教育干预对糖尿病视网膜病变危重患者自我护理的影响

A. Mostafa
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引用次数: 2

摘要

背景:糖尿病视网膜病变(DR)被认为是糖尿病的一种常见和特殊的微血管并发症,它在一段时间内发展并导致不可逆的失明。目的:评价糖尿病视网膜病变患者自我保健教育干预的效果。研究设计:本研究采用准实验研究设计。抽样:目的抽样80例糖尿病视网膜病变危重患者。背景:Damietta医院眼科急诊科从急诊接待到住院患者均纳入本研究,样本平均分为研究组和对照组。工具:使用两种工具收集数据;第一个工具是结构化的访谈问卷。第二个工具是自我护理实践清单。结果:实施该方案后,患者在测试后和测试后的自我保健实践均较测试前有所改善。例如,能够充分洗手、滴眼液、涂抹眼膏和进行眼部护理的患者在测试后分别为92%、56%、64%和60%,在随访测试中分别为90.0%、48.0%、44.0%和50.0%,而在测试前仅为70.0%、20.0%、22.0%和26.9%。结论:教育干预对提高患者的自我保健行为是有效的。建议:眼科护士应遵循教育干预,使患者做好自我护理的准备。
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Effectiveness of educational intervention on self-care practices of critically ill patients with diabetic retinopathy
: Background: Diabetic retinopathy (DR) is considered a common and specific microvascular complication of diabetes mellitus that develops over a period of time and causes irreversible blindness. Purpose: To evaluate the effectiveness of an educational intervention for diabetic retinopathy patients on self-care practices. Research Design: Quasi-experimental research design was utilized in this study. Sampling: A purposive sample of 80 critically ill patients with diabetic retinopathy. Setting: Opthalmology emergency department in Damietta hospital`from emergency reception to inpatient zoon from ophthalmology in Damietta Hospital was included in this study and the sample had been divided equally into study and control groups. Instruments: Data were collected using two tools; the first tool was a structured interview questionnaire sheet. The second tool was a self-care practices checklist. Results :After implementation of the program, there was an improvement of self-care practices on post and follow up tests than pretest. . For example, patients who were able to adequately perform hand washing, instilling eye drops, apply eye ointment and perform eye care were, 92%, 56%, 64%, and 60% on posttest and 90.0%, 48.0%, 44.0%, 50.0% at follow up test compared to only 70.0%, 20.0%, 22.0% and 26.9% on pretest. Conclusion: Applying the educational intervention was effective in improving patients' self-care practices. Recommendation: Ophthalmologic nurses should follow the educational intervention to prepare patients to perform their self-care practices.
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