首页|以互动达标理论为指导的延续性护理对糖尿病视网膜病变患者的影响

以互动达标理论为指导的延续性护理对糖尿病视网膜病变患者的影响

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目的:探究以互动达标理论为指导的延续性护理对糖尿病视网膜病变(DR)患者的影响。方法:选取 2022 年6 月—2023 年 10 月遵义市第一人民医院收治的 92 例DR患者。根据随机数表法将其分为对照组和观察组,各 46 例。对照组给予常规延续性护理,观察组给予以互动达标理论为指导的延续性护理。比较两组护理前后血糖水平、自我管理能力、生活质量。结果:护理后,观察组空腹血糖(FBG)、餐后 2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)水平均低于对照组,差异有统计学意义(P<0。05)。护理后,观察组饮食控制、足部护理、规律运动、血糖监测、遵医嘱用药、高低血糖处理评分均高于对照组,差异有统计学意义(P<0。05)。护理后,观察组阅读和精细动作、调节能力、日常生活、远视力、移动和光感评分均高于对照组,差异有统计学意义(P<0。05)。结论:在DR患者中实施以互动达标理论为指导的延续性护理可提高自我管理能力,利于血糖的良好控制,进而改善生活质量。
Influence of Continuous Nursing Guided by Interactive Standard Theory on Patients with Diabetic Retinopathy
Objective:To explore the influence of continuous nursing guided by interactive standard theory on patients with diabetic retinopathy(DR).Method:A total of 92 patients with DR Admitted to Zunyi First People's Hospital from June 2022 to October 2023 were selected.They were divided into control group and observation group according to random number table method,46 cases in each group.The control group was given routine continuous nursing,and the observation group was given continuous nursing guided by the interactive standard theory.Blood glucose level,self-management ability and quality of life before and after nursing were compared between the two groups.Result:After nursing,the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PBG)and glycated hemoglobin(HbA1c)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After nursing,the scores of diet control,foot care,regular exercise,blood glucose monitoring,medication as prescribed by the doctor and high and low blood glucose treatment in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of reading and fine motor,adjustment ability,daily living,far vision,movement and light perception in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:The implementation of continuous nursing guided by the interactive standard theory in DR Patients can improve the ability of self-management,which is conducive to the good control of blood sugar,and thus improve the quality of life.

Diabetic retinopathyInteractive standard theoryContinuous nursingBlood glucoseSelf-management abilityQuality of life

何丹

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遵义市第一人民医院(遵义医科大学第三附属医院) 贵州 遵义 563000

糖尿病视网膜病变 互动达标理论 延续性护理 血糖 自我管理能力 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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