早期糖尿病性视网膜病变患者反刍性沉思水平的影响因素及护理对策  

Factors influencing rumination level in early diabetic retinopathy patients and nursing strategies

作　　者：褚战亚 张赢赢 杨洁 耿阳阳 张倩倩 CHU Zhanya;ZHANG Yingying;YANG Jie(Shijiazhuang People’s Hospital,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省石家庄市人民医院,050031

出　　处：《河北医药》2024年第10期1594-1597,共4页Hebei Medical Journal

基　　金：河北省医学科学研究课题计划(编号:20210807)。

摘　　要：目的调查早期糖尿病性视网膜病变(DRP)患者反刍性沉思水平,分析影响因素并且制定合理的护理对策。方法整群抽样方式调查2021年1月至2023年3月收治的246例早期糖尿病患者,收集一般资料、社会支持评定(SSRS)和反刍性沉思(ERRI)调查,调查回收有效问卷235份,对有效问卷进行分析。记录ERRI量表中侵入性、目的性分量表的调查得分,分析不同特征的早期DRP患者侵入性与目的性反刍性沉思分量表得分差异,分析社会支持同反刍性沉思相关性,多因素Logistic回归分析相关影响因素。结果早期糖尿病患者反刍性沉思总分(28.71±4.62)分,侵入性沉思得分(15.04±3.86)分,目的性沉思得分为(13.62±3.41)分,侵入性沉思得分高于目的性沉思得分(t=6.383,P<0.001);社会支持总分(35.42±9.62)分,社会支持分项目与总分同侵入性沉思得分呈负相关(P<0.01),与目的性沉思得分呈正相关(P<0.01)。多因素Logistic回归分析显示文化程度、糖尿病病程、家庭月收入、社会支持为早期糖尿病患者反刍性沉思水平主要影响因素(P<0.05)。结论早期糖尿病患者反刍性沉思处在中等水平,临床工作人员应根据影响因素进行护理干预,加强社会支持及见宣教,以促进病情转归。Objective To investigate the level of rumination in patients with early diabetic retinopathy(DRP),and to analyze the influencing factors and formulate reasonable nursing strategies.Methods A total of 246 patients with early DR from January 2021 to March 2023 were surveyed using a cluster sampling method.General data,social support assessment(SSRS)and Event-Related Rumination Inventory(ERRI)were conducted.Totally 235 valid questionnaires were collected and included in the results analysis.The scores of invasive and purposive rumination subscales in ERRI were recorded,the differences in scores of invasive and purposive rumination subscales in early DRP patients with different characteristics were analyzed,the correlation between social support and rumination was analyzed,and the relevant influencing factors were analyzed by multivariate Logistic regression.Results In early DR Patients,the total score of rumination was 28.71±4.62 points.The score of invasive rumination was significantly higher than that of purposive rumination(15.04±3.86 points vs 13.62±3.41 points,t=6.383,P<0.001).The total score of social support(35.42±9.62)was negatively correlated with the score of intrusive meditation and positively correlated with the score of purposeful meditation(P<0.001).The result form multivariate Logistic regression analysis showed that education level,diabetes course,family monthly income and social support were the main influencing factors of rumination level in early DRP patients.Conclusion Ruminative rumination in early DRP Patients is at a moderate level.Clinical staff should conduct nursing intervention according to the influencing factors,strengthen social support and education to promote the outcome of the disease.

关 键 词：糖尿病性视网膜病变 反刍性沉思 社会支持 影响因素 护理 

分 类 号：R452.26[医药卫生—治疗学]