协同家庭治疗对糖尿病高脂血症患者的影响

目的探究糖尿病合并高脂血症患者经协同护理联合系统家庭治疗对生活质量及血糖血脂控制的影响。方法选取2017年2月-2019年5月我院收治的糖尿病合并高脂血症患者83例,按照数字随机法分为试验组42例与参照组41例,参照组实施常规护理干预措施,试验组在上述基础上实施协同护理联合家庭治疗,对比分析干预后两组患者血糖水平、血脂水平及生活质量情况。结果经护理干预后,试验组LDL-C(低密度脂蛋白胆固醇,low density lipoprotein cholesterol)为(2.02±0.71)mmol/L、TC(总胆固醇,total cholesterol)为(5.08±0.76)mmol/L、TG(甘油三酯,triglyceride)为(0.51±0.42)mmol/L显著优于参照组的(3.18±0.96)mmol/L、(6.26±0.99)mmol/L、(1.38±0.54)mmol/L,有统计学差异,P<0.05;经护理干预后试验组空腹血糖水平、餐后血糖水平及糖化血红蛋白(HbAlc)显著低于参照组,有统计学差异,P<0.05;试验组生活质量评分为(92.58±9.05)分,参照组为(81.22±8.21)分,试验组显著优于参照组,有统计学差异,P<0.05。结论糖尿病合并高脂血症患者经协同护理联合系统家庭治疗,可有效改善血脂与血糖水平,提高患者生活质量,效果显著。

Effect of Cooperative Nursing and Systematic Family Therapy on Patients with Diabetes Mellitus Complicated With Hyperlipidemia

Objective To investigate the effects of family therapy on quality of life and blood glucose and lipid control in patients with diabetes mellitus complicated with hyperlipidemia.Methods Eighty-three patients with diabetes mellitus complicated with hyperlipidemia admitted to our hospital from February 2017 to May 2019 were enrolled.According to the numerical randomization method,42 patients in the experimental group and 41 patients in the control group were enrolled.The control group implemented routine nursing interventions.The experimental group implemented the cooperative nursing combined family therapy on the above basis,and compared the blood glucose level,blood lipid level and quality of life of the two groups after intervention.Results After nursing intervention,LDL-C(low density lipoprotein cholesterol)was(2.02±0.71)mmol/L,TC(total cholesterol)was(5.08±0.76)mmol/L and TG(triglyceride)was(0.51±0.42)mmol/L in the experimental group,which were significantly better than those in the control group(3.18±0.96)mmol/L,(6.26±0.99)mmol/L、(1.38±0.54)mmol/L,there were statistical difference(P<0.05).The levels of fasting blood sugar,postprandial blood sugar and glycosylated hemoglobin(HbAlc)in the experimental group were significantly lower than those in the control group after nursing intervention(P<0.05).The quality of life score in the experimental group was(92.58±9.05),which was significantly better than that of the control group(81.22±8.21)(P<0.05).Conclusion Patients with diabetes mellitus complicated with hyperlipidemia can improve blood lipids and blood sugar levels and improve the quality of life of patients with synergistic nursing system.