摘要
目的探究Triangle分层管理策略对增殖期糖尿病视网膜病变患者血糖控制能力、残障接受度及自我效能的影响。方法选取我院2021年5月至2023年5月期间98例增殖期糖尿病视网膜病变患者作为研究对象,依照干预策略分为教育组和分层组。教育组49例给予LEARNS健康教育和临床治疗策略,分层组49例增加Triangle分层管理策略,3个月后,对比两组血糖控制能力、残障接受度、自我效能、并发症及视功能减退情况。结果分层组干预3个月后FBG(6.07±1.13)mmol/L、2hPG(8.03±2.04)mmol/L、HbA1c(5.04±0.17)%水平低于教育组(8.04±1.26)mmol/L、(10.02±2.16)mmol/L、(7.02±0.21)%(t=8.1478、4.6886、51.2982,均P<0.0001)。分层组千预3个月后残障接受度各维度评分(27.12±4.26)分、(13.61±2.84)分、(24.41±2.73)分、(23.28±3.22)分高于教育组(25.47±3.92)分、(12.37±1.72)分、(21.57±2.64)分、(21.82±3.17)分(t=1.9951、2.1926、5.2348、2.2618,P=0.0489、0.0308、0.0000、0.0260,P<0.05).分层组干预3个月后GSES评分(32.81±4.63)分高于教育组(24.62±3.36)分(t=10.0215,P<0.0001);经Fisher确切概率法检验,两组并发症、视功能减退发生率经比较无差异(双侧P=0.3619、0.6171,P>0.05)。结论Triangle分层管理策略可调控增殖期糖尿病视网膜病变患者血糖控制能力,改善自我效能,调节残障接受度,安全性良好,降低视功能减退。
ObjectiveTo explore the effects of Trianglelayered management strategy on glycemic control,disability acceptance and self-efficacy in proliferative diabetic retinopathy patients.Methods Ninety-eight patients with proliferative diabeticretinopathy in our hospital from May 2021 to May 2023 were selected as the study objects and divided into education group and stratified group according to intervention strategies.In the education group,49 cases were given LEARNS health education and clinical treatment strategy,and in the stratified group,49 cases were given Triangle stratified management strategy.After 3 months,blood glucose control ability,disability acceptance,self-efficacy,complications and visual impairment were compared between the two groups.ResultsThe stratified grouphad FBG(6.07±1.13)mmol/L,2h after 3 months of intervention PG(8.03±2.04)mmol/L,HbA1c(5.04±0.17)%were lower than those in education group(8.04±1.26)mmol/L,(10.02±2.16)mmol/L,(7.02±0.21)%(t=8.1478,4.6886,51.2982.All P<0.0001).After 3 months of intervention,the scores of disability acceptance in the stratified group(27.12±4.26),(13.61±2.84),(24.41±2.73)and(23.28±3.22)werehigherthan those in the education group(25.47±3.92),(12.37±1.72)and(21.57±2.64),(21.82±3.17)points(t=1.9951,2.1926,5.2348,2.2618,P=0.0489,0.0308,0.0000,0.0260,P<0.05).After 3 months of intervention,the GSES score of stratification group(32.81±4.63)was higher than that of education group(24.62±3.36)(t=10.0215,P<0.0001).By Fisher's exact probability test,there was no difference in the incidence of complications and visual impairment between the two groups(bilateral P=0.3619,0.6171,P>0.05).Conclusion Triangle layered management strategy can regulate glycemic control,improve selfefficacy,adjust disability acceptance,and reduce visual impairment in patients with proliferative diabetic retinopathy.
作者
张芳
刘双双
崔圳
ZHANG Fang;LIU Shuangshuang;CUI Zhen(Endocrine and Metabolic Diseases,The First Affiliated Hospital,Zhengzhou University,Zhengzhou,450000,China)
出处
《实用防盲技术》
2025年第1期28-31,F0003,共5页
Journal of Practical Preventing Blind
