Ophthalmology Department of Xinjiang Uygur Autonomous Region People's Hospital Urumqi, Xinjiang, China.
Medicine (Baltimore). 2024 May 17;103(20):e37920. doi: 10.1097/MD.0000000000037920.
This study aims to investigate the impact of continuous 4C nursing on patients with diabetes retinopathy (DR) and its influence on self-care ability. A total of 100 DR patients admitted to our hospital from October 2020 to October 2022 were randomly divided into a control group and an observation group, with 50 cases in each group. The control group received routine care, while the observation group received continuous 4C care. The nursing effects of both groups were compared. After nursing, the observation group showed a lower self-rating anxiety scale score and a higher self-care ability scale score compared to the control group (P < .05). The SQQL-VI scores for all social activities were also higher in the observation group (P < .05). Additionally, the observation group had lower levels of fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin than the control group (P < .05). Moreover, the observation group had higher visual acuity and lower intraocular pressure than the control group (P < .05). The visual impairment rate was lower and the overall compliance rate was higher in the observation group compared to the control group (P < .05). After nursing, both groups showed improvements in symptoms, visual function, physical function, psychological and social activity scores, visual acuity, and patient satisfaction scores. The observation group showed greater improvements compared to the control group (P < .05). The application of continuous 4C nursing in DR patients has shown positive effects, including improved patient compliance and satisfaction, enhanced patient quality of life and visual acuity. These findings suggest that continuous 4C nursing should be widely promoted and applied in clinical practice.
本研究旨在探讨连续 4C 护理对糖尿病视网膜病变(DR)患者的影响及其对自我护理能力的影响。选取 2020 年 10 月至 2022 年 10 月我院收治的 100 例 DR 患者,随机分为对照组和观察组,每组 50 例。对照组给予常规护理,观察组给予连续 4C 护理。比较两组护理效果。护理后,观察组的焦虑自评量表评分低于对照组,自我护理能力量表评分高于对照组(P<0.05)。观察组各项社会活动的 SQQL-VI 评分均高于对照组(P<0.05)。观察组空腹血糖、餐后 2 小时血糖、糖化血红蛋白水平均低于对照组(P<0.05)。观察组视力高于对照组,眼压低于对照组(P<0.05)。观察组视力障碍发生率低于对照组,总依从率高于对照组(P<0.05)。护理后两组症状、视觉功能、生理功能、心理和社会活动评分、视力和患者满意度评分均有所改善,观察组改善程度优于对照组(P<0.05)。连续 4C 护理在 DR 患者中的应用具有积极作用,可提高患者依从性和满意度,改善患者生活质量和视力。因此,连续 4C 护理应在临床实践中广泛推广应用。