【作者】 王欢；

【导师】 席淑新；

【作者基本信息】 复旦大学 ， 护理学， 2012， 硕士

【摘要】 目的探索综合护理干预对青光眼患者自我管理行为和视功能的影响。方法将85例在门诊就诊的原发性青光眼患者随机分为干预组42例和对照组43例,干预组给予综合护理干预包括加强专业支持、为患者提供主动参与的机会、强化家庭支持及病友支持等,对照组患者在门诊就诊时给予必要的健康教育。对干预后3个月、6个月两组患者青光眼自我管理行为问卷得分和视功能等采用重复测量的方差分析、t检验等统计方法进行检验,评价综合护理干预的效果。结果研究对象共脱落8例,最终干预组39例,对照组38例。(1)两组患者青光眼自我管理行为问卷总分与基线差值的差异,干预后3个月时无统计学意义(p>0.05),6个月时有统计学意义(p<0.05)。(2)生活方式得分与基线差值的差异,干预后3个月时有统计学意义(p<0.05),6个月时无统计学意义。(3)随访维度得分与基线差值的差异,干预后3、6个月时均无统计学意义(p>0.05)。(4)用药维度得分与基线差值的差异,干预后3个月时无统计学意义(p>0.05),6个月时有统计学意义(p<0.05)。(5)视力、视野平均缺损值和眼压与基线的差值的差异,干预后3、6个月均无统计学意义(p>0.05)。结论综合护理干预能够更好地改善青光眼患者的自我管理行为,改变青光眼患者的生活方式,提高青光眼患者的用药依从性。更多还原

【Abstract】 Objective To explore the effect of comprehensive nursing intervention on self-management behaviors and visual function of patients with glaucoma.Methods Eight five patients with primary glaucoma were randomized into intervention group and control group. The patients in intervention group received comprehensive nursing intervention which involve strengthening professional support, encourage patients’participating, reinforce family and peer’s surport. The patients in the control group received necessary nursing when they have outpatient visits. The score of the self-management questionnaire of glaucoma and visual function were compared between two groups at three months and six months after intervention with repeated meatures ANOVA and t-test.Results Thirty nine patients in intervention group and thirty eight patients in control group completed the research.(1)At three months after intervention, there were no significant differences between two groups in difference of total score with baseline (p>0.05). It was significantly different at six months after intervention (p<0.05)(2)There were significant differences in difference of dimension of life style with baseline at three months after intervention (p<0.05), and no significant differences at six months (p>0.05)(3)There were no significant differences in difference of dimension of follow-up with baseline at three months and six months after intervention (p>0.05)(4)At three months after intervention, there were no significant differences between two groups in difference of dimension of medical management (p>0.05). It was significantly different at six months after intervention (p<0.05)(5)There were no significant differences in difference of visual function with baseline at three months and six months after intervention (p>0.05)Conclusion Compared with routine nursing, comprehensive nursing intervention is more effective in improving self-management behaviors of patients with glaucoma. Comprehensive nursing intervention could change the life style of patients with glaucoma and promote their medication adherence.更多还原