专科护士主导的认知强化和自我管理干预在糖尿病视网膜病变患者中的应用效果  

Effect of cognitive enhancement and self-management intervention led by specialist nurses in patients with diabetic retinopathy

作　　者：吕凤娟 崔清尧 张楠楠[1] 王宇鹰[1] Lyu Fengjuan;Cui Qingyao;Zhang Nannan;Wang Yuying(Department of Ophtalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Zhengzhou Wulibao Community Health Service Center,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院眼科,郑州450000 [2]郑州市五里堡社区卫生服务中心,郑州450000

出　　处：《中华现代护理杂志》2022年第32期4545-4549,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20190073)。

摘　　要：目的探讨专科护士主导的认知强化和自我管理干预在糖尿病视网膜病变(DR)患者中的应用效果。方法采用便利抽样法选取2020年7月—2021年6月在郑州大学第一附属医院眼科住院的DR患者116例,随机分为对照组和观察组各58例。对照组给予DR常规护理,观察组在对照组的基础上给予专科护士主导的认知强化和自我管理干预,为期3个月。比较两组的实验室指标、生存质量和自我护理能力。结果两组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白和生存质量评分较干预前下降,自我护理能力评分较干预前上升,其中观察组各指标干预前后比较差异有统计学意义(P<0.05)。干预后观察组空腹血糖、餐后2 h血糖、糖化血红蛋白和生存质量评分低于对照组,自我护理能力评分高于对照组,差异有统计学意义(P<0.05)。结论专科护士主导的认知强化和自我管理干预有利于DR患者血糖控制,可以提高DR患者的自我护理能力,改善生存质量。Objective To explore the effect of cognitive enhancement and self-management intervention led by specialist nurses in patients with diabetic retinopathy(DR).Methods From July 2020 to June 2021,a total of 116 DR patients in Ophtalmology Department of the First Affiliated Hospital of Zhengzhou University were selected using convenience sampling method and randomly divided into the control group and the observation group with 58 cases in each group.The control group conducted conventional nursing management,and the observation group carried out cognitive enhancement and self-management intervention led by specialist nurses on the basis of the control group for 3 months.Before discharge and 3 months after discharge,the quality of life and self-care ability of the two groups were compared.Results After discharge,the fasting plasma glucose,postprandial 2 hours blood glucose,glycosylated hemoglobin,and quality of life scores of the two groups were lower than those before discharge,while self-care ability scores of the two groups were higher than those before discharge.There were significant differences in the indexes of the observation group before and after intervention(P<0.05).After intervention,fasting blood glucose,2 hours postprandial blood glucose,glycosylated hemoglobin and quality of life scores of the observation group were lower than those of the control group,while the score of self-care ability was higher than that of the control group,with statistically significant differences(P<0.05).Conclusions Cognitive enhancement and self-management intervention led by specialist nurses are beneficial to blood glucose control in DR patients,and can effectively improve their self-care ability and quality of life.

关 键 词：糖尿病视网膜病变 认知强化 自我管理 专科护士 生存质量 

分 类 号：R473[医药卫生—护理学]