LERANS 模式在糖尿病视网膜病变患者健康教育中的应用
作者: |
1陈广英,
1汪佳丽,
1彭彩芳
1 广东省中医院眼耳鼻喉科,广州 510120 |
通讯: |
陈广英
Email: xiongfeizhanxhz@126.com |
DOI: | 10.3978/j.issn.2095-6959.2019.07.023 |
基金: | 广东省省级科技计划项目 (2015KT1642)。 |
摘要
目的:探讨LERANS模式在糖尿病视网膜病变患者健康教育中的应用效果。方法:将2017年9月至2018年4月在广东省中医院住院治疗的124例糖尿病视网膜病变患者按照入院时间顺序进行分组,其中2017年9至12月接受治疗的62例患者设为对照组,采用基础治疗联合常规健康教育模式;将2018年1至4月接受治疗的62例患者设为观察组,采用基础治疗联合LERANS模式健康宣教。比较两组干预前后自我护理能力、自我效能、生存质量及治疗效果情况。结果:干预前两组自我护理能力、自我效能和生存质量的对比差异均无统计学意义,干预后观察组自我护理能力各维度评分、自我效能感评分均明显高于对照组(P<0.05),生存质量各维度评分及总分均明显低于对照组(P<0.05);观察组治疗效果明显优于对照组(P<0.05)。结论:通过LEARNS模式开展健康教育可有效提升糖尿病视网膜病变患者的自我护理能力和自我效能感,改善患者的生存质量和治疗效果,在临床值得进一步推广。
关键词:
LERANS模式;糖尿病视网膜病变;健康教育
Application of LERANS mode in health education for patients with diabetic retinopathy
CorrespondingAuthor: CHEN Guangying Email: xiongfeizhanxhz@126.com
DOI: 10.3978/j.issn.2095-6959.2019.07.023
Foundation: This work was supported by the Guangdong Provincial Science and Technology Plan Project, China (2015KT1642).
Abstract
Objective: To explore the application of LERANS mode in health education for patients with diabetic retinopathy. Methods: A total of 124 patients with diabetic retinopathy who were hospitalized in our department from September 2017 to April 2018 were divided into two groups according to the time sequence of admission. Sixty-two patients who received treatment from September 2017 to December 2017 were selected as the control group, and received basic treatment combined with routine health education. Sixty-two patients who received treatment from January 2018 to April 2018 were selected as the observation group, and received basic treatment combined with LERANS health education. The self-care ability, self-efficacy, quality of life and therapeutic effect of the two groups were compared before and after intervention. Results: There was no significant difference in self-care ability, self-efficacy and quality of life between the two groups before intervention. The scores of self-care ability and self-efficacy in the observation group were significantly higher than those in the control group after intervention (P<0.05), and the scores of all dimensions and total scores of quality of life were significantly lower than those in the control group (P<0.05). The treatment effect of the observation group was significantly better than that of the control group (P<0.05). Conclusion: The LERANS health education mode can effectively improve the self-care ability and self-efficacy of diabetic retinopathy patients, improve their quality of life and treatment effect, which is worthy of further promotion in clinical practice.
Keywords:
LERANS mode; diabetic retinopathy; health education