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1、健康指导在高血压糖尿病患者中的应用效果【摘要】目的：探讨健康指导应用于高血压糖尿病患者的护理效果。方法：笔者所在医院2012年3月对某单位1000例员工进行疾病筛查，其中高血压糖尿病患者180例作为观察组，采取健康指导护理干预,另选取同期150例高血压糖尿病患者作为对照组，并采取常规护理方法，观察比较两组患者护理后血压、血糖改善情况、遵医情况及护理满意度。结果：经护理后，两组患者的收缩压、舒张压、空腹血糖及餐后2h血糖等指标均明显低于护理前，观察组护理后的收缩压(118.14±1.43)mmHg明显低于对照组的(135.66±0.95)mmHg
2、；舒张压(74.19±1.32)mmHg明显低于对照组的(89.41±2.59)mmHg；空腹血糖(4.13±0.35)mmol/L明显低于对照组的(6.76±0.94)mmol/L；餐后2h血糖(5.47±0.69)mmol/L明显低于对照组的(9.65±1.55)mmol/L；且疾病知识、均衡饮食、按时服药及血糖监测等遵医率均明显高于对照组，观察组的护理满意度97.22%(175/180)明显高于对照组的74.67%(112/150),差异均有统计学意义(P【关键词】健康指导；高血压糖尿病；应用效果中图分类号R473.5文献标识码B文章编号
3、1674-6805(2015)14-0077-03ApplicationEffectofHealthEducationinPatientswithHypertensionandDiabetesMellitus/ZHULi-juan.//ChineseandForeignMedicalResearch,2015,13(14)：77-79[Abstract]Objective：Toinvestigatethenursingeffectofhealthguidaneeontheapplicationofhypertensiveanddiabeticp
4、atients.Method：Atotalof1000employeesinaunitwerescreenedfordiseaseintheauthor"shospitalinMarch2012.Amongthem,180patientswithhypertensionanddiabetesmellituswereselectedastheobservationgroup,theyweregivenhealthguidaneefornursingintervention.150patientswithhypertensionanddiabete
5、smellitusatthesameperiodwereselectedasthecontrolgroup,theyweregivenconventionalnursingmethods.Theimprovementofbloodpressure,bloodsugar,compliancebehaviorandnursingsatisfactionbetweenthetwogroupsafternursingwereobservedandcompared.Result：Afternursing，thesystolicbloodpressure,
6、diastolicbloodpressure,fastingbloodglucoseand2-hourpostprandialbloodglucoseofthetwogroupsweresign讦icantlylowerthanbeforenursing，thesystolicbloodpressureoftheobservationgroupwas(118.14+1.43)mmHg,whichwassign讦icantlylowerthan(135.66±0.95)mmHgofthecontrolgroup,thediastolicblood
7、pressureoftheobservationgroupwas(74.19±1.32)mmHg,whichwassign讦icantlylowerthan(89.41土2.59)mmHgofthecontrolgroup,thefastingbloodglucoseoftheobservationgroupwas(4.13±0.35)mmol/L,whichwassign讦icantlylowerthan(6・76±0・94)mmol/Lofthecontrolgroup,the2-hourpostprandialbloodglucoseof
8、theobservationgroupwas(5.47±0.69)mmol/L,whichwassign讦icantlylowerthan(9・65±
