全程护理对糖尿病视网膜病变患者眼底荧光造影不良反应的控制效果研究

Control Eeffect of Whole-course Nursing on Adverse reactions of Fundus Fluorescein in Patients with Ddiabetic Retinopathy

目的探讨全程护理干预降低糖尿病视网膜病变患者眼底荧光造影不良反应发生率的效果。方法选取我院(2017年1月至2019年1月)收治的80例糖尿病视网膜病变患者,均经临床检查确诊,根据不同护理分为两组,对照组(n=40)接受常规护理,观察组(n=40)接受全程护理,对比两组患者干预前后心理状态和生活质量以及不良反应(荨麻疹、发热、呕吐、头晕)发生率。结果干预前两组患者SDS、SAS评分对比无差异(P>0.05);干预后观察组患者SDS、SAS评分分别为(42.54±3.21)、(41.48±8.50),对照组分别为(58.24±2.44)、(60.68±8.56),两组干预后均明显下降,观察组改善程度明显优于对照组(P<0.05)。干预后观察组患者精神健康、情感职能、生理职能、社会功能、生理功能、活力状态、躯体疼痛、总体健康分别为(77.54±11.54)、(89.54±10.24)、(67.58±8.25)、(82.35±12.54)、(73.74±11.24)、(81.54±9.54)、(70.54±8.56)、(76.42±10.55),对照组分别为(67.54±10.54)、(74.58±11.54)、(59.54±8.14)、(75.54±10.57)、(68.95±10.54)、(73.82±9.58)、(66.95±8.24)、(65.72±9.54),两组患者SF-36评分对比差异明显(t=4.0467、6.1326、4.3875、2.6262、1.9661、3.6590、1.91110、4.7577,P<0.05)。观察组不良反应7.50%(3/40),对照组30.00%(12/40),两组患者不良反应发生率对比差异明显(χ2=16.6154,P<0.05)。结论全程护理干预可有效降低糖尿病视网膜病变患者眼底荧光造影不良反应发生率,改善患者心理状态,提高生活质量,值得临床推广。

Objective To investigate the effect of whole-course nursing intervention on reducing the incidence of adverse reactions of fundus fluorescein in patients with diabetic retinopathy.Methods Eighty patients with diabetic retinopathy admitted to our hospital(January 2017 to January 2019)were diagnosed by clinical examination.They were divided into two groups according to different nursing treatments.The control group(n=40)received routine care.The observation group(n=40)received full-course care,comparing the psychological status and quality of life and the incidence of adverse reactions(urticaria,fever,vomiting,dizziness)before and after intervention.Results There was no difference in SDS and SAS scores between the two groups before intervention(P>0.05).The SDS and SAS scores of the observation group were(42.54±3.21)and(41.48±8.50),respectively,and the control group were(58.24±2.44)and(60.68±8.56)respectively.Both groups showed significant decline after intervention,and the improvement degree of the observation group was significantly better than that of the control group(P<0.05).After intervention,the mental health,emotional function,physiological function,social function,physiological function,vital state,physical pain and overall health of the observation group were(77.54±11.54),(89.54±10.24),(67.58±8.25),(82.35±12.54),(73.74±11.24),respectively.(81.54±9.54),(70.54±8.56),(76.42±10.55),the control group were(67.54±10.54),(74.58±11.54),(59.54±8.14),(75.54±10.57),(68.95±10.54),(73.82±9.58),(66.95±8.24),(65.72±9.54),respectively.Patients had significant differences in SF-36 scores(t=4.0467,6.1326,4.3875,2.6262,1.9661,3.6590,1.91110,4.7577,P<0.05).The adverse reactions in the observation group were 7.50%(3/40),and the control group was 30.00%(12/40).The incidence of adverse reactions was significantly different between the two groups(χ2=16.6154,P<0.05).Conclusion The whole-course nursing intervention can effectively reduce the incidence of adverse reactions of fundus fluorescein angiography in patients with diabetic retinopathy,improve the psychological state of patients and improve the quality of life,which is worthy of clinical promotion.