Chen Chunmei, Zhou Yu, Wang Ling, Liu Weixian, Ji Xueying
Department of Ophthalmology, The First Affiliated Hospital of Hainan Medical University Haikou 570102, Hainan Province, China.
Am J Transl Res. 2021 Nov 15;13(11):13200-13208. eCollection 2021.
To determine the effect of targeted comprehensive nursing on the compliance of glaucoma patients with their doctors' advice.
A total of 78 patients with glaucoma admitted to the Ophthalmology Department of the First Affiliated Hospital of Hainan Medical University were retrospectively enrolled and assigned to a routine nursing group and a comprehensive nursing group according to the different nursing modes each patient underwent. The routine nursing group underwent routine nursing, and the comprehensive nursing group underwent comprehensive nursing intervention. The causes of not following their doctor's advice among the two groups were evaluated, and the two groups were compared in terms of their compliance rates after the intervention and quality of life and psychological state before and after the intervention.
The causes of not following the doctor's advice were mainly classified into three categories: physiological, psychological, and comprehensive factors. Before the nursing intervention, the two groups were not significantly different in their quality of life scores or their psychological states (both P>0.05). After the nursing intervention, the intraocular pressure values (IOP), the visual field pattern standard deviations (PSD), the cup/disk area ratios (C/D AR), the mean retinal nerve fiber layer thicknesses (mRNFLT), and the other indexes in the comprehensive nursing group were significantly better than they were in the routine nursing group, and the comprehensive nursing group showed notably better quality of life and psychological states and a notably higher compliance rate than the routine nursing group (all P<0.05).
Targeted comprehensive nursing can help glaucoma patients correct bad behaviors, improve their compliance rates and quality of life, and alleviate their negative emotions.
探讨针对性综合护理对青光眼患者医嘱依从性的影响。
回顾性纳入海南医学院第一附属医院眼科收治的78例青光眼患者，根据护理方式不同分为常规护理组和综合护理组。常规护理组采用常规护理，综合护理组采用综合护理干预。评估两组患者不遵医嘱的原因，并比较两组干预后的依从率以及干预前后的生活质量和心理状态。
不遵医嘱的原因主要分为生理、心理和综合因素三类。护理干预前，两组患者的生活质量评分和心理状态无显著差异（均P>0.05）。护理干预后，综合护理组的眼压值（IOP）、视野模式标准差（PSD）、杯盘面积比（C/D AR）、平均视网膜神经纤维层厚度（mRNFLT）等指标均显著优于常规护理组，综合护理组的生活质量、心理状态明显优于常规护理组，依从率也显著高于常规护理组（均P<0.05）。
针对性综合护理可帮助青光眼患者纠正不良行为，提高依从率和生活质量，缓解负面情绪。
