人文关怀在糖尿病视网膜病变患者优质护理服务工作中的应用及对QOL评分的影响  

Application of humanistic care in quality nursing service for patients with diabetic retinopathy and its effect on QOL score

作　　者：叶雪萍[1] 周瑞芳[1] 朱家婵 Ye Xueping;Zhou Ruifang;Zhu Jiachan(Foshan Hospital of Traditional Chinese Medicine,528000,China)

机构地区：[1]佛山市中医院,528000

出　　处：《国际护理学杂志》2021年第3期497-501,共5页international journal of nursing

摘　　要：目的观察人文关怀应用于糖尿病视网膜病变优质护理服务工作中的临床效果,探讨其对QOL评分的相关影响。方法遵循随机原则从佛山市中医院2015年4月至2019年3月接诊的糖尿病视网膜病变患者中筛选123例作为研究对象,采用随机数字表法将其分为对照组(60例)和观察组(63例)。两组患者均接受常规糖尿病治疗,对照组行一般护理,观察组行融入人文关怀理念的优质护理。观察比较护理前后两组患者视功能改善情况、生活质量评分及护理满意度评价。结果护理前两组患者低视力生活质量量表(CLVQOL)与生活质量核心量表(QOL-30)评分比较差异均无统计学意义(均P>0.05);护理后观察组患者视觉调节能力、远视力及手眼协调精细动作等功能改善情况显著优于对照组,差异均有统计学意义(均P<0.05);两组患者在生理功能、心理功能、社会关系和认知功能等方面QOL评分比较差异均有统计学意义(均P<0.05);观察组患者对护理满意度远远高于对照组,差异有统计学意义(P<0.05)。结论给予糖尿病视网膜病变患者融入人文关怀理念的优质护理服务可有效改善视功能,显著提高患者的生活质量,增加护理满意度,对患者康复具有积极促进作用。Objective To observe the clinical effect of humanistic care applied in diabetic retinopathy quality nursing service,and to explore its related influence on quality of life(QOL)score.Methods A total of 123 patients with diabetic retinopathy admitted from April 2015 to March 2019 were randomly selected as the study subjects,and were divided into control group(60 cases)and observation group(63 cases)using random number table method.Patients in both groups received routine diabetes treatment,the control group received general nursing,and the observation group received high-quality nursing with humanistic caring concept.The improvement of visual function,quality of life score and nursing satisfaction evaluation were observed and compared before and after nursing.Results Before nursing,there was no significant difference in the Chinese-version low vision quality of life questionnaire(CLVQOL)and core quality of life scale(QOL-30)scores between the two groups(P>0.05).After nursing,the improvement of visual adjustment ability,distant vision,hand-eye coordination fine movement and other functions in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).There were statistically significant differences in QOL scores of physiological function,psychological function,social relationship and cognitive function between the two groups(P<0.05).The nursing satisfaction of the observation group was much higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The high quality nursing service integrating humanistic care concept into diabetic retinopathy patients can effectively improve visual function,significantly improve the quality of life of patients,increase nursing satisfaction,and play a positive role in promoting the rehabilitation of patients.

关 键 词：人文关怀 糖尿病 视网膜病变 优质护理 视功能 生活质量 

分 类 号：R473[医药卫生—护理学]