CAJ | 학술논문

目的：探讨护理干预对玻璃体手术治疗糖尿病性视网膜病变（ DR）出院患者的影响。方法：将86例行玻璃体术的DR出院患者随机分为实验组和对照组各43例，出院后1周、15 d、每个月对两组患者进行电话提醒随访，随访内容：随访时间、疾病健康宣教、病情控制情况。实验组增加了特殊的认知、行为、心理及对其家属干预。随访15个月，随访末期比较两组生活质量、治疗依从性及家庭支持情况。结果：实验组生活质量、治疗依从性及家庭支持明显好于对照组，差异有统计学意义（P＜0．01）。结论：护理干预有利于玻璃体手术治疗DR出院患者形成良好的治疗依从性，有利于控制血糖水平，有利于获得更好的家庭支持，有利于提高生活质量。
목적：탐토호리간예대파리체수술치료당뇨병성시망막병변（ DR）출원환자적영향。방법：장86례행파리체술적DR출원환자수궤분위실험조화대조조각43례，출원후1주、15 d、매개월대량조환자진행전화제성수방，수방내용：수방시간、질병건강선교、병정공제정황。실험조증가료특수적인지、행위、심리급대기가속간예。수방15개월，수방말기비교량조생활질량、치료의종성급가정지지정황。결과：실험조생활질량、치료의종성급가정지지명현호우대조조，차이유통계학의의（P＜0．01）。결론：호리간예유리우파리체수술치료DR출원환자형성량호적치료의종성，유리우공제혈당수평，유리우획득경호적가정지지，유리우제고생활질량。
Objective:To explore the effect of impact of nursing intervention on the discharged patients undergoing vitreous surgery for diabetic retinopathy ( DR) .Methods:86 discharged patients undergoing vitreous surgery for diabetic retinopathy were randomly divided into the experimental group and the control group ( 43 cases in each group ) .The follow -up by telephone was conducted one week , half a month and each month in both groups after the patients were discharged from hospital .The follow-up included the time of follow -up, health education and the status of disease control .The comprehensive intervention was additonally implemented in the experimental group , including special cognitive ,behavioral ,psychological intervention and the intervention on family members .The follow-up lasted 15 months and the quality of life and treatment compliance of the patients and family support were compared between the two groups at the end of the follow-up.Results:The quality of life and treatment compliance of the patients and family support were significantly better in the experi -mental group than the control group (P<0.01).Conclusion:The nursing intervention is helpful to the development of good treatment com -pliance and the control of blood glucose level of the patients and to the better family support and improvement of the quality of life of the patients.