眼底血管造影依从性影响因素分析及护理对策

Influencing factors of compliance in patients taking fundus angiography and nursing countermeasures

目的分析眼底血管造影依从性影响因素以及护理策略。方法选取2019年2月至2021年3月在无锡市第二人民医院就诊的眼底血管造影患者130例(男64例,女66例,年龄41~65岁),基于一般资料量表调查患者基础信息,评价患者检查依从性,经单因素(采用χ^(2)检验)、多因素logistic回归分析筛选荧光素眼底血管造影检查患者检查依从性的影响因素,据此确定护理对策。结果检查依从性较差患者34例,检查依从性良好患者96例。经单因素分析,荧光素眼底血管造影检查患者检查依从性的影响因素包括年龄(χ^(2)=12.835,P<0.001)、文化水平(χ^(2)=12.168,P<0.001)、药物过敏史(χ^(2)=16.660,P<0.001)、瞬目运动(χ^(2)=22.178,P<0.001)、首次检查(χ^(2)=21.957,P<0.001)、检查操作(χ^(2)=44.502,P<0.001)、检查焦虑(χ^(2)=55.472,P<0.001)、检查系统教育(χ^(2)=38.810,P<0.001)、检查不良反应(χ^(2)=33.845,P<0.001);多因素logistic回归分析可知,依从性的影响因素包括发生瞬目运动(P<0.001)、首次检查(P<0.001)、检查操作不规范(P=0.029)、伴有检查焦虑(P=0.012)、缺乏检查系统教育(P<0.001)、伴有检查不良反应(P=0.004)。结论影响眼底血管造影依从性的危险因素包括瞬目运动、首次检查、检查操作不规范、伴有检查焦虑、缺乏检查系统教育、伴有检查不良反应等,根据以上因素制定针对性护理方法,可有效改善患者依从性,降低并发症发生率。

Objective To analyze the influencing factors of compliance in patients taking fundus angiography and the nursing countermeasures.Methods One hundred and thirty patients who were 41-65 years old and took fundus angiography at Wuxi Second People's Hospital from February 2019 to March 2021 were selected,including 64 males and 66 females.The patients'basic information was investigated by the general data scale,and their examination compliance was evaluated.After single factor analysis(usingχ^(2) test)and multiple factor logistic regression analysis were used to screen the influencing factors of their compliance.The nursing countermeasures were determined.Results There were 34 patients with poor compliance and 96 patients with good compliance.The univariate analysis showed that the influencing factors of their compliance included age(χ^(2)=12.835,P<0.001),educational level(χ^(2)=12.168,P<0.001),history of drug allergy(χ^(2)=16.660,P<0.001),blink movement(χ^(2)=22.178,P<0.001),first examination(χ^(2)=21.957,P<0.001),examination operation(χ^(2)=44.502,P<0.001),examination anxiety(χ^(2)=55.472,P<0.001),examination system education(χ^(2)=38.810,P<0.001),and examination adverse reactions(χ^(2)=33.845,P<0.001).Multivariate logistic regression analysis showed that the influencing factors of their compliance included blink movement(P<0.001),first examination(P<0.001),non-standard examination operation(P=0.029),examination anxiety(P=0.012),lack of examination system education(P<0.001),and examination adverse reactions(P=0.004).Conclusions The risk factors affecting the compliance of patients taking fundus angiography include blink movement,first examination,non-standard examination operation,examination anxiety,lack of examination system education,examination adverse reactions,etc.Developing targeted nursing methods according to the above factors can effectively improve their compliance and reduce the incidence of complications.