整体护理用于糖尿病性视网膜病变护理管理价值分析

Value Analysis of Holistic Nursing for Diabetic Retinopathy Care Management

目的探讨整体护理在糖尿病性视网膜病变护理管理中的应用价值。方法选取医院2022年8月至2023年12月收治的糖尿病性视网膜病变患者144例,根据护理方案的不同分为对照组和观察组,各72例。对照组患者予普通护理,观察组患者予整体护理。结果观察组患者护理后的舒张末阶段血流速度(EDV)、收缩阶段峰值流速(PSV)、平均流速(Vm)、CLVQOL-25评分均显著高于对照组(P<0.05),阻力指数(RI)、搏动指数(PI)、空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1C)均显著低于对照组(P<0.05);观察组患者的护理态度、操作技术、健康教育、人文关怀满意度分别为97.22%,97.22%,95.83%,98.61%,分别显著高于对照组的79.16%,73.61%,83.33%,88.88%(P<0.05);观察组患者的视力恢复总有效率为98.61%,显著高于对照组的88.88%(P<0.05)。结论整体护理用于糖尿病性视网膜病变患者的效果良好,可提高患者的EDV,PSV,RI和护理满意度,改善生活质量,控制血糖,促进视力恢复。

Objective To investigate the application value of holistic nursing in the nursing management of diabetic retinopathy.Methods A total of 144 patients with diabetic retinopathy admitted to the hospital from August 2022 to December 2023 were selected and divided into the control group and the observation group according to the different nursing programs,with 72 cases in each group.The patients in the control group were given general nursing,and the patients in the observation group were given holistic nursing.Results The end-diastolic flow velocity(EDV),peak systolic flow velocity(PSV),mean flow velocity(Vm),and CLVQOL-25 score of the patients in the observation group were significantly higher than those in the control group(P<0.05),the resistance index(RI),pulsatility index(PI),fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPG),and glycosylated hemoglobin(HbA1C)were significantly lower than those in the control group(P<0.05);the nursing attitude,operation technique,health education,and humanistic care satisfaction of the patients in the observation group were 97.22%,97.22%,95.83%,and 98.61%,which were significantly higher than 79.16%,73.61%,83.33%,88.88%in the control group(P<0.05);the total effective rate of visual acuity recovery in the observation group was 98.61%,which was significantly higher than 88.88%in the control group(P<0.05).Conclusion Holistic care for patients with diabetic retinopathy is effective,which can improve patients'EDV,PSV,RI,satisfaction with care,quality of life,control blood glucose and promote vision recovery.