基于创新扩散理论的系统性护理干预对白内障伴青光眼患者的影响

The Impact of Systematic Nursing Intervention Based on Diffusion of Innovations Theory on Patients with Cataract and Glaucoma

目的 全面评估在白内障伴青光眼患者中实施基于创新扩散理论的系统性护理干预对希望水平及生活质量的影响。方法 研究选择2023年10月至2024年3月濮阳市第二人民医院收治的85例白内障伴青光眼患者,采用随机数表法分成对照组(42例)、观察组(43例),给予对照组常规方案护理,给予观察组常规方案+基于创新扩散理论的系统性护理干预,对两组干预前、后的希望水平量表(HHI)、生活质量问卷(GQOLI-74)得分、眼压、最佳矫正视力(BCVA)及并发症情况。结果 干预前,两组HHI、GQOLI-74各维度得分差异无统计学意义(P> 0.05),干预后,观察组HHI、GQOLI-74各维度评分均高于对照组,差异有统计学意义(P <0.05);干预前,两组眼压、BCVA差异无统计学意义(P> 0.05),干预后,观察组眼压低于对照组、BCVA水平高于对照组,差异有统计学意义(P <0.05);观察组并发症发生率(4.65%)低于对照组(21.43%),差异有统计学意义(P <0.05)。结论 在白内障伴青光眼患者中采用基于创新扩散理论的系统性护理干预的效果可观,可提高患者希望水平与生活质量,有效预防并发症,提高疗效,改善整体预后。

Objective To comprehensively evaluate the impact of systematic nursing intervention based on the diffusion of innovations theory on the level of hope and quality of life in patients with cataract and glaucoma.Methods The study selected 85 patients with cataract and glaucoma admitted to Puyang Second People’s Hospital from October 2023 to March 2024.They were randomly divided into a control group(42 cases)and an observation group(43 cases).The control group received routine care,while the observation group received routine care plus systematic nursing intervention based on the diffusion of innovations theory.The Herth hope index(HHI),General quality of life inventory(GQOLI-74),intraocular pressure,best-corrected visual acuity(BCVA),and complications were compared between the two groups before and after the intervention.Results Before the intervention,there were no statistically significant differences in the scores of HHI and GQOLI-74 dimensions between the two groups(P>0.05).After the intervention,the scores of HHI and GQOLI-74 dimensions in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Before the intervention,there were no statistically significant differences in intraocular pressure and BCVA between the two groups(P>0.05).After the intervention,the intraocular pressure in the observation group was lower than that in the control group,and the BCVA level was higher than that in the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group(4.65%)was lower than that in the control group(21.43%),with statistically significant differences(P<0.05).Conclusion The systematic nursing intervention based on the diffusion of innovations theory has a considerable effect on patients with cataract and glaucoma.It can improve the level of hope and quality of life of patients,effectively prevent complications,enhance the efficacy,and improve the overall prognosis.