优质护理在高血压合并糖尿病患者护理中的应用效果观察及评价

刘丽芳 张洪梅

[摘要] 目的 分析优质护理在高血压合并糖尿病患者护理中的应用效果观察及评价。方法 选择2018年6月—2019年6月期间到该院进行治疗的120例高血压合并糖尿病患者作为研究对象，用电脑随机法分为对照组和实验组各60例，對照组患者对其进行常规的护理干预，实验组患者对其进行优质护理干预，测试他们接受护理前后的血压和血糖，邀请他们填写焦虑/抑郁自评量表评分，最终比较两组患者的心理状态和满意度。分析护理要点及其结果。结果 实验组的血压血糖低于对照组（P<0.05）;实验组高血压合并糖尿病患者焦虑自评量表（SAS）、抑郁自评量（SDS）表得分分别为（45.2±4.3）分和（42.8±6.3）分，均明显低于对照组的（56.3±5.5）分、（58.1±3.9）分（P<0.05）;实验组的护理满意度也高于对照组（P<0.05）。结论 高血压合并糖尿病患者由于患病心态往往比较焦虑，采用优质护理干预比起常规的干预手段，能起到调节患者心理状态的作用，增强他们的自信心，降低他们的血压和血糖，从而提到患者的满意度，在临床对高血压合并糖尿病患者的治疗中具有推广价值。

[关键词] 高血压合并糖尿病;优质护理;效果

[Abstract] Objective To analyze the observation and effect of high-quality nursing in the nursing of patients with hypertension and diabetes. Methods 120 patients with hypertension and diabetes who were treated in the hospital from June 2018 to June 2019 as the research subjects， and were randomly divided into a control group and an experimental group with 60 cases each by computer random method. Perform routine nursing interventions in the community. The patients in the experimental group received high-quality nursing interventions. They tested their blood pressure and blood glucose before and after receiving care. They were invited to fill in the anxiety/ depression self-rating scale. Finally， the psychological status and satisfaction of the two groups were compared. Analyze the main points of care and their results. Results The blood pressure and blood glucose in the experimental group were lower than those in the control group （P<0.05）. The scores of the self-rating anxiety scale （SAS） and self-depressing scale （SDS） of the hypertension group with diabetes in the experimental group were （45.2±4.3）points and （42.8±6.3）points are significantly lower than the control group's （56.3±5.5）points， （58.1±3.9）points（P<0.05）; the satisfaction of nursing in the experimental group was also higher than that in the control group（P<0.05）. Conclusion Patients with hypertension and diabetes are often more anxious due to the mentality of the disease. Compared with conventional interventions， high-quality nursing intervention can play a role in regulating the psychological state of patients， enhance their self-confidence， reduce their blood pressure and blood glucose， and thus improve the patient's satisfaction， it has promotion value in the clinical treatment of patients with hypertension and diabetes.

[Key words] Hypertension with diabetes; Quality care; Effect

我国已经开始迈入老龄化社会，而老龄化社会伴随而来的就是糖尿病和高血压等疾病在人群之间的患病比例提升，这两类疾病都是临床中老年人最常见的两种疾病之一，同时这两种病症具有较高概率发生在同一患者身上，根据研究，患有糖尿病的患者有40%概率也患有高血压这一病症，而患有高血压的患者其中也有18%左右的概率患有糖尿病[1]。高血压合并糖尿病患者会使得动脉粥样硬化的速度快于常人，进而使得患者心血管疾病发病风险提高，高血压严重的患者还有几率导致器官衰竭，从而危及生命。高血压合并糖尿病患者，需要长期服用药物以维持病情稳定，而长期服用药物会对患者的经济产生较大负担，而患者因为经济和身体病症困扰，往往陷入抑郁和焦虑之间。对高血压合并糖尿病患者进行优质护理干预可以对他们的病情进行有效控制和降低他们的医疗费用[2]。该文选择2018年6月—2019年6月期间收治的120例患者，对该院患有高血压合并糖尿病患者的不同护理效果进行探究，分析优质护理的效果，报道如下。