摘要
目的分析基于健康管理模式的延续性护理在白内障术后患者中的应用效果。方法回顾性收集我院103例白内障术后患者(2019年1月至2021年12月),依照入院时间不同分为两组,将2019年1月至2020年4月接受常规出院随访干预的51例作为对照组,将2020年5月至2021年12月接受基于健康管理模式的延续性护理干预的52例作为观察组,比较两组依从性、干预前后负性情绪、自我效能感、生活质量、并发症发生率。结果与对照组(68.53%)相比,观察组依从性(92.31%)更高(P<0.05);干预后,两组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均降低,但观察组更为显著(P<0.05);干预后,与对照组相比,观察组自我效能感量表(GSES)评分更高(P<0.05);干预后,两组中文版低视力者生活质量量表(CLVQOL)评分均升高,且观察组更高(P<0.05);与对照组并发症发生率(33.33%)相比,观察组(5.77%)较低(P<0.05)。结论基于健康管理模式的延续性护理应用于白内障术后患者,能有效提高依从性,减少负性情绪,提升自我效能感、生活质量,且并发症发生风险低。
Objective To analyze the application effect of continuous care based on health management model in patients after cataract surgery.Methods One hundred and three patients with cataract surgery(January 2019 to December 2021)in our hospital were retrospectively collected and divided into two groups according to the time of admission.Fifty-one patients who received routine discharge follow-up intervention from January 2019 to April 2020 were selected as the control group.Fifty-two cases receiving continuous nursing intervention based on health management model from May 2020 to December 2021 were selected as the observation group,and the two groups were compared in compliance,negative emotions,self-efficacy,quality of life and complication rate before and after the intervention.Results Compared with the control group(68.53%),the compliance of observation group(92.31%)was higher(P<0.05).After intervention,the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were decreased in both groups,but the observation group was more significant(P<0.05).After intervention,the self-efficacy scale(GSES)score of observation group was higher than that of control group(P<0.05).After intervention,the Chinese version of the low vision quality of life scale(CLVQOL)score was increased in both groups,and the observation group was higher(P<0.05);Compared with the control group(33.33%),the complication rate in the observation group(5.77%)was lower(P<0.05).Conclusion Continuous care based on health management model can effectively improve compliance,reduce negative emotions,improve self-efficacy,quality of life,and low risk of complications in patients after cataract surgery.
作者
林智靓
郭剑峰
LIN Zhiliang;GUO Jianfeng(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)
出处
《中国医药指南》
2023年第12期180-183,共4页
Guide of China Medicine
关键词
健康管理
延续性护理
白内障
负性情绪
生活质量
Health management
Continuity of care
Cataracts
Negative emotion
Quality of life
作者简介
通信作者:郭剑峰。
