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中文摘要: 目的 分析预防保健措施对老年高血压合并糖尿病患者血压及血糖的控制情况。方法 选择120例上海市静安区彭浦新村街道社区卫生服务中心2016年6月—2017年6月接诊的高血压合并糖尿病的老年患者进行研究，遵循随机数表法被均分为观察组和对照组各60例。对照组患者采用单纯药物治疗，观察组患者在采用常规护理措施的同时实施预防保健措施。观察两组患的收缩压、舒张压、空腹血糖、餐后2 h血糖、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分以及患者的服药及饮食指导依从性。结果 实施前，两组患者的收缩压、舒张压、空腹血糖和餐后2 h血糖均无明显差异（P﹥0.05）；实施后，两组患者的收缩压、舒张压、空腹血糖和餐后2 h血糖均明显降低，且观察组明显低于对照组（P﹤0.05）。实施前，两组患者的SAS评分及SDS评分无明显的差异（P﹥0.05）；实施后，两组的SAS评分及SDS评分均明显降低，且观察组明显低于对照组（P﹤0.05）。实施后，观察组的服药依从性为96.67％，对照组为86.67％，两组比较有显著性差异（χ2=3.397，P﹤0.05）；观察组的饮食指导依从性为88.33％，对照组为73.33％，两组比较有显著性差异（χ2=4.357，P﹤0.05）。结论 预防保健措施可有效地提高患者的服药依从性和饮食依从性，消除负性情绪，降低患者的血压及血糖，其预防保健措施值得广泛运用并大力推广。
Abstract:OBJECTIVE To analyze the control effect of preventive health care measures on blood pressure and blood glucose in elderly patients with hypertension and diabetes.METHODS 120 elderly patients with hypertension and diabetes were diagnosed and treated in our hospital in June —2017 June 2016.According to the random number table method,they were divided into observation group and control group, 60 cases in each group.The patients in the control group were given medication, and the patients in the observation group were given preventive health care measures on the basis of routine nursing measures.The systolic blood pressure, diastolic blood pressure, fasting blood glucose, postprandial 2H blood glucose, self rating Anxiety Scale (SAS) score, self rating Depression Scale (SDS) score, medication compliance and food compliance of the two groups were observed.RESULTS Before the implementation, the systolic pressure, diastolic pressure, fasting blood glucose and postprandial 2h blood glucose of the two groups had no significant differences (P＞ 0.05),after the implementation, the systolic pressure, diastolic pressure, fasting blood glucose and postprandial 2h blood sugar of the patients in the observation group were all lower and lower than those of the control group (P＜0.05).Before the implementation, the SAS score and the SDS score of the two groups had no significant difference (P＞0.05).after the implementation, the SAS score and the SDS score of the observation group were lower and lower than those of the control group (P ＜ 0.05).After the implementation, the compliance of the observation group was 96.67%, while that of the control group was 86.67%. There was a obviousdifference between the two groups (χ2=3.397，P＜0.05). The food compliance of the observation group was 88.33%, while that of the control group was 73.33%.
There was a significant difference between the two groups (χ2=4.357，P< 0.05).CONCLUSION preventive health care measures can effectively improve the patient's medication compliance and dietary compliance, eliminate negative emotions, reduce blood pressure and blood sugar, and prevent health care measures, so it is worthy of wide application and promotion.
keywords: preventive health care measures hypertension diabetes self rating anxiety scale self rating depression scale
文章编号：3201805022 中图分类号：R544 文献标志码：
基金项目:
| 作者 | 单位 |
| 李 雁① , 杨芬红① |
| Author Name | Affiliation |
引用文本：