病房-门诊-家庭模式对糖尿病视网膜病变患者延续性护理的影响

doi:10.3760/cma.j.issn.1007-1245.2024.07.032

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (7): 1211-1217.DOI: 10.3760/cma.j.issn.1007-1245.2024.07.032

病房-门诊-家庭模式对糖尿病视网膜病变患者延续性护理的影响

于娜¹ 杨娜娜² 吴敏³ 张迪梅⁴

¹济南市第二人民医院门诊部，济南　250001；²济南市第二人民医院眼一科，济南　250001；³济南市第二人民医院妇委会，济南　250001；⁴济南市第二人民医院手术室，济南　250001

收稿日期:2023-10-18 出版日期:2024-03-01 发布日期:2024-05-05
通讯作者: 杨娜娜，Email：826897381@qq.com
基金资助:
山东省医药卫生科技发展计划（202107020525）

Clinical effect of ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy

Yu Na¹, Yang Nana², Wu Min³, Zhang Dimei⁴

¹Outpatient Department, Jinan Second People's Hospital, Jinan 250001, China; ²First Department of Ophthalmology, Jinan Second People's Hospital, Jinan 250001, China; ³Women's Committee, Jinan Second People's Hospital, Jinan 250001, China; ⁴Operation Room, Jinan Second People's Hospital, Jinan 250001, China

Received:2023-10-18 Online:2024-03-01 Published:2024-05-05
Contact: Yang Nana, Email: 826897381@qq.com
Supported by:
Plan of Development of Medical and Health Science and Technology in Shandong (202107020525)

摘要/Abstract

摘要：

目的　分析病房-门诊-家庭模式干预对糖尿病视网膜病变延续性护理的临床效果。方法　选取2021年8月至2023年8月在济南市第二人民医院治疗的糖尿病视网膜病变患者120例进行前瞻性研究，通过随机数字表法分为对照组及观察组，各60例。对照组男35例、女25例，年龄（55.31±12.13）岁，病程（6.19±0.50）年，采取常规延续性护理；观察组男31例、女29例，年龄（56.18±11.05）岁，病程（6.10±0.46）年，采用常规延续性护理联合病房-门诊-家庭模式。对比两组患者干预前后（出院时、出院后3个月）血糖控制效果、干预1周与干预1个月的最佳矫正视力（BCVA）、干预前后视功能损害眼病患者生存质量量表（SQOL-DVI）、自我管理行为量表（SDSCA）及自我护理能力测定量表（ESCA）。统计学方法采用t检验、χ²检验。结果　干预后，观察组空腹血糖（FBG）［（8.75±0.86）mmol/L］、餐后2 h血糖（2 h-PG）［（9.91±1.53）mmol/L］、糖化血红蛋白（HbA1c）［（8.53±0.66）%］均低于对照组［（9.18±0.91）mmol/L、（10.64±1.63）mmol/L、（8.79±0.71）%］，差异均有统计学意义（t=2.660、2.529、2.078，均P<0.05）；干预后1周、干预后1个月，观察组BCVA水平［（0.36±0.11）LogMAR、（0.30±0.10）LogMAR］均低于对照组［（0.41±0.12）LogMAR、（0.36±0.11）LogMAR］，差异均有统计学意义（t=2.379、3.126，均P<0.05）。干预后，观察组症状与视功能［（16.28±2.41）分］、身体功能［（17.96±2.34）分］、社会活动［（26.76±2.76）分］、精神与心理［（26.46±3.68）分］及总分［（87.46±10.68）分］均高于对照组［（14.93±2.39）分、（16.90±2.17）分、（25.21±2.63）分、（25.05±3.75）分及（81.99±10.46）分］，差异均有统计学意义（t=3.081、2.573、3.149、2.079、2.834，均P<0.05）。干预后，观察组饮食［（4.35±0.40）分］、运动［（4.81±0.67）分］、血糖监测［（2.59±0.40）分］、足部护理［（4.58±0.36）分］及总分［（13.74±1.77）分］均高于对照组［（4.11±0.39）分、（4.47±0.70）分、（2.40±0.35）分、（4.34±0.36）分、（12.82±1.65）分］，差异均有统计学意义（t=3.328、2.718、2.769、2.609、2.945，均P<0.05）。干预后，观察组自护技能［（22.37±3.75）分］、自护责任感［（17.27±3.60）分］、自我概念［（25.49±5.92）分］、健康知识水平［（43.01±3.20）分］及总分［（108.41±10.64）分］均高于对照组［（20.25±3.19）分、（15.81±3.42）分、（23.18±5.26）分、（41.15±3.49）分、（102.35±11.13）分］，差异均有统计学意义（t=3.335、2.278、2.259、3.043、3.049，均P<0.05）。结论　病房-门诊-家庭模式干预在糖尿病视网膜病变患者延续性护理中，可强化降糖效果，提升患者生活质量及自我管理能力，优化自我护理能力。

