协同护理对湿性老年黄斑变性患者生活质量的影响  

Effect of collaborative nursing on quality of life in patients with wet age-related macular degeneration

作　　者：李红君 叶意芬 龚雁 LI Hongjun;YE Yifen;GONG Yan(Nursing Department,Ningbo Eye Hospital,Ningbo 315100,China;Department of Ophthalmology,Ningbo Eye Hospital,Ningbo 315100,China)

机构地区：[1]宁波市眼科医院护理部,浙江宁波315100 [2]宁波市眼科医院眼科,浙江宁波315100

出　　处：《中国现代医生》2020年第2期159-162,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2018ZA111);浙江省宁波市2017年度鄞州区第二批区级农社类科技计划项目(鄞科〔2017〕110号22);浙江省宁波市2019年度鄞州区第一批农社类科技项目(鄞科〔2019〕63号33)。

摘　　要：目的分析协同护理对湿性老年黄斑变性患者生活质量的影响。方法选取2017年5月~2018年5月期间在我院进行治疗的116例湿性老年黄斑变性患者,按随机数字表法将其分为两组,其中58例对照组患者进行常规护理;另58例观察组患者则采用协同护理。对比两组护理后视力恢复情况、焦虑、抑郁情况及护理前后生活质量评分。结果护理后,观察组患者视力提高率(91.38%)与对照组(72.42%)相比明显较高,差异有统计学意义(P<0.05);观察组SAS评分(37.41±4.35)、SDS评分(38.54±4.74)与对照组SAS评分(46.65±4.89)、SDS评分(49.54±5.16)比较明显较低,差异有统计学意义(P<0.05)。观察组身体机能(34.53±3.07)、精神心理(36.52±3.43)、症状和视功能(41.78±4.00)、社会功能(34.93±4.12)及生活质量总分(152.72±11.80)与对照组身体机能(26.20±2.84)、精神心理(28.50±2.66)、症状和视功能(34.35±3.87)、社会功能(29.84±4.03)及生活质量总分(115.48±10.24)相比明显升高,差异有统计学意义(P<0.05)。结论协同护理用于湿性老年黄斑变性患者中效果明显,可促进患者视力恢复,缓解患者焦虑、抑郁情绪,提高患者生活质量,值得临床推广。Objective To analyze the effect of collaborative nursing on the quality of life of patients with wet age-related macular degeneration.Methods A total of 116 patients with wet age-related macular degeneration who were treated in our hospital from May 2017 to May 2018 were included in the study,and were randomly divided into two groups using random number table.58 of them were given routine nursing(control group);the other 58 patients were given collaborative nursing(observation group).The visual acuity recovery situation after nursing,anxiety,depression and quality of life before and after nursing were compared between the two groups.Results After nursing,the visual acuity improvement rate of the observation group(91.38%)was higher than that of the control group(72.42%),and the difference was statistically significant(P<0.05);SAS score and SDS score of the observation group(37.41±4.35;38.54±4.74)were lower than those of the control group(46.65±4.89;49.54±5.16),and the difference was statistically significant(P<0.05).The physical function(34.53±3.07 vs 26.20±2.84),psychological condition(36.52±3.43 vs 28.50±2.66),symptoms and visual function(41.78±4.00 vs 34.35±3.87),social function(34.93±4.12 vs 29.84±4.03)and total quality of life(152.72±11.80 vs 115.48±10.24)of the observation group were higher than those of the control group(P<0.05).Conclusion Collaborative nursing is effective in patients with wet age-related macular degeneration.With contribution to promoting vision recovery,relieving anxiety and depression and improving patients'quality of life,it is worthy of clinical popularization.

关 键 词：湿性老年黄斑变性 协同护理 视力 生活质量 

分 类 号：R473[医药卫生—护理学]