基于4C模式的延续性护理干预对白内障术后患者心理状态及并发症发生率的影响

The impact of continuity nursing intervention based on the 4Cmodel on the psychological status and incidence of complications in patients after cataract surgery

目的:回顾性分析基于4C(customer-cost-convenience-communication)模式的延续性护理干预在白内障术后中的临床应用价值。方法:选取濮阳市第二人民医院2022年12月至2023年12月收治的96例白内障术后患者,1:1匹配设计按护理方法不同分为4C组(n=48)、对照组(n=48),对照组行常规护理,4C组在此基础上行基于4C模式的延续性护理干预。比较两组视力水平、并发症发生率、疾病认知情况、自我感受负担量表(self-percrived burden scale,SPBS)、世界卫生组织生存质量测定量表简表(the world health organization quality of life-BREF,WHOQOL-BREF)。结果:干预后,4C组视力水平优于对照组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);4C组疾病知识知晓率100.00%高于对照组87.50%(P<0.05);干预后,4C组SPBS评分低于对照组(P<0.05);干预后,4C组WHOQOL-BREF评分高于对照组(P<0.05)。结论:白内障术后患者实施基于4C模式的延续性护理干预,能改善疾病认知情况、视力水平、心理状态,提高生活质量。

Objective:To retrospectively analyze the clinical application value of continuity nursing intervention based on the 4C(c ustomer-cost-convenience-communication)model in postoperative cataract surgery.Methods:A total of 96 postoperative cataract patients in Puyang Second People's Hospital from December 2022 to December 2023 were collected.They were divided into a 4C group(n=48)and a control group(n=48)according to different nursing methods in a 1:1 matching design.The control group received routine nursing care,while the 4C group received continuity nursing intervention based on the 4C model.Visual acuity,incidence of complications,disease cognition,Self perceived Burden Scale(SPBS),and WHO Quality of Life Measurement Scale Brief Version(WHOQOL-BREF)were compared between two groups.Results:After intervention,the visual acuity level of the 4C group was better than that of the control group(P<0.05);there was no statistically significant difference in the incidence of complications between the two groups(P>0.05);the disease knowledge awareness rate in the 4C group 100.00%was higher than that in the control group 87.50%(P<0.05);after intervention,the SPBS score of the 4C group was lower than that of the control group(P<0.05);after intervention,the WHOQOL-BREF score in the 4C group was higher than that in the control group(P<0.05).Conclusion:Continuity nursing interventions based on the 4C model can improve disease cognition,visual acuity,psychological status,and quality of life for cataract patients after surgery.