首页|个案管理对甲状腺相关眼病患者自我管理效能及并发症的影响

个案管理对甲状腺相关眼病患者自我管理效能及并发症的影响

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目的 探讨个案管理模式对甲状腺相关眼病患者自我管理效能及并发症影响,促进患者康复.方法 将282例甲状腺相关眼病患者按照入院时间分为对照组136例,观察组146例.对照组实施常规眼科护理,观察组在常规护理基础上实施个案管理模式.比较两组患者干预前及干预1、3个月自我管理效能及并发症发生率.结果 干预3个月,观察组自我管理效能评分显著高于对照组,切口感染及暴露性角膜炎发生率显著低于对照组(均P<0.05).结论 个案管理模式的应用可提高甲状腺相关眼病患者的自我管理效能,减少并发症发生率.
Effect of case management on self-management efficacy and complications in pa-tients with thyroid associated ophthalmopathy
Objective To explore the impact of case management model on self-management efficacy and complications in patients with thyroid associated ophthalmopathy,and to promote patients'recovery.Methods A total of 282 patients with thyroid associated ophthalmopathy were divided into a control group(n=136)and an observation group(n=146)according to admission time.The control group received routine ophthalmologic care,while the observation group received the case management model in addition to routine care.Self-management efficacy and the incidence of complications were compared between the two groups before and 1,3 months after the intervention.Results After 3 months of intervention,the self-management efficacy score of the observation group was significantly higher than that of the control group,and the incidence of incision infection and exposure keratitis was significant-ly lower than that of the control group(all P<0.05).Conclusion The application of the case management model can enhance the self-management efficacy of patients with thyroid associated ophthalmopathy and reduce the incidence of complications.

thyroid associated ophthalmopathyself-management efficacycase managementcomplicationincision infec-tionexposure keratitisophthalmological nursing

张希、王峥嵘、胡梦云、谢其修、张越

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华中科技大学同济医学院附属协和医院眼科(湖北武汉,430022)

甲状腺相关眼病 自我管理效能 个案管理 并发症 切口感染 暴露性角膜炎 眼科护理

湖北省自然科学基金面上项目

WJ2021M238

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(13)