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目的:探讨Orem自理模式应用于老年糖尿病合并高血压患者护理的临床效果。方法:选取我院2012年1月-2013年6月间我院收治的110例老年糖尿病合并高血压患者,根据入院的先后顺序将其随机分为观察组以及对照组,每组55例。观察组在常规治疗同时予以Orem自理模式护理,对照组予以一般护理。比较治疗护理后两组患者的生活质量以及血糖和血压控制情况。结果:观察组患者躯体功能、心理功能、社会功能和物质生活4个方面的生活质量各项评分均明显高于对照组,组间比较差异均有统计学意义(P<0.05)。观察组治疗护理后的血压以及血糖控制情况明显优于对照组,组间比较差异均有统计学意义(P<0.05)。。结论:应用Orem自理模式对老年糖尿病合并高血压的患者进行护理可以明显提高患者的生活质量,良好地控制血糖以及血压,提高患者的治疗依从性,增强治疗疾病的信心,促进康复,值得临床推广应用[1]。
Objective: To investigate the clinical effect of Orem self-care model in elderly patients with diabetes mellitus and hypertension. Methods: A total of 110 elderly patients with diabetes mellitus admitted to our hospital from January 2012 to June 2013 were randomly divided into observation group and control group according to the order of admission, with 55 cases in each group. The observation group was treated with Orem self-care mode at the same time as conventional treatment, while the control group was given general nursing. The quality of life and the control of blood glucose and blood pressure were compared between the two groups after treatment and care. Results: The scores of physical quality, mental function, social function and physical life in the observation group were all significantly higher than those in the control group. The differences among the groups were statistically significant (P <0.05). The observation group after treatment and care of blood pressure and glycemic control were significantly better than the control group, the difference between the groups were statistically significant (P <0.05). . Conclusion: Using Orem self-care model to treat elderly patients with diabetes mellitus and hypertension can significantly improve the quality of life of patients, control blood sugar and blood pressure well, improve patient compliance with treatment, enhance confidence in treatment of diseases and promote rehabilitation, which is worthy of clinical promotion Application [1].