摘要
目的探讨以微信为媒介的延续护理对视网膜脱离患者玻璃体切割术后患者依从性、视功能恢复和并发症的影响。方法纳入2018年2月—2019年6月视网膜脱离患者并行玻璃体切割术共70例,按照随机数字表法将其分为延续组和对照组,每组35例,延续组采用以微信为媒介的延续护理干预,对照组进行常规随访,比较2组患者依从性、术后视力恢复情况及并发症发生情况。结果(1)依从性:2组患者出院后1周,依从性比较差异无统计学意义(P>0.05)。出院后1个月,延续组按时用药和合理饮食依从性的例数显著高于对照组,均有统计学意义(χ^(2)_(用药)=8.737,P=0.003;χ^(2)_(饮食)=11.667,P=0.001);出院后3个月和6个月,延续组在依从性4个方面的例数均显著高于对照组,保持体位(χ^(2)_(3个月)=7.479,P=0.006;χ^(2)_(6个月)=13.246,P=0.000)、按时用药(χ^(2)_(3个月)=12.208,P=0.000;χ^(2)_(6个月)=5.040,P=0.025)、定期复诊(χ^(2)_(3个月)=7.652,P=0.006;χ^(2)_(6个月)=5.952,P=0.015)和合理饮食(χ^(2)_(3个月)=4.438,P=0.035;χ^(2)_(6个月)=13.566,P=0.000),差异均有统计学意义;(2)知晓率:延续组术后6个月玻璃体切割术相关知识知晓率显著高于对照组,差异有统计学意义(χ^(2)=17.920,P=0.000);(3)视力水平:延续组干预6个月后,BCVA优于对照组,差异有统计学意义(t=2.175,P=0.033);(4)并发症:延续组术后并发症发生率低于对照组,差异有统计学意义(χ^(2)=6.629,P=0.010)。结论以微信为媒介的延续性护理干预在玻璃体切割术后患者的依从性、视力水平、手术相关知识知晓率、减少术后并发症等方面均优于传统护理。
OBJECTIVE To explore the effect of continuous nursing care based on WeChat platform on patient compliance and visual function recovery of patients with retinal detachment after vitrectomy.METHODS A total of 70 patients with retina detachment who underwent vitrectomy from February 2018 to June 2019 were included.They were randomly divided into continuation group(WCG)and control group(CG),with 35 cases in each group.The patients of WCG were treated with continuous nursing intervention with WeChat platform as a media,and those of CG were followed up routinely.The compliance,postoperative visual acuity and postoperative complications were compared between the two groups.RESULTS(1)Compliance:There was no statistically significant difference in compliance between the two groups at one week after discharge(P>0.05).At one month after discharge,WCG showed significantly higher compliance with on-time medication(χ^(2)=8.737,P=0.003)and reasonable diet(χ^(2)=11.667,P=0.001)than those of CG.At 3(3 m)and 6 months(6 m)after discharge,the number of cases in four aspects of compliance in WCG were significantly higher than those of CG,maintaining body posture(χ^(2)_(3 m)=7.479,P=0.006;χ^(2)_(6 m)=13.246,P=0.000),taking medications on time(χ^(2)_(3 m)=12.208,P=0.000;χ^(2)_(6 m)=5.040,P=0.025),keeping regular follow-up visits(χ^(2)_(3 m)=7.652,P=0.006;χ^(2)_(6 m)=5.952,P=0.015),and having reasonable diet(χ^(2)_(3 m)=4.438,P=0.035;χ^(2)_(6 m)=13.566,P=0.000),the difference was statistically significant;(2)Awareness rate:The awareness rate of vitrectomy-related knowledge in WCG at 6 months after vitrectomy was significantly higher than that of CG,with statistically differences(χ^(2)=17.920,P=0.000);(3)Visual acuity:BCVA in WCG after 6 months of intervention was significantly higher than that of CG,and the difference was statistically significant(t=2.175,P=0.033);(4)Complication:The incidence of postoperative complications in WCG was lower than that in CG,and the difference was statistically significant(χ^(2)=6.629,P=0.010)
作者
赵楠
李雨
石玉
ZHAO Nan;LI Yu;SHI Yu(Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中国中医眼科杂志》
2022年第2期146-150,共5页
China Journal of Chinese Ophthalmology
关键词
微信
延续护理
玻璃体切割术
依从性
视力
WeChat platform
continuous nursing
vitrectomy
compliance
vision
