保护性动机干预对2型糖尿病视网膜病变患者生活质量的影响

Effect of protective-motivation intervention on quality of life in patients with type 2 diabetic retinopathy

目的:探讨保护性动机干预对糖尿病性视网膜病变患者视力恢复、生活质量的影响。方法:选取118例糖尿病视网膜病变患者随机分为观察组(n=59)与对照组(n=59)。对照组患者采用常规护理措施,观察组在此基础上,采用保护性动机干预。比较两组患者视力恢复、眼部并发症发生率、生活质量。结果观察组出院3个月、6个月视力均高于对照组,组间比较差异具有统计学意义(P<0.05),两组患者视力恢复在时间、组间、时间组间交互效应具有统计学差异(P<0.05);且观察组出现眼盲或低视力率低于对照组(P<0.05);观察组眼部并发症发生率低于对照组(P<0.05);出院6个月,观察组生活质量指数高于对照组(P<0.05)。结论:保护性动机干预能明显改善糖尿病性视网膜病患者视力水平,减少眼部并发症的发生,提高患者生活质量。

Objective: To investigate the effect of protective motivation intervention on vision recovery and quality of life in patients with diabetic retinopathy. Methods: 118 patients with diabetic retinopathy were randomly divided into observation group(n=59) and control group(n=59).The patients in the control group were given routine nursing measures, while the observation group adopted protective motivation intervention on this basis. Visual recovery, eye complications and quality of life were compared between the two groups. Results: The visual acuity of the observation group was higher than that of the control group at 3 months and 6 months after discharge, and the difference between the two groups was statistically significant (P<0.05).Ophthalmic complications occurred in 6 cases (10.17%) in the observation group and 17 cases (28.81%) in the control group. The difference between the two groups was statistically significant (P<0.05).6 months after discharge, the quality of life index of the observation group (7.70+1.13), normal 10 cases (19.95%), the control group of quality of life index (5.22+1.48), normal 4 cases (6.78%), the difference was statistically significant (P<0.05). Conclusion: The protective motivation intervention can significantly improve the visual acuity of diabetic retinopathy patients, reduce the occurrence of eye complications, and improve the quality of life of patients.