家属参与性延续护理对糖尿病视网膜病变患者健康行为习惯、服药准时率和生活质量的影响

摘要

Objective:To discuss the influence of family's participatory continued nursing on healthy behavior habit, on-time rate of taking medicine, and life quality of the patients with diabetic retinopathy(DR).Methods: Selected 230 cases of DR patients into test group including 130 cases and control group including 100 cases at random.Routine nursing intervention was given to the control group, and family's participatory continued nursing was given to the test group.The patients from two groups were monitored for blood sugar and evaluated for life quality before and after the intervention, and then the healthy behavior habit and treatment compliance of the patients from two groups after intervention were recorded.Results: The blood glucose level comparison of patients from two groups was not of statistical significance(P>0.05).The patients from the test group had significantly lower fasting and 2-hour postprandial sugar levels than those from the control group(P<0.05).The patients from the test group were superior to those from the control group in the improvement effects of scientific and rational diet, exercise training, self-monitoring of blood glucose, self-care of eyes, on-time medication, and regular admission for review(P<0.05).The comparison of the patients from the two groups in various items of life quality before the intervention was not of statistical significance(P>0.05).After the intervention, the patients from the test group were superior to those from the control group in distant vision, movement and light sensation, regulation ability, reading and fine movement, activity of daily living, and CLVQOL score(P<0.05).Conclusion: Family's participatory continued nursing could improve the healthy behavior habit of DR patients, and increase their on-time rate of taking medicine and admission rate for review, so as to effectively improve their treatment compliance and life quality.%目的:探讨家属参与性延续护理对糖尿病视网膜病变(DR)患者健康行为习惯、服药准时率和生活质量的影响.方法:将230例DR患者随机分为试验组130例和对照组100例.对照组给予常规护理干预,试验组给予家属参与性延续护理.干预前后对两组患者行血糖监测、生活质量评估,记录两组患者护理干预后健康行为习惯及治疗依从性情况.结果:两组患者护理干预前血糖水平比较无统计学意义(P>0.05),试验组患者护理干预后空腹血糖、餐后2 h血糖水平均显著低于对照组(P<0.05).试验组患者护理干预后科学合理膳食、运动锻炼、自我血糖监测、自我眼部护理、服药准时、定期入院复查方面改善效果均优于对照组(P<0.05).两组患者护理干预前各项生活质量评分比较无统计学意义(P>0.05),试验组患者护理干预后远视力、移动和光感,调节能力,读和精细动作,日常生活能力及CLVQOL总分均高于对照组(P<0.05).结论:家属参与性延续护理可改善DR患者健康行为习惯,提高服药准时率、入院复查率等,从而有效改善治疗依从性与生活质量.