吴晓霞

[摘要] 目的 探究强化健康认知护理对高血压合并糖尿病患者生活质量的改善效果。方法 选取该院2018年1—12月收治的高血压合并糖尿病患者94例，采用摸球法分为研究组和常规组，各47例。研究组采用强化健康认知护理，常规组采用常规护理。护理2个月开展随访，观察健康认知程度评分、生活质量评分及空腹血糖、糖化血红蛋白、收缩压、舒张压变化。结果 研究组健康认知程度评分、生活质量评分均高于常规组，对比差异有统计学意义（P<0.05）。研究组空腹血糖、糖化血红蛋白等血糖指标及收缩压、舒张压等血压指标均低于常规组，对比差异有统计学意义（P<0.05）。结论 强化健康认知护理在高血压合并糖尿病患者中具有显著效果，可改善患者认知及生活质量，有效控制血压、血糖，值得临床推广。

[关键词] 强化健康认知护理;高血压合并糖尿病;生活质量

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1672-4062（2020）01（b）-0171-02

[Abstract] Objective To investigate the effect of intensive health care on the quality of life of patients with hypertension and diabetes. Methods A total of 94 patients with hypertension and diabetes mellitus admitted to the hospital from January to December 2018 were enrolled. The patients were divided into study group and routine group by 47 cases each. The study group used intensive health care care and the routine group used routine care. Follow-up was performed for 2 months， and the health cognitive score， quality of life score， fasting blood glucose， glycosylated hemoglobin， systolic blood pressure， and diastolic blood pressure were observed. Results The health cognition score and quality of life score of the study group were higher than the conventional group， and the correlation was statistically significant （P<0.05）. The blood glucose indexes such as fasting blood glucose and glycosylated hemoglobin in the study group and blood pressure indexes such as systolic blood pressure and diastolic blood pressure were lower than those in the conventional group， and the correlation was statistically significant （P<0.05）. Conclusion Intensive health care nursing has significant effects in patients with hypertension and diabetes. It can improve patients' cognition and quality of life， effectively control blood pressure and blood glucose， and is worthy of clinical promotion.

[Key words] Strengthen health cognitive nursing; Hypertension with diabetes; Quality of life

高血压合并糖尿病是目前臨床常见合并疾病，高血压及糖尿病单独存在均属于终身性代谢性慢性疾病，具有治疗周期长、难治愈、并发症多等特点[1]。高血压合并糖尿病可直接导致治疗难度增加，且患者受疾病特点影响极易出现不适感及负性心理，外加对疾病认知程度较低，导致治疗效果不佳[2]。该院围绕高血压合并糖尿病患者治疗中护理工作开展研究，就2018年1—12月该院收治的94例中的47例高血压合并糖尿病患者采用强化健康认知护理，报道如下。

1  资料与方法

1.1  一般资料

选取该院收治的高血压合并糖尿病患者94例，采用摸球法分为研究组和常规组，各47例。研究组男25例，女22例;年龄61～84岁，平均（72.5±1.3）岁;病程2～16年，平均（9.2±1.2）岁;常规组男24例，女23例;年龄60～84岁，平均（72.4±1.3）岁;病程2～17年，平均（9.2±1.3）年;两组一般资料可差异无统计学意义（P>0.05）。具有可比性。

1.2  方法

研究组采用……