Clinical effect of ward-clinic-family mode combined with continuous nursing for patients with diabetic retinopathy
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 x2 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.
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