|
|
Related factors of nursing dependence of patients with cataract after daytime surgery#br# |
SHI Yan CAO Juan |
Day Ward, Department of Ophthalmic, Jiangsu Provincial People’s Hospital, Jiangsu Province, Nanjing 210000, China |
|
|
Abstract Objective To observe the degree of nursing dependence of patients with cataract after daytime surgery, and to analyze its related influencing factors. Methods From January to May 2021, 200 patients with cataract who received daytime surgery in Jiangsu Provincial People’s Hospital were selected as the research subjects, on the day after operation, the family members of patients filled in the care dependency scale (CDS) on behalf of the patients, the degree of nursing dependence of patients was assessed, and the baseline data questionnaire was designed, the CDS score of patients with different data characteristics were compared; the family members of patients filled in to evaluate the uncertainty in illness of patients, self-care ability and social support level (assessed by medical uncertainty inventory scale [MUIS], exercise of self-care agency [ESCA] and social support rating scale [SSRS]), the influencing factors of nursing dependence of patients with cataract after daytime surgery were analyzed. Results Average CDS score of 200 patients with cataract after daytime surgery was (27.86±5.64) points; the CDS score of patients with education level of senior high school and below was higher than that of patients with education level of junior college and above (P < 0.05); there was no statistical significant difference in CDS score of patients with different data characteristics (P > 0.05); the scores of MUIS, ESCA and SSRS were (78.54±8.95), (72.44±8.36) points and (21.54±5.13) points respectively; the equation Y = 56.393+0.308X1 (education level)+0.060 X2 (scores of MUIS)-0.346X3 (scores of ESCA)-0.387X4 (scores of SSRS) was obtained by multiple linear regression analysis, F value of regression model was 3910.280, R2 was 0.988, R2 after adjustment was 0.987, the results showed that the education level of senior high school or below and high MUIS score were the risk factors of nursing dependence of patients with cataract after daytime surgery (P < 0.05); high ESCA score and SSRS score were the protective factors of nursing dependence of patients with cataract after daytime surgery (P < 0.05). Conclusion The nursing dependence of patients with cataract after daytime surgery may be affected by their education level, uncertainty in illness, self-care ability and social support.
|
|
|
|
|
[1] Zhang M,Cao J,Cui M,et al. Evaluation of day care versus inpatient cataract surgery performed at a Jiangsu public Tertiary A hospital [J]. BMC Ophthalmol,2018,18(1):134.
[2] Qiu C,Feng X,Zeng J,et al. Discharge teaching,readiness for discharge,and post-discharge outcomes in patients with cataract treated with daytime surgery:A cross-sectional study [J]. Indian J Ophthalmol,2019,67(5):612-617.
[3] 罗米,骆洪梅,曹昕.高龄白内障日间手术患者细化优质护理措施的效果评价[J].华西医学,2016,31(3):567-569.
[4] Guerchet MM,Guerra M,Huang Y,et al. A cohort study of the effects of older adult care dependence upon household economic functioning,in Peru,Mexico and China [J]. PLoS One,2018,13(4):e195567.
[5] 杨培增,范先群.眼科学[M].9版.北京:人民卫生出版社,2018:133-144.
[6] 章舒琦,朱月妹,李丽,等.中文版护理依赖量表用于老年患者的信效度分析[J].护理学杂志,2014,29(3):7-9.
[7] 中国高血压防治指南修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
[8] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[M].中国循环杂志,2016,31(10):937-953.
[9] 叶增杰,佘颖,梁木子,等.中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验[J].中国全科医学,2018,21(9):1091-1097.
[10] Wong CL,Ip WY,Shiu TY. Translation and validation of the Chinese-Cantonese version of the Exercise of Self-Care Agency Scale [J]. Int J Nurs Stud,2012,49(9):1122-1137.
[11] Xiao SY. Theoretical foundation and research application about the social support rating scale [J]. J Clin Psychiatry,1994,4(2):98-100.
[12] 韩娟,罗彩凤,谭佳宁,等.老年择期手术患者护理依赖类别与出院准备度的关系[J].护理学杂志,2021,36(15):77-82.
[13] 廖春霞,马红梅,张倩,等.老年慢性病病人延续性护理需求状况及影响因素分析[J].护理研究,2016,30(25):3175-3177.
[14] 赵延慧,李晓玲,戴燕,等.日间手术患者延续性护理服务需求调查[J].护理学杂志,2018,33(9):88-91.
[15] 杜姣姣,张雨晨,李诗涵,等.日间手术患者延续性护理服务需求与出院准备度的相关分析[J].中华现代护理杂志,2018,24(12):1372-1375.
[16] 许丽,李萌,南士英.肝硬化住院患者及家属疾病不确定感现状及影响因素的研究[J].中华护理杂志,2020, 55(8):1206-1211.
[17] 李亚娟.维持性血液透析患者疾病不确定感和自我管理与治疗依从性的现状调查[J].中国中西医结合肾病杂志,2020,21(10):919-921.
[18] 柯卉,陈俊华.肝癌患者疾病不确定感与焦虑及社会支持的关系研究[J].护理管理杂志,2020,20(8):583-587.
[19] 景颖颖,万婕,何慧赟,等.首发脑卒中患者自我护理能力及影响因素研究[J].护理管理杂志,2020,20(1):12-16.
[20] 刘晓霞,傅根莲,卢亚飞.类风湿关节炎患者延续护理需求与自我护理能力的相关性分析[J].中华现代护理杂志,2018,24(13):1528-1531.
[21] 刘婧,包宇实.糖尿病肾病终末期患者延续性护理需求与自我护理能力的相关性分析[J].检验医学与临床,2016, 13(17):2482-2484.
[22] Zhang B,Wang Q,Zhang X,et al. Association between self-care agency and depression and anxiety in patients with diabetic retinopathy [J]. BMC Ophthalmol,2021,21(1):123.
[23] 陈英,祝雪花,林音.老年肿瘤病人护理依赖现状及影响因素[J].护理研究,2020,34(23):4281-4284.
[24] 董正椽,赵婉毅,孙菁.抑郁程度和社会支持对克罗恩病患者述情障碍的影响分析[J].上海医学,2019,42(5):257-262.
[25] 赵林,陈芳,刘华,等.民族地区农村留守老人社会支持及护理服务需求现状研究[J].护理学杂志,2016,31(23):62-65.
[26] 颜莉珈,张静.同伴支持为主导的多元化社会支持干预在人工全膝关节置换术后患者中的应用[J].中国医药导报,2021,18(5):172-175.
[27] 黄影平,李超.辅助生殖患者社会支持程度对心理弹性及生存质量的影响研究[J].中国医学创新,2020,17(24):150-153. |
|
|
|