MMC管理模式下高血压、糖尿病患者实施健康管理的效果分析

*通訊作者：王珊，1983年7月，女，汉族，四川成都人，就职于成都大学附属医院主任护师，本科学历。研究方向：临床护理。

摘要：目的：对我院MMC中心高血压、糖尿病患者实施健康管理的效果进行分析研究。方法：将我中心建立健康档案的高血压及糖尿病患者随机抽取102例进行分组管理，在取得患者及家属同意后将此102例患者平均分成对照组与研究组，对照组患者在分组期间进行常规管理，研究组患者在分组期间进行健康管理。结果：管理前，对照组与研究组的患者收缩压及舒张压无明显差异，收缩压P = 0.071、t = 3.496，舒张压P = 0.058、t = 3.141。管理后，研究组患者收缩压为（112.4±9.8），舒张压为（71.3±8.6），对照组患者收缩压为（129.2±13.1），舒张压为（79.6±8.0），研究组患者血压值情况显著优于对照组患者，收缩压P = 0.002，t = 4.678，舒张压P = 0.001，t = 2.626;管理前，两组患者血糖控制率无明显差异，P = 0.064，x2 = 3.253。管理后，研究组患者血糖控制率（84.31%）显著高于对照组患者血糖控制率（70.59%），P = 0.012，x2 = 2.537。结论：在社区中实施健康管理能够有效控制高血压、糖尿病患者的血压值及血糖值，管理方法安全可靠，应推广使用。

关键词：高血压;糖尿病;健康管理

Abstract： Objective： To analyze the effect of health management on hypertension and diabetes patients in MMC center of our hospital. Methods： 102 patients with hypertension and diabetes were randomly selected from our center to conduct group management. After obtaining the consent of the patients and their families， the 102 patients were equally divided into the control group and the research group. The control group was given routine management during the grouping period， and the patients in the research group were given health management during the group period. Results： Before management， there was no significant difference in systolic and diastolic blood pressure between the control group and the research group. Systolic blood pressure P = 0.071， t = 3.496， diastolic blood pressure P = 0.058， t = 3.141. After management， the systolic blood pressure in the research group was （112.4 ± 9.8）， the diastolic blood pressure was （71.3 ± 8.6）， the systolic blood pressure in the control group was （129.2 ± 13.1）， and the diastolic blood pressure was （79.6 ± 8.0）. The blood pressure in the research group was significantly better than that in the control group， systolic blood pressure P = 0.002， t = 4.678， diastolic blood pressure P = 0.001， t = 2.626; Before management， there was no significant difference in blood glucose control rate between the two groups， P = 0.064，x2=3.253.  After management， the blood glucose control rate in the study group （84.31%） was significantly higher than that in the control group （70.59%）， P = 0.012，x2=2.537.Conclusion： The implementation of health management in communities can effectively control blood pressure and blood sugar values of patients with hypertension and diabetes. The management method is safe and reliable， and should be widely used.

Keywords： Hypertension; Diabetes; Health management

一、引言

在经济发展与生活方式不断改变下，慢性疾病患者数量不断增多。高血压合并糖尿病是常见性的多重慢性疾病。研究表明，高血压与糖尿病均是引起心脑血管事件的独立危险性因素，二者合并存在会明显增加心脑血管事件的发生风险[1]。高血压与糖尿病均需长时间用药控制病情，患者用药依从性低。为提高患者治疗依从性，需要提供有效的护理措施。……