图文宣教联合延续远程协助对原发性青光眼居家患者疾病知识掌握情况及眼压控制情况的影响  

Effect of Graphic Tutorials Combined with Extended Remote Assistance on Disease Knowledge and Intraocular Pressure Control in Homebound Patients with Primary Glaucoma

作　　者：谢振松[1] Xie Zhensong(Department of Ophthalmology,First People’s Hospital of Pingdingshan,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山市第一人民医院眼科,河南平顶山467000

出　　处：《黑龙江医学》2024年第3期325-328,共4页Heilongjiang Medical Journal

基　　金：河南省医学科技攻关项目(LHGJ20200802)。

摘　　要：目的:探究图文宣教联合延续远程协助对原发性青光眼居家患者疾病知识掌握情况及眼压控制情况的影响。方法:选取2020年2月—2022年2月于平顶山市第一人民医院就诊的106例原发性青光眼居家患者作为研究对象,按照随机数表法分为常规组53例(采用常规延续远程协助)和图文组53例(采用图文宣教联合延续远程协助),比较两组患者干预前后疾病知识掌握情况、自我管理能力[自我管理行为问卷(GSMQ)]、依从性以及眼压控制情况。结果:与治疗前比较,治疗后两组患者疾病病因、临床表现、并发症、治疗方法以及日常护理评分均上升,且图文组患者高于常规组患者,差异有统计学意义(t=2.614、7.574、5.210、5.831、2.285,P<0.05)。与治疗前比较,治疗后两组患者生活调适、功能保健、疾病之医疗管理评分均上升,且图文组患者高于常规组患者,差异有统计学意义(t=2.057、2.105、2.029,P<0.05)。与治疗前比较,治疗后两组患者规律用药、自我检测、饮食情况、定期复诊评分均上升,且图文组患者高于常规组患者,差异有统计学意义(t=5.654、2.440、4.118、2.616,P<0.05)。与治疗前比较,治疗后两组患者视力表数值及眼压均下降,且图文组患者低于常规组患者,差异有统计学意义(t=2.019、2.036,P<0.05)。结论:图文宣教联合延续远程协助可明显提高原发性青光眼居家患者疾病知识掌握程度,眼压得到有效控制。Objective:To investigate the effect of graphic tutorials combined with extended remote assistance on disease knowledge and intraocular pressure control in homebound patients with primary glaucoma.Methods:A total of 106 primary glaucoma homebound patients attending the hospital from February 2020 to February 2022 were selected as the study subjects,and were divided into 53 cases in the conventional group(using conventional continuation of teleassistance)and 53 cases in the graphic group(using graphic and textual education combined with continuation of teleassistance)according to the method of randomized number table.Disease knowledge,self-management ability[Self-Management Behavior Questionnaire(GSMQ)],adherence,and IOP control were compared between the two groups before and after the intervention.Results:Compared with the pre-treatment period,the disease etiology,clinical manifestations,complications,treatments and daily care scores of the two groups of patients increased after treatment,and patients in the graphic group were higher than those in the conventional group,with statistically significant differences(t=2.614,7.574,5.210,5.831,2.285,P<0.05).Compared with the pre-treatment period,the scores of life adjustment,functional health care,and medical management of disease increased in both groups after treatment,and the patients in the graphic group were higher than those in the conventional group,and the difference was statistically significant(t=2.057,2.105,2.029,P<0.05).Compared with the pre-treatment period,the scores of regular medication,self-testing,diet,and regular follow-ups increased in both groups after treatment,and patients in the graphic group were higher than those in the conventional group,with statistically significant differences(t=5.654,2.440,4.118,2.616,P<0.05).Compared with the pre-treatment period,the visual acuity meter values and intraocular pressure decreased in both groups after treatment,and the patients in the graphic group were lower than the patients in the conventional group,and t

关 键 词：图文宣教 延续远程协助 原发性青光眼 居家 疾病知识掌握 眼压控制 

分 类 号：R473.77[医药卫生—护理学]