[1]柴树洁,孙秀慧,刘向玲.家属参与性延续护理对糖尿病视网膜病变患者玻璃体切割术后治疗依从性及并发症的影响[J].新乡医学院学报,2021,38(1):080-84.[doi:10.7683/xxyxyxb.2021.01.018]
　CHAI Shujie,SUN Xiuhui,LIU Xiangling.Effect of family′s participatory continuing nursing on treatment compliance and complications of the patients with diabetic retinopathy after vitrectomy[J].Journal of Xinxiang Medical University,2021,38(1):080-84.[doi:10.7683/xxyxyxb.2021.01.018]
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家属参与性延续护理对糖尿病视网膜病变患者玻璃体切割术后治疗依从性及并发症的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年1
页码:
080-84
栏目:
护理研究
出版日期:
2021-01-05

文章信息/Info

Title:
Effect of family′s participatory continuing nursing on treatment compliance and complications of the patients with diabetic retinopathy after vitrectomy
作者:
柴树洁; 孙秀慧; 刘向玲
（新乡医学院第三附属医院眼科，河南　新乡　453003）
Author(s):
CHAI Shujie; SUN Xiuhui; LIU Xiangling
(Department of Ophthalmology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
关键词:
糖尿病视网膜病变; 玻璃体切割术; 家属参与; 延续护理; 治疗依从性
Keywords:
diabetic retinopathyvitrectomyfamily′s participatorycontinuing nursingtreatment compliance
分类号:
R774.1
DOI:
10.7683/xxyxyxb.2021.01.018
文献标志码:
A
摘要:
目的　探讨家属参与性延续护理对糖尿病视网膜病变患者玻璃体切割术后治疗依从性及并发症的影响。方法　选择2018年1~12月于新乡医学院第三附属医院行玻璃体切割术糖尿病视网膜病变患者84例为研究对象，按照入院顺序随机分为观察组和对照组，每组42例。对照组患者给予常规的延续护理，观察组患者在对照组基础上实施家属参与性延续护理。使用微量血糖计测患者血糖水平，医生观察评定法与患者自我报告法评估患者治疗依从性；采用中文版低视力者生活质量量表（CLVQOL）评估患者生活质量，采用自行设计的满意度调查表对患者或其家属进行护理工作满意度调查。比较2组患者护理干预前后血糖水平、治疗依从性、生活质量、护理满意度及术后并发症。结果　护理干预前，2组患者血糖水平、CLVQOL评分比较差异无统计学意义(P>0.05)。2组患者护理干预后血糖水平均低于干预前，CLVQOL评分均高于干预前(P<0.05)；护理干预后，观察组患者血糖水平低于对照组，CLVQOL评分高于对照组(P<0.05)。护理干预后，对照组患者生活质量优14例，良18例，差10例，生活质量优良率为76.19%（32/42）；观察组患者生活质量优22例，良17例，差3例，生活质量优良率为92.86%（39/42）。观察组患者的生活质量优良率高于对照组（χ2=4.459，P<0.05）。护理干预后，观察组患者的自我血糖监测、自我眼部护理、准时服药和定期入院复查的治疗依从性评分高于对照组 (P<0.05)。对照组患者治疗依从性优15例，良16例，差11例，依从性优良率为73.81% (31/42)；观察组患者治疗依从性优24例，良16例，差2例，依从性优良率为95.24% (40/42)。观察组患者治疗依从性优良率高于对照组 (χ2=7.372，P<0.05)。对照组对护理工作非常满意23例，满意9例，不满意10例，总满意率为76.19%（32/42）；观察组对护理工作非常满意36例，满意5例，不满意1例，总满意率为 97.62%（41/42）。观察组患者总满意率高于对照组（χ2=8.473，P<0.05）。对照组患者发生眼底出血5例，视网膜脱落1例，虹膜红变1例，并发症发生率为16.67%（7/42）；观察组患者发生眼底出血1例，并发症发生率为2.38%（1/42）；观察组患者并发症发生率低于对照组 (χ2=4.974，P<0.05)。结论　家属参与性延续护理可改善糖尿病视网膜病变患者的血糖控制效果和治疗依从性，降低术后并发症，提高护理满意度，有效改善患者的生活质量。
Abstract:
Objective　To explore the effect of family′s participatory continuing nursing on treatment compliance and complications of the patients with diabetic retinopathy after vitrectomy.Methods　　A total of 84 patients with diabetic retinopathy underwent vitrectomy in the Third Affiliated Hospital of Xinxiang Medical University from January 2018 to December 2018 were selected as research subjects,and they were randomly divided into observation group and control group according to the order of admission,with 42 cases in each group.The patients in the control group were given routine continuing nursing;on the basis of control group,the patients in the observation group were given family′s participatory continuing nursing.The blood glucose levels of patients were detected by using micro-glucometer;the treatment compliances were evaluated by using doctor′s observation and evaluation method and patient self-report method;the quality of life of patients was evaluated by Chinese-version low vision quality of life questionnaire (CLVQOL),and the self-designed satisfaction questionnaire was used to conduct the nursing satisfaction survey for each discharged patient or their family members.The blood