个性化健康教育对糖尿病视网膜病变患者视功能恢复的影响  

Effect of personalized health education on visual function recovery in patients with diabetic retinopathy

作　　者：梁金环[1] 李泓玥 付裕雯 Liang Jinhuan;Li Hongyue;Fu Yuwen(Nursing Department,The First People's Hospital of Shangqiu,Shangqiu Henan 476100,China)

机构地区：[1]河南商丘市第一人民医院护理部,河南商丘476100

出　　处：《保健医学研究与实践》2023年第1期82-86,共5页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20200802)。

摘　　要：目的探讨个性化健康教育对糖尿病视网膜病变(DR)患者视功能恢复的影响,以期为临床护理决策的制定提供参考。方法选取2020年6月—2021年6月本院收治的400例DR患者作为研究对象。采用随机数字表法将患者分为干预组与对照组,每组各200例。对照组患者给予常规护理进行干预,干预组患者在对照组基础上给予个性化健康教育干预。比较干预1年后2组患者的治疗依从性、健康知识掌握程度、心理状态、视力水平及生活质量。结果干预后,干预组患者糖尿病知识掌握人数比例,以及饮食控制、遵医嘱用药、规律运动、定期血糖监测、按时随访、眼底检查、用眼适当等方面的依从率均高于对照组(P<0.05)。干预前,2组患者视功能损害眼病患者生活质量量表总得分及其各维度得分、中国成人心理健康量表各维度得分、视力水平、空腹血糖及餐后2 h血糖比较,差异均无统计学意义(P>0.05)。干预后,2组患者身体机能、社会活动、精神心理维度及视功能损害眼病患者生活质量量表总得分均高于干预前,且干预组患者量表总得分及其各维度得分均高于同期对照组(P<0.05);2组患者中国成人心理健康量表各维度得分均明显低于干预前,且干预组患者低于同期对照组(P<0.05);2组患者视力水平均高于干预前,且干预组高于同期对照组,而2组患者空腹血糖、餐后2 h血糖均低于干预前,且干预组低于同期对照组(P<0.05)。结论针对DR患者,采用个性化健康教育进行干预有助于提高患者依从性与健康知识掌握程度,改善其心理状态,控制其血糖水平,缓解其病情进展,从而改善患者视力水平,最终提高其生活质量。Objective This paper aims to investigate the effect of personalized health education on the recovery of visual function in patients with diabetic retinopathy(DR)to provide guidance for clinical nursing decision-making.Methods A total of 400 patients with DR admitted to our hospital from June 2020 to June 2021 were selected as the study participants.They were assigned to an intervention group and a control group by random number table,with 200 cases in each group.Patients in the control group received routine nursing for intervention and patients in the intervention group recived personalized health education intervention on the basis of the control group.The treatment compliance,health knowledge,psychological state,visual acuity and quality of life were compared between the two groups after 1 year of intervention.Results After the intervention,the proportion of patients with diabetes knowledge,diet control,medication compliance,regular exercise,regular blood glucose monitoring,timely follow-up,fundus examination,and appropriate eye use in the intervention group were significantly higher than those in the control group(P<0.05).Before the intervention,there were no significant differences in the total and subscale scores of the quality of life scale for patients with visual impairment,the subscale scores of the Chinese Adult Mental Health Scale,visual acuity level,fasting blood glucose and 2 h postprandial blood glucose between the two groups(P>0.05).After the intervention,the total scores of physical function,social activity,mental and psychological dimensions,and total scores of the quality of life scale for patients with visual impairment in the two groups were higher than those before the intervention,and the total and subscale scores in the intervention group were significantly higher than those in the concurrent control group(P<0.05).The subscale scores of the Chinese Adult Mental Health Scale in the two groups were significantly lower than those before the intervention,and the patients in the intervention gr

关 键 词：个性化 健康教育 糖尿病视网膜病变 视功能恢复 

分 类 号：R587.2[医药卫生—内分泌]