关键词:

糖尿病, 病房-门诊-家庭模式, 视网膜病变, 延续性护理

Abstract:

Objective　To analyze the clinical effect of the ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy. Methods　One hundred and twenty patients with diabetes retinopathy admitted to Jinan Second People's Hospital from August 2021 to August 2023 were selected for the prospective study. They were divided into a control group and an observation group by the random number table method, with 60 cases in each group. There were 35 males and 25 females in the control group; they were (55.31±12.13) years old. There were 31 males and 29 females in the observation group; they were (56.18±11.05) years old. The control group took continuous nursing; in addition, the observation group were intervened by the ward-clinic-family mode. The blood glucose control effects, best corrected visual acuities (BCVA), and scores of the Scale of Quality of Life for Diseases with Visual Improvement (SQOL-DVI), Summary of Diabetes Self-care Activities (SDSCA), and Exercise of Self-care Agency Scale (ESCA) were compared between the two groups. t and χ² tests were applied. Results　After the intervention, the levels of fasting blood glucose (FBG), postprandial blood glucose (2h-PG), and glycated hemoglobin (HbA1c) in the observation group were lower than those in the control group [(8.75±0.86) mmol/L vs. (9.18±0.91) mmol/L, (9.91±1.53) mmol/L vs. (10.64±1.63) mmol/L, and (8.53±0.66)% vs. (8.79±0.71)%], with statistical differences (t=2.660, 2.529, and 2.078; all P<0.05). One week and one month after the intervention, the BCVA of the observation group were lower than those of the control group [(0.36±0.11) LogMAR vs. (0.41±0.12) LogMAR and (0.30±0.10) LogMAR vs. (0.36±0.11) LogMAR], with statistical differences (t=2.379 and 3.126; both P<0.05). After the intervention, the scores of symptom and visual function, physical function, social activity, and mental mind and psychology and total score of SQOL-DVI in the observation group were were higher than those in the control group [(16.28±2.41) vs. (14.93±2.39), (17.96±2.34) vs. (16.90±2.17), (26.76±2.76) vs. (25.21±2.63), and (26.46±3.68) vs. (25.05±3.75), and (87.46±10.68) vs. (81.99±10.46)], with statistical differences (t=3.081, 2.573, 3.149, 2.079, and 2.834; all P<0.05). After the intervention, the scores of diet, exercise, blood glucose monitoring, and foot care and total score of SDSCA in the observation group were higher than those in the control group [(4.35±0.40) vs. (4.11±0.39), (4.81±0.67) vs. (4.47±0.70), (2.59±0.40) vs. (2.40±0.35), (4.58±0.36) vs. (4.34±0.36), and (13.74±1.77) vs. (12.82±1.65)], with statistical differences (t=3.328, 2.718, 2.769, 2.609, and 2.945; all P<0.05). The scores self-care skills, responsibility of self-care, self-concept, and health knowledge and total score of ESCA in the observation group were higher than those in the control group [(22.37±3.75) vs. (20.25±3.19), (17.27±3.60) vs. (15.81±3.42), (25.49±5.92) vs. (23.18±5.26), (43.01±3.20) vs. (41.15±3.49), and (108.41±10.64) vs. (102.35±11.13)], with statistical differences (t=3.335, 2.278, 2.259, 3.043, and 3.049; all P<0.05). Conclusion　Ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy can effectively strengthen the hypoglycemic effect, and improve their quality of life, self-management ability of patients, and self-care ability.

Key words:

Diabetes mellitus, Ward-clinic-family mode, Retinopathy, Continuous nursing

于娜杨娜娜吴敏张迪梅.

病房-门诊-家庭模式对糖尿病视网膜病变患者延续性护理的影响 [J]. 国际医药卫生导报, 2024, 30(7): 1211-1217.

Yu Na, Yang Nana, Wu Min, Zhang Dimei.

Clinical effect of ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy [J]. International Medicine and Health Guidance News, 2024, 30(7): 1211-1217.

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病房-门诊-家庭模式对糖尿病视网膜病变患者延续性护理的影响

Clinical effect of ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy

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