社区护理干预对老年高血压伴糖尿病患者的影响

目的：探讨社区护理干预对老年高血压伴糖尿病患者的影响。方法选取深圳市某10个社区≥60岁的老年高血压伴糖尿病患者520例，随机将患者分为对照组与研究组，每组各260例。对照组患者出院后在社区门诊定期复诊，护士给予相关疾病知识的指导，研究组患者出院后在社区门诊定期复诊，并由专职医护人员通过电话或随访进行社区护理干预，每月1次。比较两组患者干预前后（干预9个月后）血压、血糖、血脂各项目的情况。结果两组患者干预前血压、血糖、血脂比较，均P＞0.05，差异无统计学意义。两组患者干预后血压、血糖、血脂比较，均P＜0.05，差异具有统计学意义，研究组患者明显优于对照组。结论社区护理干预能有效改善老年高血压伴糖尿病患者血压、血糖及血脂水平，从而减少心脑血管事件的发生率。

Effect of community nursing intervention on hypertension combined with diabetes in elderly patients

Objective To investigate the effect of community nursing intervention on hypertension combined with diabetes in elderly patients.Methods Five hundred and twenty elderly hypertensive patients with diabetes aged over 60 years in 10 communities of Shenzhen were randomly divided into a control group and a study group,260 cases in each group.All the patients in the two groups were given regular follow-ups in community clinics after discharge.Then the control group received instructions on relevant knowledge by the nurses in the community clinics,while the study group received nursing intervention by phone calls or visits by professional nurses once a month.The two groups were compared in terms of blood pressure,blood sugar and blood lipids 12 months after intervention.Results There were no significant differences in blood pressure,blood sugar and blood lipids between the two groups before the intervention（all P＆gt;0.05）.After intervention,however,the differences were significant（all P＆lt;0.05）.Conclusion Community nursing intervention may effectively improve hypertension and diabetes in the elderly patients by improving the levels of blood pressure,blood glucose and blood lipid,thereby reducing the incidence of cardiovascular and cerebrovascular events.