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高龄糖尿病视网膜病变患者行玻璃体切除术后支持性照顾需求现状及影响因素分析

Status and influencing factors of supportive care needs of elderly patients with diabetes retinopathy after vitrectomy
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摘要 目的探究高龄糖尿病视网膜病变患者行玻璃体切除术后支持性照顾需求现状,并分析其影响因素,为临床护理干预措施的制定提供参考。方法采用便利抽样法选取2021年5月-2023年5月于郑州大学第一附属医院行玻璃体切除术的274例≥65岁的糖尿病视网膜病变患者作为研究对象,采用一般资料调查表、支持性照顾需求量表、家庭关怀度调查表及焦虑抑郁量表进行调查,采用多重线性回归分析高龄糖尿病视网膜病变患者行玻璃体切除术后支持性照顾需求的影响因素。结果高龄糖尿病视网膜病变患者行玻璃体切除术后的支持性照顾需求得分为(95.95±6.96)分。多重线性回归分析结果表明,文化程度、自理程度、家庭关怀度及焦虑抑郁是患者支持性照顾需求的影响因素(P<0.05)。结论高龄糖尿病视网膜病变患者行玻璃体切除术后存在较高的支持性照顾需求,且大多数需求未被满足。医护人员应结合患者临床特征进行充分评估后制订个体化护理策略,满足患者需求,改善患者生活质量。 Objective To explore the status quo of supportive care needs of elderly patients with diabetes retinopathy after vitrectomy,and analyze its influencing factors,so as to provide reference for the formulation of nursing interventions.Methods From May 2021 to May 2023,274 diabetes retinopathy patients aged 65 years or older who underwent vitrectomy in the First Affiliated Hospital of Zhengzhou University were selected as the study subject by convenience sampling.The survey was conducted using the General Information Questionnaire,Supportive Care Needs Survey,Family partnership,Adaption,Growth,Affection,Resolve Index,and Hospital Anxiety and Depression Scale.Multiple linear regression was used to analyze the influencing factors of supportive care needs of elderly patients with diabetes retinopathy after vitrectomy.Results The score of supportive care needs of elderly patients with diabetes retinopathy after vitrectomy was(95.95±6.96).Multiple linear regression analysis showed that educational level,self-care ability,family care,and anxiety and depression were the influencing factors of supportive care needs in patients,and the differences were statistically significant(P<0.05).Conclusions The elderly patients with diabetes retinopathy after vitrectomy have high needs for supportive care,and most of the needs have not been met.Medical and nursing staff should fully evaluate the clinical characteristics of patients and develop personalized nursing strategies to meet their needs and improve their quality of life.
作者 魏巍 王宇鹰 王可 Wei Wei;Wang Yuying;Wang Ke(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450018,China)
出处 《中华现代护理杂志》 2024年第10期1300-1305,共6页 Chinese Journal of Modern Nursing
基金 河南省医学科技攻关计划(联合共建)项目(LHGJ20190073) 郑州大学第一附属医院护理科研专项团队项目(HLKY2023011)。
关键词 老年人 糖尿病视网膜病变 支持性照顾需求 家庭关怀度 焦虑 抑郁 影响因素 Aged Diabetic retinopathy Supportive care needs Family care Anxiety Depression Influencing factors
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