摘要
目的:探究慢性病管理策略应用于糖尿病视网膜病变增殖期(PDR)患者对视力、眼底病变程度及血糖水平的影响。方法:选取2023年2月—2024年8月新疆四七四医院收治的102例PDR患者作为研究对象,按照建档顺序分为A组(n=51)和B组(n=51)。A组实施常规管理干预,B组在常规管理基础上实施慢病管理策略干预。比较两组患者视力水平、眼底病变程度、空腹血糖(FBG)、餐后2 h血糖(2 hPG)水平、简明健康焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及生活量表(SF-36)评分。结果:干预后,B组患者视力、眼底病变、血糖水平、SAS评分、SDS评分、SF-36评分均优于A组,差异均有统计学意义(P<0.05)。结论:慢病管理策略应用于PDR患者中,可改善患者视力,减轻眼底病变程度,控制血糖水平,亦可改善患者心理状态,提升生活质量。
Objective:To explore the effect of chronic disease management strategy on vision,fundus lesion degree and blood glucose level in patients with proliferative diabetes retinopathy(PDR).Methods:From February 2023 to August 2024,102 patients with PDR from Xinjiang Hospital 474 were selected and divided into Group A(n=51)and Group B(n=51)according to the order of filing.Both groups received laser photocoagulation treatment,with Group A receiving routine management intervention and Group B receiving chronic disease management strategy intervention based on Group A.Comparing the visual acuity,degree of retinal lesions,fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPG)levels,Brief Health Anxiety Self Rating Scale(SAS),Self Rating Depression Scale(SDS),and Life Scale(SF-36)scores between two groups after 3 months of intervention.Results:After intervention,the visual acuity level,fundus lesions,blood glucose levels,SAS,SDS scores and SF-36 scores of Group B were higher than those of Group A,the differences were statistically significant(P<0.05).Conclusion:The application of chronic disease management strategies in PDR patients can improve the vision,reduce the degree of fundus lesions,control blood sugar levels,improve the psychological state,and enhance the quality of life.
作者
纪英丽
王建梅
周敏
曹丽丽
麻春艳
Ji Yingli;Wang Jianmei;Zhou Min(Xinjiang 474th Hospital,Urumqi,Xinjiang,830013,China)
出处
《黑龙江医学》
2025年第23期2909-2911,共3页
Heilongjiang Medical Journal
基金
乌鲁木齐市卫生健康委员会科技计划项目(202462)。
关键词
慢性病管理策略
糖尿病视网膜病变增殖期
眼底病变程度
血糖水平
Chronic disease management strategy
Proliferative phase of diabetes retinopathy
Degree of retinal lesions
Blood glucose levels
