延续性4C护理模式在糖尿病视网膜病患者中的应用  

Effects of continuous 4C nursing model on treatment compliance and quality of life of diabetic retinopathy patients

作　　者：黄一涛[1] 余雪梅[1] 陈春妹 刘军[1] 颜波[1] 沈志华[1] Huang Yitao;Yu Xuemei;Chen Chunmei;Liu Jun;Yan Bo;Shen Zhihua(Shenzhen Eye Hospital,Shenzhen Key Laboratory of Ophthalmology,Outpatient Clinic of Shenzhen Eye Hospital Affiliated to Ji'nan University,Shenzhen 518040,China;Department of Ophthalmology,the First Affiliated Hospital of Hai'nan Medical University,Haikou 570102,China)

机构地区：[1]深圳市眼科医院,深圳眼科学重点实验室,暨南大学附属深圳眼科医院门诊,深圳518040 [2]海南医学院第一附属医院眼科,海口570102

出　　处：《中华现代护理杂志》2019年第22期2863-2866,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨延续性4C护理模式对糖尿病视网膜病患者治疗依从性及生活质量的影响,为临床护理提供参考.方法采用便利抽样法,选取深圳市眼科医院2016年9月-2018年8月住院的糖尿病视网膜病患者96例,其中2例患者在随访中失访.采用随机数字表法将其分为对照组(46例)和观察组(48例).对照组采用常规护理方法观察组采用延续性4C护理模式.采用自制药物治疗依从性调查表和中文版低视力者生活质量量表对其进行调查,比较两组患者治疗依从性和生活质量得分.结果干预前,两组患者治疗依从性、生活质量得分比较,差异无统计学意义(P>0.05);干预后,对照组患者治疗依从率为60.87%,低于观察组的87.5%,两组比较差异有统计学差异(P<0.05).干预前两组患者生活质量得分差异无统计学意义(P>0.05).干预6个月后,观察组生活质量总分(80.08±5.83)分,高于对照组的(67.56±10.62)分,两组患者的生活质量得分比较,差异有统计学意义(P<0.05).结论延续性4C护理模式能够提高糖尿病视网膜病患者的治疗依从性,提高患者的生活质量,值得在临床推广.Objective To explore the effect of continuous 4C nursing model on treatment compliance and quality of life of diabetic retinopathy(DR)patients,and to provide reference for clinical nursing practice.Methods By convenience sampling,96 inpatients with diabetic retinopathy in Shenzhen Eye Hospital from September of 2016 to August of 2018 were selected and 2 of them were lost in the follow-up visit.Based on the random number table,they were divided into the control group(n=48)and observation group(n=48).Conventional nursing approach was adopted in the control group while 4C nursing model was adopted in the observation group.Self-designed Medication Compliance Questionnaire and Chinese-version Low Vision Quality of Life Questionnaire were used in the investigation.The two groups were compared in terms of their treatment compliance and quality of life.Results Before intervention,there was no significant difference in treatment compliance and quality of life scores between the two groups(P>0.05);after intervention,the treatment compliance rate of the control group was 60.87%,which was lower than 87.5%of the observation group,with statistical difference(P<0.05).There was no significant difference in quality of life score between the two groups before intervention(P>0.05).Six months after intervention,the total score of quality of life in the observation group(80.08±5.83)was higher than that in the control group(67.56±10.62),there was significant differences in the quality of life score between the two groups(P<0.05).Conclusions Continuous 4C nursing model can improve the treatment compliance of diabetic retinopathy patients and improve their quality of life,which is worthy of clinical promotion.

关 键 词：糖尿病 糖尿病视网膜病变 治疗依从性 生活质量 延续性4C护理模式 

分 类 号：R473.77[医药卫生—护理学]