护理干预对2型糖尿病患者眼底照相检查依从性的影响

Effect of nursing intervention on compliance of fundus photography in patients with type II diabetes mellitus

目的:2型糖尿病是严重影响人类健康的一种内分泌疾病,它的致死致残率高,发病率呈现逐年上升趋势.该疾病给人类带来巨大痛苦的同时,也带来了多种的并发症.其中眼底病变是糖尿病最为常见和严重的并发症之一.本研究旨于探讨针对患者认知、心理及行为方式的护理干预对2型糖尿病患者眼底照相检查依从性的影响.方法:选取2018年1月-2019年1月2型糖尿病患者100例,随机将其分为观察组与对照组,每组患者50例,对照组患者进行常规的护理,观察组在常规护理的基础上进行护理干预(包括:认知干预、心理干预和行为干预),对比两组患者对眼底照相检查的遵医依从性,一次检查的成功率,对护理工作的满意程度等方面的差异.结果:观察组对眼底照相检查的遵医依从性及一次检查的成功率明显高于对照组,比较差异均有统计学意义(P<0.05);观察组对护理工作的满意程度100%(50/50)高于对照组的82%(41/50),比较差异有统计学意义(P<0.05).结论:优质的护理干预措施能够提高患者遵医的依从性,让2型糖尿病患者更容易接受和配合眼底照相检查,及早检测出病情,以达到早期治疗的目的,同时提高了患者对护理工作的满意度,提高了护士的工作效率.

Objective:Type II diabetes is an endocrine disease that seriously affects human health.It has a high mortality and disability rate,and its incidence is increasing year by year.While the disease causes great suffering,it also brings many complications.Fundus disease is one of the most common and serious complications of diabetes.The purpose of this study is to explore the effect of nursing intervention on the compliance of fundus examination in patients with type II diabetes mellitus based on cognitive,psychological and behavioral patterns.Methods:100 patients with type 2 diabetes mellitus from January 2018 to January 2019 were randomly divided into the observation group and the control group.50 patients in each group were given routine nursing care.Nursing intervention(including cognitive intervention,psychological intervention and behavioral intervention)was carried out on the basis of routine nursing care in observation group.Comparisons were made between the two groups on the compliance of fundus photography,the success rate of this examination and the satisfaction degree of nursing work to find out the differences between two groups.Results:Compliance and success rate of one examination of fundus photography in the observation group were significantly higher than those in the control group(P<0.05).Satisfaction degree of nursing in the observation group was 100%(50/50),which was higher than 82%in the control group(P<0.05).The difference was statistically significant(P<0.05).Conclusion:High-quality nursing intervention can improve patients'compliance.Diabetic patients are more likely to accept and cooperate with fundus photography examination and early detection of the condition in order to achieve the purpose of early treatment,while improving patients'satisfaction with nursing work and improve the work efficiency of nurses.