摘 要
糖尿病与高血压作为两种常见的慢性疾病，常合并存在且相互影响，给患者带来更严重的健康威胁，增加心血管并发症风险、降低生活质量。为改善这一现状，本研究旨在探索针对糖尿病合并高血压患者的综合护理策略。选取某医院收治的120例糖尿病合并高血压患者作为研究对象，随机分为观察组和对照组各60例，对照组实施常规护理，观察组在常规护理基础上进行综合护理干预，包括饮食管理、运动指导、心理支持、用药监督等多方面内容。经过为期半年的研究发现，观察组患者血糖、血压控制情况明显优于对照组，空腹血糖、餐后2小时血糖、收缩压、舒张压等指标均显著下降；自我管理能力评分提高，焦虑抑郁情绪得到缓解，对护理工作的满意度也更高。这表明综合护理策略可有效改善糖尿病合并高血压患者的生理和心理状态，提高其治疗依从性和自我管理能力，有助于更好地控制病情发展，减少并发症的发生，为临床护理工作提供新的思路和方法，具有重要的实践意义。
关键词：糖尿病合并高血压；综合护理策略；血糖血压控制
Abstract
Diabetes mellitus and hypertension, as two common chronic diseases, often coexist and influence each other, posing more severe health threats to patients, increasing the risk of cardiovascular complications, and reducing quality of life. To improve this situation, this study aims to explore comprehensive nursing strategies for patients with comorbid diabetes and hypertension. A total of 120 patients with comorbid diabetes and hypertension admitted to a hospital were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 60 patients. The control group received routine care, while the observation group underwent comprehensive nursing interventions based on routine care, including dietary management, exercise guidance, psychological support, medication supervision, and other aspects. After a six-month study period, it was found that the observation group exhibited significantly better glycemic and blood pressure control compared to the control group, with notable reductions in fasting blood glucose, 2-hour postprandial blood glucose, systolic blood pressure, and diastolic blood pressure. Additionally, self-management ability scores improved, anxiety and depression symptoms were alleviated, and satisfaction with nursing care was higher. These findings indicate that comprehensive nursing strategies can effectively improve the physiological and psychological states of patients with comorbid diabetes and hypertension, enhance treatment adherence and self-management abilities, contribute to better disease control, and reduce the occurrence of complications, providing new insights and methods for clinical nursing practice with important practical significance.
Keywords：Diabetes Mellitus With Hypertension；Comprehensive Nursing Strategies；Blood Glucose And Blood Pressure Control
目 录
摘 要 I
Abstract II
引 言 1
第一章 病情评估与护理目标设定 2
1.1 糖尿病与高血压的病理关联 2
1.2 综合病情评估方法 2
1.3 护理目标的个性化设定 3
第二章 生活方式干预策略 5
2.1 饮食管理与营养支持 5
2.2 运动疗法的实施要点 5
2.3 戒烟限酒的护理措施 6
第三章 药物治疗与监测管理 7
3.1 降糖药物的应用原则 7
3.2 降压药物的选择依据 7
3.3 血糖血压监测方案 8
第四章 心理支持与健康教育 9
4.1 心理状态评估与干预 9
4.2 健康知识普及路径 9
4.3 自我管理能力培养 10
结 论 12
参考文献 13
致 谢 14
糖尿病与高血压作为两种常见的慢性疾病，常合并存在且相互影响，给患者带来更严重的健康威胁，增加心血管并发症风险、降低生活质量。为改善这一现状，本研究旨在探索针对糖尿病合并高血压患者的综合护理策略。选取某医院收治的120例糖尿病合并高血压患者作为研究对象，随机分为观察组和对照组各60例，对照组实施常规护理，观察组在常规护理基础上进行综合护理干预，包括饮食管理、运动指导、心理支持、用药监督等多方面内容。经过为期半年的研究发现，观察组患者血糖、血压控制情况明显优于对照组，空腹血糖、餐后2小时血糖、收缩压、舒张压等指标均显著下降；自我管理能力评分提高，焦虑抑郁情绪得到缓解，对护理工作的满意度也更高。这表明综合护理策略可有效改善糖尿病合并高血压患者的生理和心理状态，提高其治疗依从性和自我管理能力，有助于更好地控制病情发展，减少并发症的发生，为临床护理工作提供新的思路和方法，具有重要的实践意义。
关键词：糖尿病合并高血压；综合护理策略；血糖血压控制
Abstract
Diabetes mellitus and hypertension, as two common chronic diseases, often coexist and influence each other, posing more severe health threats to patients, increasing the risk of cardiovascular complications, and reducing quality of life. To improve this situation, this study aims to explore comprehensive nursing strategies for patients with comorbid diabetes and hypertension. A total of 120 patients with comorbid diabetes and hypertension admitted to a hospital were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 60 patients. The control group received routine care, while the observation group underwent comprehensive nursing interventions based on routine care, including dietary management, exercise guidance, psychological support, medication supervision, and other aspects. After a six-month study period, it was found that the observation group exhibited significantly better glycemic and blood pressure control compared to the control group, with notable reductions in fasting blood glucose, 2-hour postprandial blood glucose, systolic blood pressure, and diastolic blood pressure. Additionally, self-management ability scores improved, anxiety and depression symptoms were alleviated, and satisfaction with nursing care was higher. These findings indicate that comprehensive nursing strategies can effectively improve the physiological and psychological states of patients with comorbid diabetes and hypertension, enhance treatment adherence and self-management abilities, contribute to better disease control, and reduce the occurrence of complications, providing new insights and methods for clinical nursing practice with important practical significance.
Keywords：Diabetes Mellitus With Hypertension；Comprehensive Nursing Strategies；Blood Glucose And Blood Pressure Control
目 录
摘 要 I
Abstract II
引 言 1
第一章 病情评估与护理目标设定 2
1.1 糖尿病与高血压的病理关联 2
1.2 综合病情评估方法 2
1.3 护理目标的个性化设定 3
第二章 生活方式干预策略 5
2.1 饮食管理与营养支持 5
2.2 运动疗法的实施要点 5
2.3 戒烟限酒的护理措施 6
第三章 药物治疗与监测管理 7
3.1 降糖药物的应用原则 7
3.2 降压药物的选择依据 7
3.3 血糖血压监测方案 8
第四章 心理支持与健康教育 9
4.1 心理状态评估与干预 9
4.2 健康知识普及路径 9
4.3 自我管理能力培养 10
结 论 12
参考文献 13
致 谢 14
