自我管理教育对糖尿病视网膜病变发生发展的影响  

Effect of self-management education on diabetic retinopathy development

作　　者：姜颖[1] 刘霞[1] 李海辉[1] 张俊霞[1] 郭彪[1] 曹林慧 

机构地区：[1]陕西省延安市人民医院眼科,716000

出　　处：《国际护理学杂志》2014年第10期2775-2777,共3页international journal of nursing

基　　金：本研究为延安市科技计划项目[2012kw-29]

摘　　要：目的：探讨通过制定科学的自我管理行为规范来改善DR患者的自我管理能力在延缓DR发生发展中的作用。方法选取来我院眼科门诊检查的DM患者以及确诊为DR的门诊患者且能进行长期随访的197人依其病变程度随机分为两组，一组进行集中化且有针对性的自我管理教育，一组进行现有的诊治及护理。试验前对所有患者进行HbA1C的测量。之后要求所有患者分别于3月、6月、9月、12月来院进行一次HbA1C、视力检查。比较两组患者12个月时的视网膜病变的进展状况。结果自我管理教育组的视网膜病变进展明显延缓于常规治疗组，差异有统计学意义。结论建立自我管理教育课堂，开展有质量有针对性的自我管理教育，可帮助患者很好地控制和（或）延缓糖尿病视网膜病变的发生发展，提高患者生存质量。Objective To explore the effect of self-management behavior norm on diabetic retinopathy development.Methods The patients with diabetes mellitus who were diagnosed diabetic retinopathy were selected totaled of 197 cases and divided into two groups ac-cording to pathological changes.The patients in the control group adopted the existing treatment and nursing, the patients in the experimental group were treated with centralized and targeted self-management education.The patients＇HbA1C were measured before the test.After the test, the all patients＆#39;HbA1C and vision were measured 3 months, 6 months, 9 months later.12 months later diabetic retinopathy progress was compared between two groups.Results The progress of retinopathy in experimental group was more slower than that of control group. The difference had statistical significance.Conclusions Setting up self-management education class, evolving quality and direct self-management education can help patients to control and postpone the development of diabetic retinopathy and improve the patient＆#39;s quality of life.

关 键 词：自我管理教育 糖尿病视网膜病变 发生 发展 

分 类 号：R193[医药卫生—卫生事业管理]