基于赋能理论的延续护理在青光眼小梁切除术后患者中的应用观察  

Application of Continuing Nursing Care Based on Enabling Theory in Glaucoma Patients After Trabeculectomy

作　　者：闫佳敏 Yan Jiamin(Henan Provincial People’s Hospital,Zhengzhou,Henan,450003,China)

机构地区：[1]河南省人民医院·河南省立眼科医院·郑州大学人民医院眼科,河南郑州450003

出　　处：《黑龙江医学》2024年第18期2281-2284,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨基于赋能理论的延续护理在青光眼小梁切除术后患者中的应用效果。方法:选取2021年1月—2022年1月河南省人民医院收治的80例青光眼患者作为研究对象,均接受小梁切除术治疗,根据入院先后将其分为对照组(2021年1—7月,采用常规护理,n=40)和观察组(2021年8月—2022年1月,采用基于赋能理论的延续护理+常规护理,n=40)。对比两组患者干预前后心理应激反应[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、生活质量[视功能损害眼病患者生活质量量表(SQOL-DV1)]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]和并发症发生情况。结果:干预后,观察组SAS评分和SDS评分均低于对照组,差异均有统计学意义(t=4.241、3.567,P<0.05);观察组合理饮食、生活规律、自我眼部护理、遵医用药、情绪调节和定期随访遵医程度均高于对照组,差异均有统计学意义(χ^(2)=4.588、5.000、16.875、13.095、7.366、4.013,P<0.05);干预后,两组SQOL-DV1各维度评分及总分均升高,差异有统计学意义(t=6.983,P<0.05);干预后,观察组PSQI各维度评分及总分均低于对照组,差异有统计学意义(t=0.864,P<0.05);观察组浅前房、眼压复升、恶性青光眼并发症总发生率为7.50%,低于对照组的25.00%,差异有统计学意义(χ^(2)=4.501,P<0.05)。结论:基于赋能理论的延续护理对青光眼小梁切除术后患者的应用效果显著,可降低患者心理应激反应,提高治疗遵医行为,改善患者生活质量和睡眠质量,降低并发症发生率。Objective:To investigate the application effect of continuing nursing care based on enabling theory in glaucoma trabeculectomy.Methods:80 patients with glaucoma in the hospital from January 2021 to January 2022 were selected and received trabeculectomy.According to the admission order,they were divided into control group(from January to July 2021,routine care,n=40)and observation group(from August 2021 to January 2022,continuous care+routine care based on enabling theory,n=40).The psychological stress reaction(SAS and SDS),quality of life(SQOL-DV1),sleep quality(PSQI)and complications were compared between the two groups before and after intervention.Results:The scores of SDS and SAS in the intervention group were significantly lower than those in the control group(t=4.241,3.567;P<0.05).The observation group had higher levels of rational diet,regular life,self-eye care,medication compliance,emotion regulation and regular follow-up than the control group(χ^(2)=4.588,5.000,16.875,13.095,7.366,4.013;P<0.05).After intervention,SQOL-DV-1 scores and total scores in both groups increased(t=6.983,P<0.05).Compared with that before intervention,the scores of PSQI in observation group were significantly lower(t=0.864,P<0.05).The total incidence of shallow anterior chamber,intraocular pressure rise and malignant glaucoma complications in the observation group was 7.50%,which was lower than 25.00%in the control group(χ^(2)=4.501,P<0.05).Conclusion:Application effect of continuing nursing care based on enabling theory on glaucoma patients after trabeculectomy is significant,which can reduce the psychological stress reaction of patients,improve the treatment compliance behavior,improve the quality of life and sleep quality of patients,and reduce the incidence of complications.

关 键 词：赋能理论 延续护理 青光眼 小梁切除术 心理应激反应 生活质量 睡眠质量 并发症 

分 类 号：R47[医药卫生—护理学]