郭蕾,雷睿
新疆克孜勒蘇柯爾克孜自治州第一人民醫(yī)院老年病科,新疆克孜勒蘇柯爾克孜自治州 845350
探討老年高血壓合并糖尿病患者的心理調(diào)查及護(hù)理對(duì)治療的影響
郭蕾,雷睿
新疆克孜勒蘇柯爾克孜自治州第一人民醫(yī)院老年病科,新疆克孜勒蘇柯爾克孜自治州 845350
目的 探討心理調(diào)查與護(hù)理對(duì)老年高血壓合并糖尿病患者治療的影響。方法 隨機(jī)選取2013年1月—2014年1月老年高血壓合并糖尿病患者100例,隨機(jī)將100例患者分為兩組,分別為研究組與對(duì)照組,每組50例患者,兩組患者均使用常規(guī)方法進(jìn)行治療,研究組在進(jìn)行常規(guī)方法治療的基礎(chǔ)上,對(duì)患者進(jìn)行心理調(diào)查與護(hù)理,觀察兩組患者的療效。結(jié)果 研究組患者生活質(zhì)量明顯提高,憂郁、焦慮程度明顯改善,并對(duì)患者的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論 使用心理調(diào)查與護(hù)理能夠有效幫助患者減少精神壓力,提高生活質(zhì)量,能夠?qū)χ委熇夏旮哐獕汉喜⑻悄虿√峁椭?因此,應(yīng)該將心理調(diào)查、護(hù)理與常規(guī)治療手法相結(jié)合,對(duì)高血壓結(jié)合糖尿病患者進(jìn)行治療,有效減輕患者的痛苦和負(fù)擔(dān),理應(yīng)被推廣。
高血壓;糖尿病;心理;護(hù)理
糖尿病是一種代謝異常的疾病,通常是因?yàn)橐葝u素分泌量異常與胰島素功能性異常導(dǎo)致,對(duì)人體器官與神經(jīng)系統(tǒng)產(chǎn)生損傷,患者會(huì)出現(xiàn)缺水、酸堿失衡、昏迷等癥狀[1]。該研究隨機(jī)選取2013年1月—2014年1月老年高血壓合并糖尿病患者100例,并使用心理調(diào)查與護(hù)理結(jié)合常規(guī)治療的方法,探究心理治療法對(duì)治療高血壓結(jié)合糖尿病的意義,現(xiàn)報(bào)道如下。
1.1 一般資料
隨機(jī)選取2013年1月—2014年1月老年高血壓合并糖尿病患者100例,100例患者中男性患者61例,女性患者39例,年齡在61~83歲之間。高血壓與糖尿病在臨床表現(xiàn)時(shí),主要體現(xiàn)為血壓升高,尿多,患者消瘦,血糖普遍偏低、頭暈、乏力,在癥狀加重時(shí),會(huì)出現(xiàn)惡心、嘔吐等胃腸道反應(yīng)[2]。
表1 研究組與對(duì)照組數(shù)據(jù)統(tǒng)計(jì)分析
1.2 方法
隨機(jī)選取2013年1月—2014年1月老年高血壓合并糖尿病患者100例,隨機(jī)將100例患者分為兩組,分別為研究組與對(duì)照組,每組50例患者,兩組患者均使用常規(guī)方法進(jìn)行治療,研究組在進(jìn)行常規(guī)方法治療的基礎(chǔ)上,對(duì)患者進(jìn)行心理調(diào)查并給予針對(duì)性的心理護(hù)理,觀察兩組患者的療效。
1.3 統(tǒng)計(jì)方法
使用SPSS17.0對(duì)兩組數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,差異有統(tǒng)計(jì)學(xué)意義(P<0.05),差異無統(tǒng)計(jì)學(xué)意義(P>0.05)。
將兩組數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,見表1。
通過表1可以得知,研究組50例老年高血壓合并糖尿病患者餐前血糖為(6.8±0.4)m m ol/L,餐后血糖為(8.0±0.2)m m ol/L,滿意度為80%,滿意人數(shù)為40例;對(duì)照組50例老年高血壓合并糖尿病患者餐前血糖為(8.3±0.3)m m ol/L,餐后血糖為(10.0±0.3)m m ol/L,滿意度為64%,滿意人數(shù)為32例,使用SPSS17.0對(duì)兩組的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。通過對(duì)數(shù)據(jù)中老年高血壓合并糖尿病患者100例進(jìn)行心理調(diào)查,因家庭不和、空巢老人等因素引發(fā)疾病的患者72例,因?yàn)椴灰?guī)范的飲食引發(fā)疾病的患者5例,因?yàn)橄嚓P(guān)并發(fā)癥引發(fā)疾病的患者33例,由此可見,心理因素是老年高血壓合并糖尿病患者患病的主要因素。
中國(guó)的醫(yī)學(xué)模式正在轉(zhuǎn)變,患者的心理治療越來越受到醫(yī)護(hù)人員的重視,對(duì)于高血壓結(jié)合糖尿病患者的心理因素探究很有必要,因此要將心理因素進(jìn)行詳細(xì)調(diào)查,并針對(duì)心理因素進(jìn)行護(hù)理[3]。由于心理原因是患者患病的主要因素,應(yīng)該制定相應(yīng)的護(hù)理方法,治療老年高血壓合并糖尿病患者。主要措施:①肯定患者的觀點(diǎn),降低患者的精神壓力。②加強(qiáng)患者對(duì)糖尿病與高血壓的認(rèn)識(shí),并選用最優(yōu)方案,治療患者。③鼓勵(lì)患者進(jìn)行戶外運(yùn)動(dòng),使心理合理放松,較少患者的壓力。④加強(qiáng)與患者的溝通,提升醫(yī)患關(guān)系,使患者能夠真正的接受治療。
綜上所述,使用心理調(diào)查與護(hù)理能夠有效幫助患者減少精神壓力,提高生活質(zhì)量,能夠?qū)χ委熇夏旮哐獕汉喜⑻悄虿√峁椭鶾4]。因此,應(yīng)該將心理調(diào)查、護(hù)理與常規(guī)治療手法相結(jié)合,對(duì)高血壓結(jié)合糖尿病患者進(jìn)行治療,有效減輕患者的痛苦和負(fù)擔(dān),理應(yīng)被推廣[5]。
