【摘要】 目的了解糖尿病视网膜病变患者的自我管理能力及生存质量,探讨实施自我管理干预对提高糖尿病视网膜病变患者自我管理能力及生存质量的影响。方法分别对107名糖尿病视网膜病变患者实施持续1年自我管理干预,于干预前和干预1年后使用自设量表进行疾病知识认知、行为改变评估,用中文版SF—36量表进行生存质量测评。结果自我管理干预1年后患者疾病知识认知、行为改变较干预前有一定提高(P<0.01);干预前生存质量差、很差及一般的患者分别为25.23%、8.41%和28.04%;1年后患者生存质量差、很差及一般的比例分别下降至3.74%、4.68%和10.28%。干预后明显提高了糖尿病视网膜病变患者的生存质量等级(P<0.01)。结论持续自我管理干预,促进了患者行为改变,提高了自我效能及生存质量。更多还原

【Abstract】 Objective To understand life quality and self-management of diabetic retinopathy patients,and to analyze influence of self-management.Methods 107 diabetic retinopathy patients were continuously monitored for one year on self-management.Assessment on knowledge and behavioral change with a self-established scale was conducted respectively before and after the intervention,SF—36 Scale(Chinese Edition) was applied to appraise life quality.ResultsThe differences between the results achieved before and after the intervention were significant in terms of patients′ changes in knowledge and corresponding behavioral response(P<0.01).Before the intervention,patients who reported to had poor,very poor and average life quality standed at 25.23%,8.41% and 28.04%,respectively,while,accordingly,after intervention,it uplifted to 3.74%,4.68% and 10.28%.The intervention shew evident improvement over the life quality of patients suffering from diabetic retinopathy(P<0.01).Conclusion Continued self-management intervention can facilitate improvement of patients′ behavioral response to their illness(diabetic retinopathy) and can,in effect,heighten self-efficacy and improve life quality.更多还原