基于再设计出院模式的多维度延续性护理在糖尿病视网膜病变患者中的应用效果  

Application effects of multi-dimensional continuous nursing based on RED model in patients with diabetic retinopathy

作　　者：孙艳华[1] 杨媛媛[1] 岳艳芳 SUN Yanhua;YANG Yuanyuan;YUE Yanfang(Second Ward of Fundus Disease of Zhengzhou Second Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第二人民医院眼底病二病区,河南郑州450000

出　　处：《中国民康医学》2024年第10期164-166,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于再设计出院(RED)模式的多维度延续性护理在糖尿病视网膜病变(DR)患者中的应用效果。方法:选取2021年1月至2022年7月该院收治的98例DR患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各49例。对照组实施常规护理,观察组实施基于RED模式的多维度延续性护理,比较两组护理依从性、护理前后自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]评分及视功能相关生命质量[视功能相关生存质量量表(VFQ-25)]评分。结果:护理1、3个月后,两组护理依从性评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组AHSMSRS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组VFQ-25评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:基于RED模式的多维度延续性护理应用于DR患者,可提高患者护理依从性和自我管理能力,改善视功能水平,效果优于常规护理。Objective:To observe application effects of multi-dimensional continuous nursing based on redesigning discharge(RED)model in patients with diabetic retinopathy(DR).Methods:A prospective study was conducted on 98 patients with DR admitted to the hospital from January 2021 to July 2022.According to the random number table method,they were divided into control group and observation group,49 cases in each group.The control group was given routine nursing,while the observation group was given the multi-dimensional continuous nursing based on the RED model.The nursing compliance,the self-management ability[adult health self-management skill for reliability scale(AHSMSRS)]score,and the visual function related quality of life[visual function related quality of life scale(VFQ-25)]score were compared between the two groups before and after the nursing.Results:After 1 and 3 months of nursing,the nursing compliance scores of the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the AHSMSRS scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the VFQ-25 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:The multi-dimensional continuous nursing based on the RED model in the DR patients can improve patients’nursing compliance and the self-management ability,and improve the levels of visual function.Moreover,it is superior to the routine nursing.

关 键 词：再设计出院模式 多维度 延续性护理 糖尿病视网膜病变 依从性 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]