全程护理干预在糖尿病视网膜病变患者中的应用价值  

Effectiveness of application of whole-course nursing intervention in patients with diabetic retinopathy

作　　者：区美仪 谭结梅[1] 林秀琴[1] 张志辉[1] 周志华[1] 熊义斌[1] OU Mei-yi;TAN Jie-mei;LIN Xiu-qin;ZHANG Zhi-hui;ZHOU Zhi-hua;XIONG Yi-bin(Department of Ophthalmology,People＇s Hospital of Gaoming District of Foshan City in Guangdong Province,Foshan528500,Chin)

机构地区：[1]广东省佛山市高明区人民医院眼科,广东佛山528500

出　　处：《中国当代医药》2018年第12期183-185,共3页China Modern Medicine

基　　金：广东省佛山市卫生和计划局医学科研课题(20180401)

摘　　要：目的探讨全程护理干预在糖尿病视网膜病变患者中的应用价值。方法选取2017年1月~2017年12月我院眼底荧光造影检查的100例糖尿病视网膜病变患者,采用随机数字表法将其分为对照组和研究组,每组50例。对照组予以常规护理,研究组予以全程护理干预。比较两组患者不良反应发生情况、症状自评量表SCL-90各维度评分、焦虑抑郁评分以及护理满意度。结果研究组患者发热、呕吐、头晕、荨麻疹及总不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。研究组患者症状自评量表SCL-90各维度评分均显著低于对照组,差异有统计学意义(P<0.05)。两组患者干预前焦虑抑郁评分的比较,差异无统计学意义(P>0.05)。干预后,两组焦虑抑郁评分均显著降低,且研究组焦虑抑郁评分显著低于对照组,差异有统计学意义(P<0.05)。研究组患者护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论全程护理干预在行眼底荧光造影检查的糖尿病视网膜病变患者中应用可显著降低患者不良反应发生率,改善患者不良情绪及生活质量,患者具有较高的满意度。Objective To explore the effectiveness of application of whole-course nursing intervention in patients with diabetic retinopathy.Methods A total of 100 diabetic retinopathy patients examined by fundus fluorescein angiography in our hospital from January 2017 to December 2017 were randomly divided into control group and study group,50 cases in each group.The control group was given routine nursing,while the study group was given whole-course nursing intervention.The incidence of adverse reactions,symptom checklist 90（SCL-90） scores,anxiety and depression scores and nursing satisfaction were compared between the two groups.Results The incidence of fever,vomiting,dizziness,urticaria and total adverse reactions in the study group were significantly lower than those in the control group,and the difference was statistically significant（P〈0.05）,and the scores of SCL-90 in the study group were significantly lower than those in the control group,and the difference was statistically significant（P〈0.05）.There was no significant difference in the scores of anxiety and depression between the two groups before intervention（P〉0.05）.After intervention,the scores of anxiety and depression in the study group were significantly lower than those in the control group,and the difference was statistically significant（P〈0.05）.Nursing satisfaction（98.00%） in the study group was significantly higher than that in the control group（80.00%）,and the difference was statistically significant（P〈0.05）.Conclusion The whole-course nursing intervention can significantly reduce the incidence of adverse reactions and improve patients′ bad mood and quality of life in patients with diabetic retinopathy who underwent fundus fluorescein angiography.

关 键 词：全程护理 眼底荧光造影检查 糖尿病视网膜病变 不良反应 生活质量 

分 类 号：R473.77[医药卫生—护理学]