CICARE沟通模式下分层责任制护理在糖尿病性视网膜病变患者中的应用效果

Application effect of hierarchical responsibility nursing under CICARE communication model in patients with diabetic retinopathy

目的探讨CICARE沟通模式下分层责任制护理在糖尿病性视网膜病变患者中的应用效果。方法选取2020年12月至2021年12月就诊于空军军医大学第二附属医院的糖尿病视网膜病变患者280例作为研究对象,根据抽签随机法将其分为常规组和研究组,各140例。常规组予以常规护理,研究组予以CICARE沟通模式下分层责任制护理配合。于干预前、干预3个月后比较两组自我效能、自我护理能力、治疗依从性、糖脂代谢及视力下降情况。结果干预3个月后,两组自我效能与自我护理能力均高于干预前,且研究组高于常规组,差异有统计学意义(P<0.05);研究组治疗依从性优于常规组,差异有统计学意义(P<0.05);两组糖脂代谢指标均低于干预前,且研究组低于常规组,差异有统计学意义(P<0.05);研究组视力下降率低于常规组,差异有统计学意义(P<0.05)。结论基于CICARE沟通模式下实施分层责任制护理干预措施,可进一步增强糖尿病性视网膜病变患者自我效能、自我护理能力,提高其治疗依从性,防治其视力下降。

Objective To observe the application effect of hierarchical responsibility nursing under CICARE communication model in patients with diabetic retinopathy.Methods A total of 280 patients with diabetic retinopathy admitted to the Second Affiliated Hospital of Air Force Military Medical University from December 2020 to December 2021 were selected as the study objects.They were divided into the conventional group and the research group according to the lottery method,with 140 cases in each group.The routine group was given routine nursing,and the research group was given hierarchical responsibility nursing cooperation under CICARE communication mode.Self-efficacy,self-care ability,treatment compliance,glycolipid metabolism,and vision loss were compared between the two groups before intervention and three months after intervention.Results After three months intervention,the self-efficacy and self-care ability of the two groups were higher than those before intervention,and the research group was higher than the conventional group,and the differences were statistically significant(P<0.05);the treatment compliance of the study group was better than that of the conventional group,and the difference was statistically significant(P<0.05);the indexes of glucose and lipid metabolism in both groups were lower than those before intervention,and the study group was lower than the conventional group,and the differences were statistically significant(P<0.05);the visual impairment rate of the study group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The implementation of stratified responsibility nursing intervention measures based on CICARE communication mode can further enhance the self-efficacy and self-care ability of patients with diabetes retinopathy,and prevent their vision decline.