Volume 21 Issue 3
Mar.  2023
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XU Shaojun, TONG Yuhua, ZHOU Mengling, LIU Jiamin, ZHU Chunyan. Study on the application of continuity nursing in patients with diabetic retinopathy based on the interactive attainment theory[J]. Chinese Journal of General Practice, 2023, 21(3): 526-529. doi: 10.16766/j.cnki.issn.1674-4152.002923
Citation: XU Shaojun, TONG Yuhua, ZHOU Mengling, LIU Jiamin, ZHU Chunyan. Study on the application of continuity nursing in patients with diabetic retinopathy based on the interactive attainment theory[J]. Chinese Journal of General Practice, 2023, 21(3): 526-529. doi: 10.16766/j.cnki.issn.1674-4152.002923

Study on the application of continuity nursing in patients with diabetic retinopathy based on the interactive attainment theory

doi: 10.16766/j.cnki.issn.1674-4152.002923
Funds:

 LGF18H120002

  • Received Date: 2022-09-21
    Available Online: 2023-04-19
  •   Objective  To observe the effect of continuous nursing based on the interactive attainment theory on blood glucose levels, self-management ability and quality of life in patients with diabetes retinopathy (DR).  Methods  A total of 92 patients with DR who were treated at the Quzhou Hospital of Wenzhou Medical University from June 2020 to July 2021 were selected and divided into 2 groups of 46 cases each, according to the order of the files. The control group received regular nursing care, and the experimental group received continuity nursing based on the interactive standard theory. Both interventions were continued for 1 year. Changes of visual acuity, blood glucose, self-management ability, visual function and quality of life were compared between the 2 groups.  Results  After the intervention, the visual acuity decline rate in the experimental group was 2.17% (1/46), which was significantly lower than 17.39% in the control group (8/46, χ2=4.343, P=0.035); After the intervention, the fasting blood glucose and 2 h postprandial blood glucose levels in the experimental group were (5.74±0.66) mmol/L, (9.35±0.92) mmol/L respectively, which were lower than those in the control group [(6.79±0.87) mmol/L, (11.41±1.00) mmol/L, t=6.521, 10.282, both P < 0.001]. After the intervention, scores for diet, exercise, medication according to medical advice, blood glucose monitoring and foot management were higher in the experimental group than those in the control group (all P < 0.01). Except for eye pain and color perception, all quality of life scores related to visual function were higher in the experimental group than in the control group (all P < 0.01).  Conclusion  The continuity nursing based on the theory of interactive standard can improve self-management ability, blood glucose control and visual acuity and quality of life for patients with DR.

     

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  • [1]
    刘林平, 吴伯乐, 倪莉莎, 等. 2型糖尿病患者miR-15a、miR-16、miR-20b变化及与糖尿病视网膜病变的相关性[J]. 中华全科医学, 2020, 18(6): 954-958. doi: 10.16766/j.cnki.issn.1674-4152.001401

    LIU L P, WU B L, NI L S, et al. Changes of miR-15a, miR-16 and miR-20b in patients with type 2 diabetes mellitus and their relationship with diabetic retinopathy[J]. Chinese Journal of General Practice, 2020, 18(6): 954-958. doi: 10.16766/j.cnki.issn.1674-4152.001401
    [2]
    LIN K Y, HSIH W H, LIN Y B, et al. Update in the epidemiology, risk factors, screening, and treatment of diabetic retinopathy[J]. J Diabetes Investig, 2021, 12(8): 1322-1325. doi: 10.1111/jdi.13480
    [3]
    万雪梅, 方宁, 李云瑞, 等. 糖尿病视网膜病变患者疾病相关知识-态度-行为的调查及相关因素分析[J]. 中华现代护理杂志, 2020, 26(2): 198-203.

