基于聚焦解决模式的强化护理对糖尿病性视网膜病变患者负性情绪、依从性及视功能的影响  

Effect of intensive nursing based on solution-focused model on negative emotion,compliance and visual function of patients with diabetic retinopathy

作　　者：白洁 宋妮娟 BAI Jie;SONG Ni-juan(Department of Ophthalmology, the First Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi′an 710032, China)

机构地区：[1]空军军医大学第一附属医院眼科,陕西西安710032

出　　处：《河北医科大学学报》2021年第11期1298-1301,1306,共5页Journal of Hebei Medical University

基　　金：国家自然科学基金(30471849)。

摘　　要：目的探讨基于聚焦解决模式的强化护理对糖尿病性视网膜病变患者负性情绪、依从性及视功能的影响。方法以随机数字表将84例糖尿病性视网膜病变患者分为2组,常规组实施常规护理,强化组在常规护理的同时实施基于聚焦解决模式的强化护理。比较2组护理前后负性情绪变化,护理期间依从性和护理前后视功能变化。结果护理前2组抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分,视力和视力低下率间差异均无统计学意义(P>0.05),护理后2组SDS、SAS评分和视力低下率均低于护理前(P<0.05),视力均高于护理前(P<0.05),且护理后强化组SDS、SAS评分和视力低下率均低于常规组(P<0.05),视力高于常规组(P<0.05);护理期间2组依从性分布差异有统计学意义(P<0.05),强化组依从性优良率高于常规组(P<0.05)。结论对糖尿病性视网膜病变患者实施基于聚焦解决模式的强化护理有助于缓解其负性情绪,改善依从性,增强视功能。Objective To explore the effect of intensive nursing based on solution-focused model on negative emotion,compliance and visual function of patients with diabetic retinopathy(DR).Methods A total of 84 patients with DR in our hospital were divided into two groups according to random number table method.The conventional group received conventional nursing,while the intensive group was given conventional nursing and intensive nursing based on solution-focused model.The changes of negative emotions,compliance and visual function before and after nursing were compared between two groups.Results Before nursing,there was no significant difference in Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)scores,vision and poor vision rates between two groups(P>0.05),while after nursing,SDS,SAS scores and poor vision rates of the two groups were lower than those before nursing(P<0.05),and vision was higher than that before nursing(P<0.05).The SDS,SAS scores and poor vision rate of the intensive group were lower than those of the conventional group(P<0.05),and the vision of the intensive group was higher than that of the conventional group(P<0.05).There was a significant difference in the distribution of compliance between two groups during the nursing period(P<0.05),and the excellent and good rate of compliance in the intensive group was higher than that in the conventional group(P<0.05).Conclusion Intensive nursing based on solution-focused model can help to alleviate negative emotions,improve compliance and enhance visual function of DR patients.

关 键 词：糖尿病视网膜病变 聚焦解决模式 强化护理 

分 类 号：R587.26[医药卫生—内分泌]