基于创新扩散理论的循证护理对糖尿病视网膜病变患者代谢指标及生存质量的影响

Effects of evidence-based nursing based on innovation diffusion theory on the metabolic indexes and life quality of patients with diabetic retinopathy

目的探究基于创新扩散理论的循证护理对糖尿病视网膜病变患者代谢指标及生存质量的影响,为临床提供理论参考。方法选取2020年1~12月收治的100例糖尿病视网膜病变患者,经随机数字表法分为对照组和观察组,每组50例。对照组采用常规护理,观察组在对照组的基础上采用基于创新扩散理论的循证护理,比较2组各主要代谢指标、生存质量(SF-36)评分以及护理满意度。结果护理前,2组空腹血糖、餐后2 h血糖、糖化血红蛋白水平差异无统计学意义(P>0.05);护理后,2组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均较护理前下降,且观察组低于对照组,差异有统计学意义(P<0.05)。护理前,2组身体状况、心理状况、社会功能、角色功能评分差异无统计学意义(P>0.05);护理后,2组身体状况、心理状况、社会功能、角色功能评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为88.00%,对照组护理满意度为70.00%,观察组低于对照组,差异有统计学意义(P<0.05)。结论基于创新扩散理论的循证护理,应用在糖尿病视网膜病变中,可促进患者代谢指标的改善和生存质量、护理满意度的提高。

Objective To investigate the effects of evidence-based nursing based on innovation diffusion theory on the metabolic indexes and life quality of patients with diabetic retinopathy,and to provide theoretical reference for clinical treatment.Methods One hundred patients with diabetic retinopathy who were treated in our hospital from January 2020 to December 2020 were enrolled in the study,who were randomly divided into control group and observation group,with 50 cases in each group.The patients in control group were treated by conventional nursing,however,those in observation group,on the basis of control group were treated by evidence-based nursing based on innovation diffusion theory.The main metabolic indexes,quality of life(SF-36)score and nursing satisfaction degree were observed and compared between the two groups.Results Before nursing intervention,there were no significant differences in the levels of fasting blood glucose,2h postprandial blood glucose and HbA1c between the two groups(P>0.05).After nursing,the levels of fasting blood glucose,2h postprandial blood glucose and glycated hemoglobin in both groups were decreased,moreover,which in observation group were significantly lower than those in control group(P<0.05).Before nursing,there were no significant differences in the scores of physical condition,psychological condition,social function and role function between the two groups(P>0.05),after nursing,the scores of above indxes in both groups were increased,moreover,which in observation group were significantly higher than those in control group(P<0.05).In addition the nursing satisfaction rate in observation group was 88.00%,which was significantly higher than that(70.00%)in control group(P<0.05).Conclusion The application of evidence-based nursing based on innovation diffusion theory for patients wit diabetic retinopathy can promote the improvement of metabolic indexes,improve the life quality and nursing satisfaction degree of patients.