    WANG X M, FANG N, LI Y R, et al. Investigation of disease-related knowledge-attitude-practice in patients with diabetic retinopathy and its influencing factors[J]. Chinese Journal of Modern Nursing, 2020, 26(2): 198-203.
    [4]
    陈艳平. 延续性护理在过敏性鼻炎病人中的应用[J]. 护理研究, 2022, 36(17): 3186-3188. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202217035.htm

    CHEN Y P. Application of continuous care in patients with allergic rhinitis[J]. Chinese Nursing Research, 2022, 36(17): 3186-3188. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202217035.htm
    [5]
    杜惠萍. 延续性护理对2型糖尿病患者自我效能及血糖控制的影响[J]. 中国药物与临床, 2021, 21(3): 541-543. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202103093.htm

    DU H P. Effect of continuous nursing on self-efficacy and blood glucose control of type 2 diabetes patients[J]. Chinese Remedies & Clinics, 2021, 21(3): 541-543. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202103093.htm
    [6]
    陈娟, 张小敏, 刘姗姗, 等. 互动达标理论主导的延续性护理在心脏移植术后的应用研究[J]. 中国实用护理杂志, 2022, 38(9): 659-666. doi: 10.3760/cma.j.cn211501-20210108-00084

    CHEN J, ZHANG X M, LIU S S, et al. Study on the application of continuous nursing led on the theory of interactive standard theory after heart transplantation[J]. Chinese Journal of Practical Nursing, 2022, 38(9): 659-666. doi: 10.3760/cma.j.cn211501-20210108-00084
    [7]
    中华医学会眼科学会眼底病学组. 我国糖尿病视网膜病变临床诊疗指南(2014年)[J]. 中华眼科杂志, 2014, 50(11): 851-865. https://xuewen.cnki.net/CCND-YSBZ20230223B010.html

    Fundus Diseases Group, Ophthalmic Society, Chinese Medical Association. Chinese Journal of Ophthalmology. Guidelines for Clinical Diagnosis and Treatment of diabetes Retinopathy in China (2014)[J]. Chinese Journal of Ophthalmology, 2014, 50(11): 851-865. https://xuewen.cnki.net/CCND-YSBZ20230223B010.html
    [8]
    吴敏娟, 翁泽华, 蒋海璇, 等. 个性化饮食指导联合自我效能干预对糖尿病视网膜病变患者的影响[J]. 护理实践与研究, 2019, 16(20): 7-10. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ201920004.htm

    WU M J, WENG Z H, JIANG H X, et al. Effect of personalized diet guidance combined with self-efficacy intervention on patients with diabetic retinopathy[J]. Nursing Practice and Research, 2019, 16(20): 7-10. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ201920004.htm
    [9]
    左倩倩, 梁丽娜. 运动对视网膜细胞及功能的保护作用研究进展[J]. 国际眼科杂志, 2021, 21(3): 450-454. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK202103017.htm

    ZUO Q Q, LIANG L N. Research progress on the protective effect of exercise on retinal cells and functions[J]. International Eye Science, 2021, 21(3): 450-454. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK202103017.htm
    [10]
    万巧琴, 尚少梅, 来小彬, 等. 2型糖尿病患者自我管理行为量表的信、效度研究[J]. 中国实用护理杂志, 2008, 24(7): 26-27. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202009004.htm

    WANG Q Q, SHANG S M, LAI X B, et al. Study on the reliability and validity of summary of diabetes self-care activities for type 2 diabetes patients[J]. Chinese Journal of Practical Nursing, 2008, 24(7): 26-27. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202009004.htm
    [11]
    ALVAREZ-PEREGRINA C, SÁNCHEZ-TENA M A, CABALLÉ-FONTANET D, et al. Crosscultural adaptation and validation into Spanish of the questionnaire National Eye Institute Visual Function Questionnaire 25[J]. Arch Soc Esp Oftalmol (Engl Ed), 2018, 93(12): 586-591.
    [12]
    折春玲. 强化护理干预在糖尿病视网膜病变病人中的应用[J]. 护理研究, 2022, 36(1): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202201035.htm

    ZHE C L. Application of intensive nursing intervention in patients with diabetic retinopathy[J]. Chinese Nursing Research, 2022, 36(1): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202201035.htm
    [13]
    张娜娜, 殷同利, 吕慧改. 全面健康教育式延续性护理改善糖尿病视网膜病变患者视力水平、血糖水平及自我效能效果分析[J]. 齐鲁护理杂志, 2022, 28(18): 75-78. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202218026.htm

