Orem自我护理对糖尿病视网膜病变患者视功能生存质量的影响

Effect of Orem Self-care on Visnal Function Quality of Life of Patients with Diabetic Retinopathy

目的探讨Orem自我护理对糖尿病视网膜病变患者视功能生存质量的影响。方法该文选取该院2018年6月—2019年11月收治的80例糖尿病视网膜病变患者,采用随机单盲的研究方法平分成观察组和对照组,分别40例,对照组行常规护理,观察组实施Orem自我护理,比较两组患者视功能评分和护理前后视功能生存质量,空腹血糖、餐后2 h血糖。结果观察组患者日常活动限制评分低于对照组,差异有统计学意义(P<0.05),两组在周边视野、感觉适应等视功能评分上差异无统计学意义(P>0.05);护理后两组患者立体觉、自理、活动、社交、心理及视功能生存质量总得分均低于护理前,且观察组患者各项视功能生存质量指标低于对照组,差异有统计学意义(P<0.05)。结论 Orem自我护理对糖尿病视网膜病变患者效果显著,可有效改善视功能及提高生存质量,控制患者疾病进展。

Objective To explore the effect of Orem self-care on the quality of life of patients with diabetic retinopathy.Methods In this paper, 80 patients with diabetic retinopathy admitted to the hospital were selected from June 2018 to November 2019 and divided into the observation group and the control group by a randomized single-blind research method. The control group received routine care and the observation group received Orem self-care. The two groups were compared of patients’ visual function score and quality of life of visual function before and after nursing,fasting blood glucose,2 h postprandial blood glurose. Results The daily activity restriction score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05). There was no statistically significant difference in the visual function scores of peripheral visual field and sensory adaptation between the two groups(P>0.05);The total scores of quality of life of, activities, social, psychological and visual functions were lower than those before nursing, and the quality of life indicators of visual function of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05). Conclusion Orem self-care is effective for patients with diabetic retinopathy, which can effectively improve visual function and quality of life, and control the disease progression of patients.