针对性护理干预在糖尿病视网膜病变患者全视网膜光凝术后的应用  

Effects of targeted nursing interventions on patients with diabetic retinopathy after panretinal photocoagulation

作　　者：卢兰芳[1] 韦春婵 韦利菊[3] Lu Lanfang;Wei Chunchan;Wei Liju(Department of Ophthalmology,the People's Hospital of Hechi,Guangxi Zhuang Autonomous Region,Hechi 547000,China;Health Management Office,Hechi Traditional Chinese Medicine Hospital,Guangxi Zhuang Autonomous Region,Hechi 547000,China;Outpatient Service,the People's Hospital of Hechi,Guangxi Zhuang Autonomous Region,Hechi 547000,China)

机构地区：[1]广西壮族自治区河池市人民医院眼科,547000 [2]广西壮族自治区河池市中医医院健康管理办公室,547000 [3]广西壮族自治区河池市人民医院门诊部,547000

出　　处：《中华现代护理杂志》2020年第1期93-96,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨针对性护理干预对糖尿病视网膜病变患者全视网膜光凝术后生活质量的影响。方法采用便利抽样法,选取2016年5月—2018年5月于广西河池市人民医院因糖尿病视网膜病变行全视网膜光凝术的92例患者,根据随机数表法分为对照组(n=46)与观察组(n=46)。对照组术后予以常规护理,观察组在对照组基础上予以针对性护理干预。随访3个月。术后及末次随访时采用视功能相关生命质量量表(25-item National Eye Institute Visual Functioning Questionnaire,NEI-VFQ-25)评估患者生活质量。结果干预前,两组患者NEI-VFQ-25得分差异均无统计学意义(P>0.05)。干预后,观察组NEIVFQ-25量表各项评分及总分均较干预前提高,差异均有统计学意义(P<0.05);且干预后两组间比较,观察组12亚项评分除驾车亚项较对照组差异无统计学意义(P>0.05),其余11亚项评分及总分均较对照组高,差异均有统计学意义(P<0.05)。结论针对性护理干预对糖尿病视网膜病变患者全视网膜光凝术后的生活质量影响显著,可改善患者生活质量。Objective To explore the effects of targeted nursing interventions on the quality of life in patients with diabetic retinopathy(DR)after panretinal photocoagulation(PRP).Methods Totally 92 DR patients who received PRP in the People's Hospital of Hechi from May 2016 to May 2018 were selected using convenient sampling and divided into control(n=46)and observation(n=46)groups.Patients in the control group received routine nursing care postoperatively,while patients in the observation group received targeted nursing interventions on this basis.Patients in both groups received follow-up visits for 3 months.The 25-item National Eye Institute Visual Functioning Questionnaire(NEI-VFQ-25)was used to evaluate the patients'quality of life postoperatively and at the last follow-up visit.Results There was no statistically significant difference in NEI-VFQ-25 scores between the two groups before intervention(P>0.05).Single item scores and total NEI-VFQ-25 scores of the observation group were increased after intervention than before intervention,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the score of driving between the observation and control groups after intervention(P>0.05).The scores of another 11 items and total NEI-VFQ-25 scores of the observation group were higher than those of the control group,and there were statistically significant differences between the two groups(P<0.05).Conclusions Targeted nursing interventions have significant effects on the quality of life in DR patients after PRP,which can improve their quality of life.

关 键 词：糖尿病视网膜病变 全视网膜光凝术 针对性护理 生活质量 

分 类 号：G642[文化科学—高等教育学] R47-4[文化科学—教育学]