    ZHANG N N, YIN T L, LYU H G. Analysis of the effect of comprehensive health education based continuous nursing on improving the visual acuity, blood glucose and self-efficacy of patients with diabetes retinopathy[J]. Journal of Qilu Nursing, 2022, 28(18): 75-78. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202218026.htm
    [14]
    高圆圆, 蔡佩芬, 梁峰, 等. 同伴支持教育联合全科团队管理模式对社区2型糖尿病患者知信行水平的影响[J]. 中华全科医学, 2022, 20(1): 83-87. doi: 10.16766/j.cnki.issn.1674-4152.002283

    GAO Y Y, CAI P F, LINAG F, et al. Effect of peer-support education combined with general practice team-management mode on the level of knowledge, attitude, and practice of type-2 diabetes patients in the community[J]. Chinese Journal of General Practice, 2022, 20(1): 83-87. doi: 10.16766/j.cnki.issn.1674-4152.002283
    [15]
    崔怡, 常恬恬, 张银玲. 成年糖尿病患者自我管理行为现状及影响因素研究[J]. 西北国防医学杂志, 2020, 41(11): 694-698. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY202011009.htm

    CUI Y, CHANG T T, ZHANG Y L. Current situation and influencing factors of self-management behavior in adult diabetic patients[J]. Medical Journal of National Defending Forces in Northwest China, 2020, 41(11): 694-698. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY202011009.htm
    [16]
    夏引芳, 宋爱华, 韩玉琴, 等. 同伴支持教育在提高老年糖尿病患者自我管理能力中的应用研究[J]. 中国实用护理杂志, 2017, 33(15): 1143-1148. https://www.cnki.com.cn/Article/CJFDTOTAL-JJYX202001003.htm

    XIA Y F, SONG A H, HAN Y Q, et al. A study of the application of peer support education in improving the self-management ability of old patients with diabetes[J]. Chinese Journal of Practical Nursing, 2017, 33(15): 1143-1148. https://www.cnki.com.cn/Article/CJFDTOTAL-JJYX202001003.htm
    [17]
    黄美芳. 互动达标理论在中青年2型糖尿病患者自我管理行为中的应用研究[D]. 南宁: 广西中医药大学, 2019.

    HUANG M F. Application of interactive theory of goal attainment in self-management behavior of young and middle-aged type 2 diabetes patients[D]. Nan ning: Guangxi University of Chinese Medicine, 2019.
    [18]
    胡彦秋, 胡长娥, 常晓芳, 等. 延续性护理干预在2型糖尿病视网膜病变中的应用研究[J]. 中国实用护理杂志, 2019, 35(1): 26-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202017067.htm

    HU Y Q, HU C E, CHANG X F, et al. The application of continuous nursing intervention in type 2 diabetic retinopathy[J]. Chinese Journal of Practical Nursing, 2019, 35(1): 26-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202017067.htm
    [19]
    陈丽梅, 孙根柱, 杨艳风, 等. 社区延续性护理对Ⅵ期糖尿病性视网膜病变术后患者预后的影响[J]. 中国中医眼科杂志, 2022, 32(8): 668-672. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ202208020.htm

    CHEN L M, SUN G Z, YANG Y F, et al. Effect of community continuous care on prognosis of patients with stage Ⅵ diabetic retinopathy after operation[J]. Chinese Journal of Chinese Ophthalmology, 2022, 32(8): 668-672. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ202208020.htm
    [20]
    彭丽, 翟祥娟, 谭思琪. 延续性4C护理对糖尿病视网膜病变患者治疗依从性及生活质量的影响[J]. 国际护理学杂志, 2021, 40(12): 2292-2295. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ202221037.htm

    PENG L, ZHAI X J, TAN S Q. Effect of continuous 4C nursing model on treatment compliance and quality of life in patients with diabetic retinopathy[J]. International Journal of Nursing, 2021, 40(12): 2292-2295. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ202221037.htm
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