首页|聚焦解决模式护理在糖尿病视网膜病患者中的应用效果

聚焦解决模式护理在糖尿病视网膜病患者中的应用效果

扫码查看
目的:观察聚焦解决模式护理在糖尿病视网膜病患者中的应用效果.方法:选取 2019 年 1 月至 2021 年 12 月该院收治的100例糖尿病视网膜病患者进行前瞻性研究,按随机数字表法将其分为对照组与观察组各50例.对照组采用常规护理,观察组在对照组基础上采用聚焦解决模式护理.比较两组护理依从性、护理前后血糖指标[空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)]水平、生命质量[中文版低视力者生活质量表(CLVQOL)]评分和负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分.结果:观察组护理依从性优良率为98.00%(49/50),高于对照组的80.00%(40/50),差异有统计学意义(P<0.05);护理后,两组FBG、2hPG、HbA1c水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组远视力、移动和光感,调节能力,阅读和精细动作,以及日常活动能力等CLVQOL评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SDS、SAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用聚焦解决模式护理可提高糖尿病视网膜病患者护理依从性优良率与生命质量评分,降低血糖指标水平和负性情绪评分,其效果优于单纯常规护理.
Application effects of solution-focused nursing in patients with diabetic retinopathy
Objective:To observe application effects of solution-focused nursing in patients with diabetic retinopathy.Methods:A prospective study was conducted on 100 patients with diabetic retinopathy admitted to the hospital from January 2019 to December 2021.According to the random number table method,they were divided into control group and observation group,50 cases in each group.The control group was given routine nursing,while the observation group was given the solution-focused nursing on the basis of that of the control group.The nursing compliance,the blood glucose index levels before and after the nursing[fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)],the quality of life[low vision quality of life scale(CLVQOL)]score,the negative emotions[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]score were compared between the two groups.Results:The excellent and good rate of nursing compliance in the observation group was 98.00%(49/50),which was higher than 80.00%(40/50)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the levels of FBG,2hPG and HbA1c in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The CLVQOL scores of distant vision,movement and light perception,adjustment ability,reading and fine movement,and activities of daily living in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the SDS scores and the SAS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the solution-focused nursing can improve the excellent and good rate of nursing compliance and the quality of life scores of the patients with diabetic retinopathy and reduce the levels of blood glucose indexes and the negative emotion scores.Moreover,it is superior to single routine nursing.

Diabetic retinopathySolution-focused nursingNursing complianceBlood glucoseQuality of lifeNegative emotion

余攀

展开 >

南阳市第一人民医院,河南 南阳 473000

糖尿病视网膜病 聚焦解决模式护理 护理依从性 血糖 生命质量 负性情绪

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
  • 14