保护动机干预对糖尿病性白内障患者人工晶体植入术后康复的作用

Effect of ‘protection motivation intervention' on the recovery of patients with diabetic cataract from intraocular lens implantation

目的探讨保护动机干预在糖尿病性白内障患者人工晶体植入术后康复中的作用。方法 118例糖尿病性白内障住院患者随机分为观察组与对照组各59例,对照组行常规护理,观察组同时给予保护动机干预。评估2组患者术后视力、并发症发生率、生活质量指数。结果观察组术后1个月及3个月视力高于对照组,出现术后盲或低视力率为(3.85%)低于对照组(12.66%),差异均有统计学意义(P<0.05);观察组生活质量指数显著高于对照组(P<0.05)。结论保护动机干预能明显提高糖尿病性白内障患者术后视力,减少并发症的发生,提高患者生活质量。

Objective To understand the effect of ‘protection motivation intervention ＇ on the recovery of patients with diabetic cataract from intraocular lens implantation. Method 118 diabetic cataract patients were firstly divided into a control group（ n = 59） and an experimental group（ n = 59）. The control group received conventional ophthalmic nursing while the experimental group were given protection motivation intervention in addition to that given to the control group. The quality of life,the postoperative visual acuity,and incidence of complications of both groups as observed after intervention were then surveyed and compared. Findings 1 month and 3 months after operation,the visual acuity of the experimental group was higher than that of the control group while the rate of blindness and low vision after operation was lower than that of the control group. The difference was statistically significant（ P〈0. 05）. The QOLI of the experimental group was significantly higher than that of the control group（ P〈0. 05）. Conclusion Protection motivation intervention can effectively improve the visual acuity and quality of life of the patients with diabetic cataract after having undergone intraocular lens implantation.