表格式管理集束化护理用于糖尿病视网膜病变术后患者的价值

Value of cluster nursing with tabular management on postoperative patients with diabetic retinopathy

目的分析表格式管理集束化护理在糖尿病视网膜病变(DR)术后患者中的应用价值。方法回顾性分析2019年3月至2021年6月济南市第二人民医院收治的89例DR患者的临床资料,使用电脑进行随机编号,单数者为对照组44例(患眼59只),双数者为观察组45例(患眼65只)。对照组男21例,女23例,年龄(42.18±10.27)岁;观察组男23例,女22例,年龄(42.39±10.52)岁。对照组予以DR术后常规护理,观察组在对照组基础上予以表格式管理集束化护理干预,两组患者均干预1个月。干预前后使用自我护理能力测定量表(ESCA)和视功能损害眼病患者生存质量问卷(SQOL-DVI)评定患者的自护能力和生活质量;使用简易疾病感知问卷(BIPQ)评定两组患者疾病认知情况;比较两组患者术后并发症(角膜水肿、视网膜脱离和玻璃体出血)的发生情况。计量资料采用t检验,计数资料采用χ^(2)检验,等级资料采用Mann-Whitney U检验。结果干预后,观察组患者ESCA总分高于对照组[(110.19±13.59)分比(96.59±12.47)分],差异有统计学意义(t=4.916,P<0.001);BIPQ等级改善程度优于对照组(U=2.520,P=0.012);观察组并发症总发生率低于对照组[4.44%(2/45)比18.18%(8/44)],差异有统计学意义(χ^(2)=4.210,P=0.040);干预后,观察组SQOL-DVI总分高于对照组[(87.59±12.64)分比(75.52±11.77)分],差异有统计学意义(t=4.660,P<0.001)。结论表格式管理集束化护理可以提高DR术后患者的疾病自护能力和疾病认知水平,降低患者并发症的发生率,提高患者的生存质量。

Objective To analyze the application value of cluster nursing with tabular management on patients after diabetic retinopathy(DR)surgery.Methods The clinical data of 89 patients with DR treated in Jinan Second People's Hospital between March 2019 and June 2021 were retrospectively analyzed,and they were divided into a control group(44 cases,59 affected eyes)and an observation group(45 cases,65 affected eyes)depending on different intervention methods.The control group included 21 males and 23 females,aged(42.18±10.27)years;the observation group included 23 males and 22 females,aged(42.39±10.52)years.The control group was given routine nursing after DR surgery,and the observation group was given cluster nursing intervention with tabular management on the basis of the control group.Both groups were intervened for 1 month.The self-care ability and quality of life were assessed by Exercise of Self-Care Agency Scale(ESCA)and Scale of Life Quality for Diseases with Visual Impairment(SQOL-DVI)before and after intervention,Brief Illness Perception Questionnaire(BIPQ)was used to assess the disease cognition of the two groups,and the incidence of postoperative complications(corneal edema,retinal detachment,and vitreous hemorrhage)was compared between the two groups.t test was used for the measurement data,χ^(2) test was used for the count data,and Mann-Whitney U test was used for the grade data.Results After intervention,the total score of ESCA in the observation group was higher than that in the control group[(110.19±13.59)points vs.(96.59±12.47)points],with a statistically significant difference(t=4.916,P<0.001).The improvement of BIPQ grading in the observation group was better than that in the control group(U=2.520,P=0.012).The incidence of complications in the observation group was lower than that in the control group[4.44%(2/45)vs.18.18%(8/44)],with a statistically significant difference(χ^(2)=4.210,P=0.040).After intervention,the total score of SQOL-DVI in the observation group was higher than that in the control group[(87.59±12.64)points vs.(75.52±11.77)points],with a statistically significant difference(t=4.660,P<0.001).Conclusion Cluster nursing with tabular management can improve the disease self-care ability and disease cognition level in patients after DR surgery,reduce the incidence of complications,and improve their quality of life.