社区延续性护理对Ⅵ期糖尿病性视网膜病变术后患者预后的影响  

Effect of community continuous care on prognosis of patients with stageⅥdiabetic retinopathy after operation

作　　者：陈丽梅 孙根柱[1] 杨艳风 陈娜[1] CHEN Limei;SUN Genzhu;YANG Yanfeng;CHEN Na(Anhui Wanbei Coal and Power Group General Hospital,Suzhou 234099,China)

机构地区：[1]安徽皖北煤电集团总医院,宿州234099

出　　处：《中国中医眼科杂志》2022年第8期668-672,共5页China Journal of Chinese Ophthalmology

基　　金：安徽省卫生和计划生育委员会科研计划项目(2016QK057)。

摘　　要：目的观察社区延续性护理对Ⅵ期糖尿病性视网膜病变(DR)患者玻璃体切割联合硅油填充手术后的院外社会恢复的效果。方法选取2018年8月—2020年1月符合纳入标准的DR患者138例(138只眼)。随机分为对照组和观察组,每组69例(69只眼)。对照组在出院时予常规护理,观察组在对照组的基础上联合延续性护理。采集患者出院时和出院后2个月的空腹血糖(FPG)值和餐后2 h血糖值,并协助患者填写依从性问卷、自我护理能力量表和低视力者生活质量量表,并对结果进行统计分析。结果(1)依从性:观察组出院后2个月的糖尿病知识掌握得分(t=35.979,P=0.000)、自我照顾意识得分(t=39.393,P=0.000)、病情监测得分(t=42.961,P=0.000)、按时服药得分(t=40.963,P=0.000)和按时复查得分(t=40.666,P=0.000)均高于对照组,差异均有统计学意义。(2)血糖:①FPG。对照组出院后2个月较出院时升高,差异有统计学意义(t=-4.771,P=0.000);观察组出院后2个月较出院时降低,差异有统计学意义(t=2.460,P=0.015)。观察组出院后2个月较对照组降低,差异有统计学意义(t=8.075,P=0.000)。②餐后2 h血糖。对照组出院后2个月较出院时升高,差异有统计学意义(t=-4.771,P=0.000);观察组出院后2个月较出院时降低,差异有统计学意义(t=2.460,P=0.015)。观察组出院后2个月较对照组降低,差异有统计学意义(t=9.201,P=0.000)。(3)自我护理能力:对照组出院后2个月较出院时升高,差异有统计学意义(t=8.932,P=0.000);观察组出院后2个月较出院时升高,差异有统计学意义(t=-22.892,P=0.000)。观察组出院后2个月较对照组升高,差异有统计学意义(t=-7.012,P=0.000)。(4)生活质量:对照组出院后2个月较出院时升高,差异有统计学意义(t=-7.124,P=0.000);观察组出院后2个月较出院时升高,差异有统计学意义(t=-6.902,P=0.000)。观察组出院后2个月较对照组升高,差异有统计学意义(t=-3.702,P=0.000)。结�OBJECTIVE To observe the effect of community continuous care on social recovery out of hospital after vitrectomy combined with silicone oil filling in patients with stage VI diabetic retinopathy(DR).METHODS A total of 138 patients(138 eyes)with DR who met the inclusion criteria from August 2018 to January 2020 were selected.They were randomly divided into control group and observation group,with sixty-nine(sixty-nine eyes)in each group.The control group was given routine care at the time of discharge,while the observation group received continuous care on the basis of the control group.Fasting plasma glucose(FPG)values and two-hour postprandial glucose values were collected at the time of discharge and two months after discharge,and the patients were assisted to fill in the compliance questionnaire,self-care ability scale,and quality of life scale for low vision people,and the results were statistically analyzed.RESULTS(1)Compliance:The scores of diabetic knowledge mastery(t=35.979,P=0.000),self-care awareness(t=39.393,P=0.000),condition monitoring(t=42.961,P=0.000),on-time medication(t=40.963,P=0.000),and on-time reexamination(t=40.666,P=0.000)in the observation group were higher than those in the control group two months after discharge,and the differences were statistically significant.(2)Blood glucose:①FPG.The FPG value was significantly higher at two months after discharge than that at discharge in the control group(t=-4.771,P=0.000).There was a significant difference between the FPG value at two months after discharge and that at discharge in the observation group(t=2.460,P=0.015).The FPG value in the observation group was lower than that in the control group two months after discharge,and the difference was statistically significant(t=8.075,P=0.000).②Two-hour postprandial blood glucose.The two-hour postprandial glucose value was significantly higher at two months after discharge than that at discharge in the control group(t=-4.771,P=0.000).There was a significant difference between the two-hour postpra

关 键 词：延续性护理 社区 糖尿病性视网膜病变 术后恢复 硅油 

分 类 号：R248.9[医药卫生—中医临床基础]