全程護(hù)理干預(yù)在糖尿病視網(wǎng)膜病變患者中的應(yīng)用價(jià)值

區(qū)美儀 譚結(jié)梅 林秀琴 張志輝 周志華 熊義斌

[摘要]目的 探討全程護(hù)理干預(yù)在糖尿病視網(wǎng)膜病變患者中的應(yīng)用價(jià)值。方法 選取2017年1月～2017年12月我院眼底熒光造影檢查的100例糖尿病視網(wǎng)膜病變患者，采用隨機(jī)數(shù)字表法將其分為對(duì)照組和研究組，每組50例。對(duì)照組予以常規(guī)護(hù)理，研究組予以全程護(hù)理干預(yù)。比較兩組患者不良反應(yīng)發(fā)生情況、癥狀自評(píng)量表SCL-90各維度評(píng)分、焦慮抑郁評(píng)分以及護(hù)理滿意度。 結(jié)果 研究組患者發(fā)熱、嘔吐、頭暈、蕁麻疹及總不良反應(yīng)發(fā)生率顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組患者癥狀自評(píng)量表SCL-90各維度評(píng)分均顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組患者干預(yù)前焦慮抑郁評(píng)分的比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。干預(yù)后，兩組焦慮抑郁評(píng)分均顯著降低，且研究組焦慮抑郁評(píng)分顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組患者護(hù)理滿意度顯著高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 全程護(hù)理干預(yù)在行眼底熒光造影檢查的糖尿病視網(wǎng)膜病變患者中應(yīng)用可顯著降低患者不良反應(yīng)發(fā)生率，改善患者不良情緒及生活質(zhì)量，患者具有較高的滿意度。

[關(guān)鍵詞]全程護(hù)理；眼底熒光造影檢查；糖尿病視網(wǎng)膜病變；不良反應(yīng)；生活質(zhì)量

[中圖分類號(hào)] R473.77 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）4（c）-0183-03

Effectiveness of application of whole-course nursing intervention in patients with diabetic retinopathy

OU Mei-yi TAN Jie-mei LIN Xiu-qin ZHANG Zhi-hui ZHOU Zhi-hua XIONG Yi-bin

Department of Ophthalmology，People′s Hospital of Gaoming District of Foshan City in Guangdong Province，F(xiàn)oshan 528500，China

[Abstract]Objective To explore the effectiveness of application of whole-course nursing intervention in patients with diabetic retinopathy.Methods A total of 100 diabetic retinopathy patients examined by fundus fluorescein angiography in our hospital from January 2017 to December 2017 were randomly divided into control group and study group，50 cases in each group.The control group was given routine nursing，while the study group was given whole-course nursing intervention.The incidence of adverse reactions，symptom checklist 90（SCL-90） scores，anxiety and depression scores and nursing satisfaction were compared between the two groups.Results The incidence of fever，vomiting，dizziness，urticaria and total adverse reactions in the study group were significantly lower than those in the control group，and the difference was statistically significant（P<0.05），and the scores of SCL-90 in the study group were significantly lower than those in the control group，and the difference was statistically significant（P<0.05）.There was no significant difference in the scores of anxiety and depression between the two groups before intervention （P>0.05）.After intervention，the scores of anxiety and depression in the study group were significantly lower than those in the control group，and the difference was statistically significant（P<0.05）.Nursing satisfaction（98.00%） in the study group was significantly higher than that in the control group （80.00%），and the difference was statistically significant（P<0.05）.Conclusion The whole-course nursing intervention can significantly reduce the incidence of adverse reactions and improve patients′ bad mood and quality of life in patients with diabetic retinopathy who underwent fundus fluorescein angiography.

[Key words]Whole-course nursing；Fundus fluorescein angiography；Diabetic retinopathy；Adverse reaction；Quality of life

糖尿病視網(wǎng)膜病變是糖尿病常見的一種并發(fā)癥，患者主要臨床表現(xiàn)為視力下降、視物模糊，嚴(yán)重可致盲。研究表明，眼底熒光造影檢查可全面掌握患者視網(wǎng)膜循環(huán)狀況，有利于患者病情診斷及治療[1]，但患者行眼底熒光造影檢查后容易出現(xiàn)不良反應(yīng)，加上患者對(duì)眼底熒光造影檢查缺乏正確認(rèn)知，常出現(xiàn)不良情緒，影響患者預(yù)后[2]，因此需要給予患者有效的護(hù)理干預(yù)，令患者順利完成眼底熒光造影檢查，并降低不良反應(yīng)。本研究將全程護(hù)理干預(yù)用于行眼底熒光造影檢查糖尿病視網(wǎng)膜病變患者中，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取2017年1月～2017年12月我院眼底熒光造影檢查的100例糖尿病視網(wǎng)膜病變患者，采用隨機(jī)數(shù)字表法將其分為對(duì)照組和研究組，每組50例?！?br>