清单式管理在糖尿病性视网膜病变行玻璃体腔注药术中的护理应用效果

Nursing application effect of checklist management in patients with diabetic retinopathy undergoing intravitreal injection

目的探讨清单式管理在糖尿病性视网膜病变(DR)行玻璃体腔注药术中的护理应用效果。方法选取2021年10月至2022年10月江西医学高等专科学校第一附属医院眼科收治的60例DR患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各30例。对照组实施传统护理管理模式,在此基础上观察组实施清单式管理模式。比较两组患者治疗依从性、疾病知识掌握情况、护士工作效率、护理缺陷发生率、护理满意度情况。结果观察组治疗依从性高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者健康饮食、日常运动、血糖控制、用药、DR预防知识掌握评分均高于本组干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。观察组护士宣教时间短于对照组,中眼位配合调整次数少于对照组,差异有统计学意义(P<0.05)。观察组护理缺陷率低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论清单式管理可提高DR行玻璃体腔注药术患者治疗依从性及对疾病知识的掌握,提升护士工作效率,降低护理缺陷发生率,促进护理满意度的提高。

Objective To investigate the nursing application effect of checklist management in patients with diabetic retinopathy(DR)undergoing intravitreal injection.Methods A total of 60 patients with DR admitted to the Department of Ophthalmology of the First Affiliated Hospital of Jiangxi Medical College from October 2021 to October 2022 were selected as research objects,and they were divided into observation group and control group according to random number table method,with 30 cases in each group.The control group implemented the traditional nursing management mode,and the observation group implemented the checklist management mode on this basis.Treatment compliance,disease knowledge,nurses'work efficiency,incidence of nursing defects and nursing satisfaction were compared between the two groups.Results The treatment compliance of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After intervention,the scores of healthy diet,daily exercise,blood glucose control,medication and DR prevention knowledge in two groups were higher than those before intervention,and the scores in observation group were higher than those of control group,with statistical significances(P<0.05).The teaching time of nurses in observation group was shorter than that in control group,and the adjustment times of middle eye position was less than that in control group,the differences were statistically significant(P<0.05).The nursing defect rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Checklist management can improve the treatment compliance and disease knowledge of DR patients undergoing intravitreal injection,improve the work efficiency of nurses,reduce the incidence of nursing defects,and promote the improvement of nursing satisfaction.