基于LERANS模式的健康教育在糖尿病视网膜病变患者护理中的应用效果  

Effects of LERANS-based health education in nursing of patients with diabetic retinopathy

作　　者：许忠琳 王建宏[1] 张明媚[1] Xu Zhonglin;Wang Jianhong;Zhang Mingmei(Department of Ophthalmology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院眼科,乌鲁木齐830054

出　　处：《中华现代护理杂志》2022年第10期1319-1323,共5页Chinese Journal of Modern Nursing

基　　金：新疆维吾尔自治区自然科学基金资助项目(2017D01C298)。

摘　　要：目的探讨基于LERANS模式的健康教育在糖尿病视网膜病变患者护理中的应用效果。方法选择2018年1月—2020年6月在新疆医科大学第一附属医院住院治疗的150例糖尿病视网膜病变患者,采用随机数字表法分为对照组与观察组,各75例。对照组给予常规健康教育,观察组给予基于LERANS模式的健康教育。干预前后采用自我护理能力量表(ESCA)、糖尿病患者生活质量特异性量表(DSQL)以及糖尿病视网膜病变患者积极心理资本问卷对两组患者的自护能力、生活质量以及心理资本进行评价。结果干预前,两组ESCA、DSQL、糖尿病视网膜病变患者积极心理资本问卷评分比较,差异均无统计学意义(P>0.05);干预后,观察组ESCA 4个维度得分、糖尿病视网膜病变患者积极心理资本问卷得分均高于对照组,DSQL总分低于对照组,差异均有统计学意义(P<0.05)。结论基于LERANS模式的健康教育能够有效改善糖尿病视网膜病变患者的心理资本,提高患者的自护能力和生活质量,值得推广。Objective To explore the effects of LERANS-based health education in nursing of patients with diabetic retinopathy(DR).Methods Totally 150 DR patients hospitalized at the First Affiliated Hospital of Xinjiang Medical University from January 2018 to June 2020 were selected and divided into a control group and an observation group according to the random number table,with 75 patients in each group.Patients in the control group received routine health education,while patients in the observation group underwent LERANS-based health education.The Evaluation of Self-care Ability(ESCA),Diabetes-Specific Quality of Life(DSQL)and the DR Patient Positive Psychological Capital Questionnaire were used to evaluate the self-care ability,quality of life,and psychological capital of the two groups before and after the intervention.Results Before the intervention,there was no statistically significant difference in the scores of ESCA,DSQL,and DR Patient Positive Psychological Capital Questionnaire between the two groups(P>0.05).After intervention,4 dimensions scores of ESCA and the scores and DR Patient Positive Psychological Capital Questionnaire in the observation group were higher than those in the control group,and the total score of DSQL was lower than that in the control group,with statistically significant differences(P<0.05).Conclusions LERANS-based health education can effectively improve the psychological capital of DR patients and enhance their self-care ability and quality of life,which is worth promoting in clinical practice.

关 键 词：糖尿病视网膜病变 LEARNS模式 心理资本 自护能力 生活质量 

分 类 号：R473[医药卫生—护理学]