自我管理联合技能训练对糖尿病视网膜病变患者的影响分析  

Analysis of the effect of self-management combined with skill training on patients with diabetic retinopathy

作　　者：蒋佳[1] 钱曦明[1] 吴相思 Jiang Jia;Qian Ximing(Ophthalmology Department,Wuxi Second People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院眼科,214000 [2]不详

出　　处：《国际医药卫生导报》2018年第7期987-990,共4页International Medicine and Health Guidance News

基　　金：无锡市卫生计生委科技成果与适宜技术推广项目（T201656）

摘　　要：探讨自我管理联合技能训练对糖尿病视网膜病变患者自我效能及生活质量的改善效果。方法 将2015年6月至2016年6月本院收治的行常规护理的糖尿病视网膜病变患者53例作为对照组，再将2016年7月至2017年7月本院收治的行自我管理联合技能训练的糖尿病视网膜病变患者55例作为观察组。对比两组护理前、护理1个月后自我效能、自我护理能力、生活质量变化。结果 观察组护理后一般自我效能感评分为（28.22±3.61）分，高于对照组的（17.02±2.57）分，差异有统计学意义（P＜0.05）；观察组护理后自我概念评分为（21.26±3.15）分、自我护理责任感评分为（21.65±2.08）分、自我护理技能评分为（33.65±4.75）分、健康知识水平评分为（54.77±6.51）分、自我护理能力总评分为（128.63±15.28）分，均优于对照组，差异有统计学意义（P＜0.05）；观察组护理后远视力评分为（41.83±3.51）分、读和精细工作评分为（16.78±3.15）分、调节能力评分为（15.54±1.03）分、日常生活能力评分为（16.96±1.23）、生活质量总分为（83.26±6.39）分，均高于对照组，差异有统计学意义（P＜0.05）。结论 自我管理联合技能训练应用于糖尿病视网膜病变患者可明显提高其自我效能和自我护理能力，改善生活质量，值得推广。To explore the effect of self-management combined with skill training on selfefficacy and quality of life in patients with diabetic retinopathy.Methods From June 2015 to June 2016,53 patients with diabetic retinopathy who underwent routine nursing care in our hospital were selected as the control group.From July 2016 to July 2017,55 patients with diabetic retinopathy who underwent self-management combined with skill training in our hospital were selected as the observation group.Compared the changes of self-efficacy,self-care ability,quality of life before nursing and 1 month after nursing.Results The general selfefficacy score in the observation group after nursing was(28.22±3.61)points,higher than(17.02±2.57)in the control group,with statistically significant difference(P<0.05).The self-concept score in the observation group after nursing was(21.26±3.15)points,the self-care responsibility score was(21.65±2.08)points,the score of selfcare skills was(33.65±4.75)points,the score of health knowledge level was(54.77±6.51)points,the total score of self-care ability was(128.63±15.28)points,which were all better than those in the control group,with statistically significant differences(P<0.05).The score of distant vision in the observation group after nursing was(41.83±3.51)points,the score of reading and fine work was(16.78±3.15)points,the score of adjustment ability was(15.54±1.03)points,the score of ability of daily life was(16.96±1.23)points,the total score of quality of life was(83.26±6.39)points,which were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Self-management combined with skill training can significantly improve the self-efficacy,self-care ability,and quality of life in patients with diabetic retinopathy,worthy of promotion.

关 键 词：自我管理 技能训练 糖尿病视网膜病变 自我效能 自我护理能力 生活质量 

分 类 号：R473.77[医药卫生—护理学]