中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
4期
406-409
,共4页
糖尿病%视网膜病变%持续健康教育%自我护理%自我管理%生活质量
糖尿病%視網膜病變%持續健康教育%自我護理%自我管理%生活質量
당뇨병%시망막병변%지속건강교육%자아호리%자아관리%생활질량
Diabetes%Retinopathy%Continuous health education%Self-care%Self-management%Quality of life
目的：探讨对糖尿病并发视网膜病变患者实施持续健康教育的效果。方法将280例糖尿病并发视网膜病变患者,按随机数字表法分为观察组和对照组,每组140例。两组患者均给予常规的基础治疗和护理方法进行治疗,观察组在常规治疗的基础上应用持续健康教育。依据自我护理能力测定表( ESCA)、自制自我管理能力调查表、视功能损害眼病患者生活质量量表对糖尿病并发视网膜病变患者的健康教育结果、自我管理能力和生活质量的水平进行评价。采用SPSS 18.0统计软件进行数据分析。结果实施健康教育前两组患者ESCA 4个维度评分及总分、生活质量评分差异均无统计学意义( P>0.05)；实施健康教育后,观察组患者ESCA总分为(122.1±11.7)分,生活质量总分为(47.1±4．2)分,均高于对照组(106.0±10.3),(34.6±4.1)分,差异有统计学意义(t值分别为3.692,8.926；P<0.05), ESCA 4个维度评分两组比较差异均有统计学意义(P<0.05)；观察组患者在对疾病的自我管理能力优于对照组,差异有统计学意义(P<0.01)。结论持续健康教育能够提升糖尿病并发视网膜病变患者健康教育的效果,提高患者自我管理能力,改善其生活质量。
目的：探討對糖尿病併髮視網膜病變患者實施持續健康教育的效果。方法將280例糖尿病併髮視網膜病變患者,按隨機數字錶法分為觀察組和對照組,每組140例。兩組患者均給予常規的基礎治療和護理方法進行治療,觀察組在常規治療的基礎上應用持續健康教育。依據自我護理能力測定錶( ESCA)、自製自我管理能力調查錶、視功能損害眼病患者生活質量量錶對糖尿病併髮視網膜病變患者的健康教育結果、自我管理能力和生活質量的水平進行評價。採用SPSS 18.0統計軟件進行數據分析。結果實施健康教育前兩組患者ESCA 4箇維度評分及總分、生活質量評分差異均無統計學意義( P>0.05)；實施健康教育後,觀察組患者ESCA總分為(122.1±11.7)分,生活質量總分為(47.1±4．2)分,均高于對照組(106.0±10.3),(34.6±4.1)分,差異有統計學意義(t值分彆為3.692,8.926；P<0.05), ESCA 4箇維度評分兩組比較差異均有統計學意義(P<0.05)；觀察組患者在對疾病的自我管理能力優于對照組,差異有統計學意義(P<0.01)。結論持續健康教育能夠提升糖尿病併髮視網膜病變患者健康教育的效果,提高患者自我管理能力,改善其生活質量。
목적：탐토대당뇨병병발시망막병변환자실시지속건강교육적효과。방법장280례당뇨병병발시망막병변환자,안수궤수자표법분위관찰조화대조조,매조140례。량조환자균급여상규적기출치료화호리방법진행치료,관찰조재상규치료적기출상응용지속건강교육。의거자아호리능력측정표( ESCA)、자제자아관리능력조사표、시공능손해안병환자생활질량량표대당뇨병병발시망막병변환자적건강교육결과、자아관리능력화생활질량적수평진행평개。채용SPSS 18.0통계연건진행수거분석。결과실시건강교육전량조환자ESCA 4개유도평분급총분、생활질량평분차이균무통계학의의( P>0.05)；실시건강교육후,관찰조환자ESCA총분위(122.1±11.7)분,생활질량총분위(47.1±4．2)분,균고우대조조(106.0±10.3),(34.6±4.1)분,차이유통계학의의(t치분별위3.692,8.926；P<0.05), ESCA 4개유도평분량조비교차이균유통계학의의(P<0.05)；관찰조환자재대질병적자아관리능력우우대조조,차이유통계학의의(P<0.01)。결론지속건강교육능구제승당뇨병병발시망막병변환자건강교육적효과,제고환자자아관리능력,개선기생활질량。
Objective To explore the effects of continuous health education among diabetes patients complicated with retinopathy. Methods A total of 280 patients with diabetic retinopathy were divided into observation group (continuous health education and routine treatment and nursing) and control group (routine treatment and nursing) by random number table, and 140 patients in each group. Excise of self-care agency ( ESCA) , self management ability questionnaire ( SMAQ ) and quality of life scale ( for visual impairment patients) were used to evaluate the result of health education, self-management ability and patients′ quality of life. All data were analyzed by SPSS 18. 0. Results After health education, the scores of four dimensions of ESCA and quality of life were ( 122. 1 ± 11. 7 ) and ( 47. 1 ± 4. 2 ) in the observation group higher than (106.0±10.3) and(34.6±4.1) in the control group (t=3.692,8.926, respectively; P<0.05). Four dimensions rating of ESCA had statistical difference between two groups (P<0. 05). Self management ability for disease in the observation group was better than that in the control group (P<0. 01). Conclusions The application of the continuous health education can enhance the result of health education, improve self management ability and life quality of patients.
