on Efficacy of Elderly Patients with Sever Hypertension Complicated with Diabetes Mellitus 　　【Abstract】Objective To study of effect of nursing intervention on efficiency of elderly patients with severe hypertension complicated with diabetes mellitus. Methods 147 severe hypertension complicated with diabetes mellitus patients were randomly divided into the control group and the intervention group. The control group was given oral medicine in clinic according to medical order, without nursing intervention. The intervention group was given comprehensive nursing intervention on the basis of oral medicine. The level of blood pressure of patients in two groups was measured once a week, and the intervention effect was evaluated after two years. Results The group pressure and blood glucose was significantly decreasedin intervention group compared with the control group（p＜0.05）. There was significant difference in total efficiency between two groups（p＜0.01）. The incidenceof complication of heart, brain and kidney in the intervention group was significantly decreased compared with the control group（p＜0.05）. Conclusion The nursing intervention significantly improved the efficacy and alleviate the complication of hypertension. 　　【Key words】Nursing intervention; Hypertension;Diabetes mellitus 　　高血压是最常见的心血管病，必威体育精装版全球疾病负项目数据表明，血压升高（收缩压＞115mm Hg）是引起全球疾病负担的最大单一性因素，导致每年940万人口死亡[1]。高血压并发症包括脑卒中、心肌梗死、心力衰竭及慢性肾脏病等主要并发症，致死致残率高[2]。大量研究表明，高血压是可以预防和控制的疾病，有效控制高血压患者血压水平，可以明显较