Effect of self-management-oriented 5A nursing model on postoperative self-care ability and follow-up compliance of glaucoma patients
Objective To investigate the effect of self-management-oriented 5A nursing mode on post-operative self-care ability and follow-up compliance of glaucoma patients.Methods A total of 87 glaucoma pa-tients admitted to our hospital from November 2021 to November 2022 were selected as the study objects.They were divided into the observation group(44 cases)and the reference group(43 cases)by random enve-lope method.The reference group received routine nursing mode,and the observation group received self-man-agement-oriented 5A nursing mode on the basis of routine nursing.Both groups continued to be intervened for six months.The self-management ability[adult health self-management ability scale(AHSMSRS)].sleep quality[Pittsburgh sleep quality index scale(PSQI)],quality of life[quality of life scale for patients with visu-al impairment(SQOL-DVI)],self-care ability[self-care ability scale(ESCA)],anxiety and depression[Beck anxiety inventory(BAI),Beck depression inventory(BDI)]were compared and analyzed between the two groups before and after follow-up compliance,knowledge mastery,postoperative recovery(visual acuity,in-traocular pressure,recurrence rate,complication rate).Results The follow-up compliance rate of the observa-tion group[100.00％(44/44)]was higher than that of the reference group[86.05％(37/43)],and the differ-ence was statistically significant(x2=4.600,P=0.032).The scores of disease,medication,correct eye knowl-edge and postoperative precautions in the observation group were higher than those in the reference group,and the differences were statistically significant(P＜0.001).The recurrence rate of the observation group[2.27％(1/44)]was lower than that of the reference group[18.60％(8/43)],and the difference was statistically sig-nificant(x2=4.617,P=0.032).The incidence of complications in the observation group[4.55％(2/44)]was lower than that in the reference group[23.26％(10/43),and the difference was statistically significant(x2=6.403,P=0.011).The improvement of visual acuity and intraocular pressure in the observation group after nursing was greater than that in the reference group,and the differences were statistically significant(P＜0.05).After nursing,the AHSMSRS and ESCA scores of the observation group were higher than those of the reference group,and the differences were statistically significant(P＜0.05).After nursing,the scores of PSQI,SQOL-DVI,BAI and BDI in the observation group were lower than those in the reference group,and the differences were statistically significant(P＜0.05).Conclusion Self-management-oriented 5A nursing model can improve the self-management ability and self-care ability of glaucoma patients after surgery,relieve their anxiety and depression,and improve their compliance.
Self-management-oriented 5 A nursing modelGlaucomaSelf-care abilityFollow-up complianceSelf-management ability
万方数据
维普
