CAJ | 학술논문

目的：探讨2型糖尿病患者非糖尿病一级亲属心血管危险因素及护理干预对其影响。方法将192例2型糖尿病患者非糖尿病一级亲属随机分为干预组128例，对照组64例，对照组给以用药指导、合理运动指导等常规护理，干预组在此基础上进行针对性的个体化护理干预，分析比较干预前后两组患者血液流变学各指标变化，并进行ICVD危险评分，评估心血管疾病发病风险。结果与对照组相比，干预组多重危险因素明显回归，心血管绝对风险度明显降低（ P＜0．05）。结论2型糖尿病患者糖耐量减低一级亲属存在心血管疾病的多重危险因素，个体化护理干预对心血管疾病的预防起积极促进作用。
목적：탐토2형당뇨병환자비당뇨병일급친속심혈관위험인소급호리간예대기영향。방법장192례2형당뇨병환자비당뇨병일급친속수궤분위간예조128례，대조조64례，대조조급이용약지도、합리운동지도등상규호리，간예조재차기출상진행침대성적개체화호리간예，분석비교간예전후량조환자혈액류변학각지표변화，병진행ICVD위험평분，평고심혈관질병발병풍험。결과여대조조상비，간예조다중위험인소명현회귀，심혈관절대풍험도명현강저（ P＜0．05）。결론2형당뇨병환자당내량감저일급친속존재심혈관질병적다중위험인소，개체화호리간예대심혈관질병적예방기적겁촉진작용。
Objective This paper was to study the cardiovascular risk factorsnon-diabetic first-degree relatives ofpatients with type2 diabetesand the influence of nursing intervention.Methods 192 cases of non -diabetic first-degree relativesof patients with type 2 diabetes were randomly divided into intervention group ( n=128) and control group (n=64).Patients in control group were given conventional nursing guidelines and the reasonable sports guidance, patientsin intervention group were given specific individualized nursing interventionon the basis of the control group.We compared the changes of indexes of blood rheology and ICVD risk score of the two groupsbefore and after the intervention, in order to assess the risk of cardiovascular disease.Results Compared with control group, the multiple risk factor of intervention group was obviously regression, cardiovascular absolute risk degree is decreased obviously (P <0.05).Conclusions Glucose tolerance in patients with type 2 diabetes reduce multiple risk factors for cardiovascular disease in first -degree relatives, individualized nursing intervention actively promote the prevention of cardiovascular disease.