协同护理联合系统家庭治疗对糖尿病合并高脂血症患者血糖血脂及生活质量的影响

发布时间：2018-05-19 12:58

本文选题：协同护理 + 高脂血症　；参考：《中国老年学杂志》2017年05期

【摘要】：目的探讨协同护理联合系统家庭治疗对糖尿病合并高脂血症患者血糖血脂的控制及生活质量的影响。方法合并高脂血症的糖尿病患者186例,采取随机数字表法分成观察组与对照组各93例。对照组单纯施以常规护理干预,观察组在前者基础上施以协同护理联合系统家庭治疗,分析记录两组干预前后总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)以及生活质量等指标。结果两组相关措施实施后TC、糖化血红蛋白(Hb A1c)、LDL-C、餐后血糖、TG和空腹血糖水平以及SF-36量表各项目评分与本组干预前比较差异显著且观察组优于对照组(均P0.01);相关干预措施实施后,观察组情绪控制、坚持运动、正确服药、戒烟戒酒、合理饮食、自我监控以及定期复查等遵医行为指标较对照组均存在显著差异(P0.01)。结论协同护理联合系统家庭治疗能够高效控制病患血脂以及血糖,使病患的生活质量以及相关遵医行为获得显著提高。
[Abstract]:Objective to explore the effect of combined nursing and family therapy on blood glucose and blood lipid control and quality of life (QOL) in diabetic patients with hyperlipidemia. Methods 186 diabetic patients with hyperlipidemia were randomly divided into observation group (n = 93) and control group (n = 93). The control group was only given routine nursing intervention, while the observation group was treated with combined nursing system and family therapy on the basis of the former. Total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), triglyceride (TG) and quality of life (QOL) were recorded before and after intervention. Results there were significant differences in Tc, HbA1cU LDL-C, postprandial blood glucose TG and fasting blood glucose level, and the scores of SF-36 scale between the two groups before and after intervention (all P 0.01), and after the implementation of relevant intervention measures, the observation group was better than the control group (all P 0.01). There were significant differences between the observation group and the control group in mood control, exercise persistence, taking medicine correctly, giving up smoking and drinking, rational diet, self-monitoring and regular reexamination compared with the control group (P 0.01). Conclusion Family therapy combined with nursing system can effectively control blood lipids and blood sugar, and improve the quality of life and compliance behavior of patients.
【作者单位】：川北医学院附属医院内分泌科;
【基金】：国家自然科学基金项目(No.81371378) 四川省教育厅一般项目(No.16SB0131)
【分类号】：R473.5

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