老年高血压合并糖尿病患者接受预防保健的具体效果分析

Analysis on the Specific Effect of Prevention and Health Care for Elderly Patients with Hypertension Complicated with Diabetes

摘要: 目的：探究老年高血压合并糖尿病患者接受预防保健效果。方法：经伦理委员会批准，选择2020.3~2021.3收治的70例老年高血压合并糖尿病患者作为研究对象，所有患者均自愿参加本研究并签署知情同意书。按照随机数字表法分为对照组、观察组。对照组常规治疗，观察组常规治疗 + 预防保健。对比血压情况、血糖情况、自我效能感、心理状态、生活质量和依从性。结果：观察组血压情况、血糖情况、自我效能感、心理状态、生活质量和依从性均优于对照组(P < 0.05)。结论：老年高血压合并糖尿病患者因存在多种慢性代谢性疾病普遍存在不同程度的焦虑抑郁，严重影响生活质量。临床中针对此类患者的护理干预措施以常规治疗为主，但是长期的药物治疗无法达到临床显著效果，患者病情进展难以有效控制。本次实验对观察组患者治疗方案进行了优化，在常规治疗的基础上进行了预防保健，发现患者的血压情况、血糖情况、自我效能感、心理状态、生活质量和依从性得到了显著改善。因此可以得出，老年高血压合并糖尿病患者接受预防保健能够显著改善血压、血糖情况，提高患者自我效能感、依从性及生活质量，缓解不良情绪，值得临床推广。

Abstract: Objective: To explore the preventive health care effect of elderly patients with hypertension complicated with diabetes. Methods: 70 elderly patients with hypertension combined with diabetes were selected from 2020.3 to 2021.3 and divided into control group and observation group by random number table method. Control group received routine treatment, observation group received routine treatment + preventive care. Blood pressure, blood glucose, self-efficacy, psychological status, quality of life and compliance were compared. Results: The blood pressure, blood glucose, self-efficacy, mental state, quality of life and compliance of the observation group were better than those of the control group (P < 0.05). Conclusion: The elderly patients with hypertension combined with diabetes generally have different degrees of anxiety and depression due to a variety of chronic metabolic diseases, which seriously affects the quality of life. Clinical nursing intervention measures for such patients are mainly conventional treatment, but long-term drug treatment cannot achieve clinical significant effect, and the progress of patients is difficult to effectively control. In this experiment, the treatment plan of patients in the observation group was optimized, preventive care was carried out on the basis of conventional treatment, and it was found that patients’ blood pressure, blood sugar, self-efficacy, psychological state, quality of life and compliance were significantly improved, which was worthy of clinical promotion.