首页|糖尿病视网膜病变患者自我感受负担的相关影响因素及护理措施分析

糖尿病视网膜病变患者自我感受负担的相关影响因素及护理措施分析

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目的 分析糖尿病视网膜病变(DR)患者自我感受负担的相关影响因素及护理措施。方法 选取2022年6月至2023年6月该院收治的110例DR患者作为研究对象,采用自我感受负担量表调查DR患者自我感受负担情况;收集患者年龄、性别等资料统计分析患者自我感受负担的相关影响因素。结果 110例患者中有自我感受负担53例,占48。18%(53/110)。性别、年龄、体重指数、居住地、婚姻状况、工作情况与DR患者自我感受负担的发生无关,差异均无统计学意义(P>0。05);文化程度、家庭月收入、医疗费用支付方式、家庭关系、社会支持水平与DR患者的自我感受负担有关,差异均有统计学意义(P<0。05);初中及以下、家庭月收入低于5 000元、医疗费用自费、家庭关系不和睦、社会低支持水平为DR患者自我感受负担发生的独立危险因素,差异均有统计学意义(偏回归系数=2。096、1。085、0。812、1。438、2。461,优势比=8。131、2。960、2。253、4。213、11。717,95%可信区间:3。409~19。398、1。349~6。495、1。050~4。834、1。899~9。347、4。515~30。402,P<0。05)。结论 大部分DR患者存在自我感受负担,初中及以下、家庭月收入低于5 000元、医疗费用自费、家庭关系不和睦、社会低支持水平等是造成患者自我感受负担发生的独立危险因素。故临床医护人员需对上述高危人群给予重点关注,积极施以有针对性的护理措施,以保证患者身心健康。
Analysis of related influencing factors and nursing measures of self-perceived burden in patients with diabetic retinopathy
Objective To analyze the related influencing factors and nursing measures of self-perceived burden in patients with diabetic retinopathy(DR).Methods A total of 110 DR patients admitted to Zheng-zhou Second Hospital from June 2022 to June 2023 were selected as the research subjects.The Self-perceived Burden Scale(SPBS)was used to investigate the self-perceived burden of DR patients;The age,gender and other data of patients were collected to analyze the related influencing factors of patients'self-perceived bur-den.Results Among the 110 DR patients,a total of 53 had self-perceived burden,accounting for 48.18%(53/110);Univariate analysis showed that gender,age,body mass index(BMI),place of residence,marital status,and work status were not associated with the occurrence of self-perceived burden in DR patients,and there was no statistical difference(P>0.05);Education level,monthly family income,payment methods for medical ex-penses,family relationships,and social support level were related to the self-perceived burden of DR patients,with statistical differences(P<0.05);Logistic regression analysis showed that middle school and below,fami-ly monthly income<5 000 yuan,self-payment of medical expenses,disharmonious family relationships,and low level of social support were independent risk factors for the occurrence of self-perceived burden in DR pa-tients(β=2.096,1.085,0.812,1.438,2.461,OR=8.131,2.960,2.253,4.213,11.717,95%confidence inter-val:3.409-19.398,1.349-6.495,1.050-4.834,1.899-9.347,4.515-30.402,P<0.05).Conclusion Most patients with DR have self-perceived burden.The independent risk factors for the occur-rence of self-perceived burden are junior high school or below,monthly family income less than 5 000 yuan,self-payment of medical expenses,disharmonious family relations,and low level of social support.Therefore,clinical medical staff should pay attention to the above high-risk groups and actively implement targeted nurs-ing measures to ensure the physical and mental health of patients.

Diabetic retinopathySelf-perceived burdenAnalysis of influencing factorsNursing measures

徐文静、贺攀、赵福玉

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郑州市第二人民医院眼底二病区,河南郑州 450000

郑州市第二人民医院青光眼二病区,河南郑州 450000

糖尿病视网膜病变 自我感受负担 影响因素分析 护理措施

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(4)
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