Yang Hong, Hu Junhua, Deng Ting, Li Ting
Health Management Center, People's Hospital of Mingshan District Ya'an, Ya'an, Sichuan Province, China.
Endocrine. 2025 May 22. doi: 10.1007/s12020-025-04249-0.
The occurrence of hypertension combined with diabetes can lead to a continuous deterioration in the physical condition of elderly patients. Health management, as an indispensable part of medical services, can achieve early prevention of diseases, early treatment of existing conditions, and the integration of prevention and treatment.
We aimed to explore the impact of health management on blood pressure and blood glucose levels, health knowledge mastery, medication adherence, self-management abilities, and quality of life in elderly patients with hypertension (HTN) and diabetes mellitus (DM).
One hundred and fifty elderly patients with HTN and DM who underwent physical examinations from January 2022 to December 2023 were enrolled. Those who received routine health management from January 2022 to December 2022 were assigned to the control group, while those who received comprehensive health management from January 2023 to December 2023 were assigned to the observation group, with 75 patients in each group. Key outcomes were compared, including lipid profiles, blood pressure, glycosylated hemoglobin, fasting plasma glucose, 2-hour postprandial blood glucose, the time taken for physical examinations, patient compliance rates, and physical examination accuracy rates, disease-related knowledge scores, self-management capacity through ESCA scale, quality of life through DSQL scale, and medication adherence through MMAS-8 scale.
The observation group demonstrated lower lipid levels, blood pressure, and glycemic indices, along with improved examination efficiency, higher disease knowledge scores, higher ESCA scale and MMAS-8 scale scores, and lower DSQL scale scores than the control group (P < 0.01).
Providing health management to elderly patients with HTN and DM significantly reduced blood lipid, blood pressure, and blood glucose levels, improve patients' self-management ability, quality of life, and medication adherence, thereby contributing to disease management.
高血压合并糖尿病的发生会导致老年患者身体状况持续恶化。健康管理作为医疗服务不可或缺的一部分，可实现疾病的早期预防、现有病症的早期治疗以及防治结合。
我们旨在探讨健康管理对老年高血压（HTN）合并糖尿病（DM）患者的血压、血糖水平、健康知识掌握情况、用药依从性、自我管理能力及生活质量的影响。
纳入2022年1月至2023年12月期间接受体检的150例老年HTN合并DM患者。将2022年1月至2022年12月接受常规健康管理的患者分配至对照组，将2023年1月至2023年12月接受综合健康管理的患者分配至观察组，每组75例。比较关键结局，包括血脂谱、血压、糖化血红蛋白、空腹血糖、餐后2小时血糖、体检所需时间、患者依从率和体检准确率、疾病相关知识得分、通过ESCA量表评估的自我管理能力、通过DSQL量表评估的生活质量以及通过MMAS - 8量表评估的用药依从性。
与对照组相比，观察组的血脂水平、血压和血糖指标较低，检查效率提高，疾病知识得分较高，ESCA量表和MMAS - 8量表得分较高，DSQL量表得分较低（P < 0.01）。
为老年HTN合并DM患者提供健康管理可显著降低血脂、血压和血糖水平，提高患者的自我管理能力、生活质量和用药依从性，从而有助于疾病管理。