[1] 宋艷梅,袁芳,張玉榮,等.抗抑郁及心理綜合干預(yù)治療糖尿病眼底病變43例[J].中國(guó)藥業(yè),2014,23(9):62-63.
[2] 李彩英,高哲,陳金虎,等.心理護(hù)理干預(yù)對(duì)糖尿病合并冠心病病人療效的臨床研究[J].護(hù)理研究,2014(36):4530-4531.
[3] Lu Shiying, Zhu Ying.Effect of psychological intervention on anxiety of patients with diabetic eye disease before [J]. Zhejiang Journal of preventive medicine, 2014,26 (12): 1231-1232,1242.
[4] Li Xia, Jie Mei, Zhang Huijun. The community elderly mental guidance method Type 2 diabetes mellitus patients with anxiety depression and glycemic control effect of [J]. China Journal of Gerontology, 2013,33 (7): 1647-1648.
[5] Li Xiaojing, Qi Hong Mei, Yang Yijuan, et al. Psychological nursing intervention on blood glucose in diabetic patients, Effect of lipid [J]. Journal of Guiyang College of Traditional Chinese Medicine, 2013,35 (6): 240-241.
To Explore the Effect of Psychological Investigation and Nursing in Elderly Hypertensive Patients with Diabetes to Treatment
GUO Lei,LEI Rui
The first people's Hospital of Xinjiang autonomous Kezilesukeerkezi geriatrics, Xinjiang autonomous Kezilesukeerkezi,845350 China
ObjectiveTo explore the effect of psychological investigation and nursing of elderly patients with hypertension and diabetes treatment.Methodsrandomly selected from 2013 January to 2014 January 100 cases of elderly patients with hypertension and diabetes, 100 patients were randomly divided into two groups, the study group and the control group respectively, 50 patients in each group, two groups of patients were treated with conventionalMethods,Study Group on the basis of routine treatment, carries on the investigation and the psychological nursing of patients, Efficacy observation of two groups of patients.ResultsThe quality of life of patients in study group were significantly improved, melancholy, anxiety was significantly improved,And the patient’s data for statistical analysis, the difference was statistically significant (P<0.05).Conclusionthe use of investigation and psychological nursing can help patients to reduce mental stress, To improve the quality of life, to provide help for the treatment of senile hypertension complicated with diabetes mellitus, Therefore, it should be the psychological investigation, nursing and routine treatment combined with, Treatment of hypertension combined with diabetes mellitus, effectively alleviate the suffering of patients and the burden, Deserved a promotion.
Hypertension; Diabetes mellitus; Psychology; Nursing
R47
A
1672-4062(2015)06(b)-0205-02
2015-03-18)
郭蕾(1976.1-),女,河南人,本科,主管護(hù)師,研究方向:老年病護(hù)理。