网络宣教改善非增殖型糖尿病视网膜病变患者自我管理能力和心理状态的研究  

Effect of network education on self-management ability and psychological state in patients with non-proliferative diabetic retinopathy

作　　者：蔺媛媛[1] 高华[1] 张晓宇[1] 齐方梅[1] 商晓芬 LIN Yuanyuan;GAO Hua;ZHANG Xiaoyu(Qingdao Municipal Hospital, Qingdao 266075, Chin)

机构地区：[1]山东省青岛市市立医院,青岛266075

出　　处：《国际精神病学杂志》2018年第3期573-576,共4页Journal Of International Psychiatry

摘　　要：目的探讨网络宣教对非增殖型糖尿病视网膜病变(NPDR)患者自我管理能力和心理状态的影响。方法将120例NPDR患者随机分为观察组与对照组,各60例。对照组进行常规健康宣教,观察组在对照组基础上进行网络宣教。干预前及干预6个月后,评价自我管理能力量表、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分,比较两组病变进展情况。结果干预后,观察组的自我管理能力评分显著高于对照组(P<0.05),HAMA、HAMD评分显著低于对照组(P<0.05);观察组病变进展率为5.00%,显著低于对照组的20.00%(P<0.05)。结论网络宣教能够改善NPDR患者的心理状态并增强自我管理能力,延缓了患者病情进展。Objective To investigate the effect of network education on self-management ability and psychological state in patients with non-proliferative diabetic refinopathy （ NPDR ） . Methods Totally 120 patients with NPDR were randomly divided into observation group and control group （ n=60 ） . The control group received routine health education, while the observation group received network education on the basis of the control group for 6 months. The scores of self-management ability scale, HAMA and HAMD scale were evaluated, the progress of the disease were compared between the two groups. Results Compared with control group, the scores of self-management ability scale after education in the observation group were significantly higher （P 〈 0.05 ）, the scores of HAMA and HAMD were significantly lower （P 〈 0.05 ）; the disease progression rate was 5.00 % in the observation group, significantly lower than that （ 20.00 % ） in the control group （P〈 0.05 ） . Conclusion The application of network education can improve the psychological state and enhance the self - management ability of NPDR patients, so as to delay the progress of the disease.

关 键 词：非增殖型糖尿病视网膜病变 网络宣教 心理状态 自我管理能力 

分 类 号：R749.05[医药卫生—神经病学与精神病学]