glucose levels,treatment compliance,quality of life,Postoperative complication and nursing satisfaction were compared between the two groups before and after the nursing intervention.Results　There was no significant difference in blood glucose levels and CLVQOL scores between the two groups before nursing intervention (P>0.05).After nursing intervention,the blood glucose levels of patients in the two groups were lower than those before the nursing intervention (P<0.05).The blood glucose levels of patients in the observation group were lower than those in the control group,and the CLVQOL scores were higher than those in the control group (P<0.05).After the nursing intervention,in the control group,there was 14 cases of excellent quality of life,18 cases of good quality of life,10 cases of poor quality of life,the rate of excellent and good quality of life was 76.19% (32/42);in the observation group,there was 22 cases of excellent quality of life,17 cases of good quality of life,3 cases of poor quality of life,the rate of excellent and good quality of life was 92.86% (39/42).The rate of excellent and good quality of life of patients in the observation group was higher than that in the control group (χ2=4.459,P<0.05).After the nursing intervention,the treatment compliance scores for self blood glucose monitoring,self eye care,taking medicine on time and regular admission review of patients in the observation group were higher than those in the control group (P<0.05).In the control group,the treatment compliance was excellent in 15 cases,good in 16 cases and poor in 11 cases,with the rate of excellent and good treatment compliance of 73.81% (31/42);in the observation group,the treatment compliance was excellent in 24 cases,good in 16 cases and poor in 2 cases,with the rate of excellent and good treatment compliance of 95.24% (40/42).The rate of excellent and good treatment compliance of patients in the observation group was higher than that in the control group (χ2=7.372,P<0.05).After the nursing intervention,23 cases in the control group were very satisfied to the nursing,9 cases were satisfied to the nursing,10 cases were not satisfied to the nursing,the rate of total satisfaction to the nursing was 76.19% (32/42);36 cases in the observation group were very satisfied to the nursing,5 cases were satisfied to the nursing,1 case was not satisfied to the nursing,the rate of total satisfaction to the nursing was 97.62% (41/42).The total rate of satisfaction to the nursing in the observation group was higher than that in the control group (χ2=8.473,P<0.05).In the control group,there were 5 cases of fundus hemorrhage,1 case of retinal detachment and 1 case of iris red change,the incidence of postoperative complications was 16.67% (7/42);in the observation group,there was 1 case of fundus hemorrhage,and the incidence of postoperative complications was 2.38% (1/42).The incidence of postoperative complications of patients in the observation group was lower than that in the control group (χ2=4.974,P<0.05).Conclusion　Family′s participatory continuing nursing can improve the blood glucose control effect and treatment compliance of the patients with diabetic retinopathy,reduce postoperative complications,increase nursing satisfaction,further effectively improve quality of life of patients .

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更新日期/Last Update: 2021-01-05