Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before...Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before surgery to 1 day after surgery),and to provide a basis for optimizing clinical nursing plans for elderly cataract surgery.Methods:A retrospective selection of 90 elderly patients(aged≥60 years)who underwent cataract surgery in the Ophthalmology Department of our hospital from August 2024 to December 2024 was conducted.They were divided into an observation group(n=45)and a control group(n=45)using a random number table method.The control group received routine nursing for cataract surgery,while the observation group implemented evidence-based predictive nursing intervention(including the establishment of a multidisciplinary evidence-based team,hierarchical psychological intervention,perioperative environment optimization,intraoperative personalized cooperation,and video-based health education).Psychological stress indicators[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-Efficacy Scale(GSES)]on the 1st day before surgery and 1st day after surgery,and fluctuations of physiological indicators[Heart Rate(HR),Systolic Blood Pressure(SBP),Diastolic Blood Pressure(DBP)]on the 1st day before surgery and during surgery were compared between the two groups.Results:Before intervention,there were no statistically significant differences in SAS,SDS,GSES scores,HR,SBP,or DBP between the two groups(p>0.05);after intervention,the SAS score(33.62±5.72)and SDS score(32.14±4.86)of the observation group on the 1st day after surgery were significantly lower than those of the control group[(41.05±5.56),(43.59±4.75)],and the GSES score(31.15±3.28)was significantly higher than that of the control group(24.84±3.52)(all p<0.05);during surgery,the fluctuations of HR(74.0±6.0)beats/min,SBP(127.0±15.8)mmHg,and DBP(75.0±5.9)mmHg in the observation group were significantly smaller than those in the control group(all p<0.05).Conclusion:Evidence-based predictive nursing intervention can effectively alleviate anxiety and depression in elderly cataract patients during the perioperative period,improve self-efficacy,stabilize intraoperative physiological status,and enhance surgical cooperation,which is worthy of clinical promotion.展开更多
目的探讨心理一致感在糖尿病视网膜病变(diabetic retinopathy,DR)患者社会支持和视觉相关生活质量间的中介作用。方法采用便利抽样法,选取2024年1—6月收治于贵州省某三甲医院的DR患者,使用一般资料调查表、美国国立眼科研究所视功能...目的探讨心理一致感在糖尿病视网膜病变(diabetic retinopathy,DR)患者社会支持和视觉相关生活质量间的中介作用。方法采用便利抽样法,选取2024年1—6月收治于贵州省某三甲医院的DR患者,使用一般资料调查表、美国国立眼科研究所视功能调查问卷-25(National Eye Institute-vision function questionnaire-25,NEI-VFQ-25)、社会支持评定量表(social support rating scale,SSRS)、心理一致感量表(sense of coherence scale 13,SOC-13)进行问卷调查。使用Amos 29.0软件建立结构方程模型并进行中介效应分析。结果本研究共发放调查问卷228份,最终有效回收225份,问卷有效回收率为98.7%。患者SSRS得分为(31.00±5.62)分、SOC-13得分为(59.14±8.33)分、NEI-VFQ-25得分为(41.06±13.77)分。相关性分析显示,DR患者社会支持与心理一致感及视觉相关生活质量呈正相关(P<0.001);结构方程模型结果显示,DR患者社会支持能够正向预测其视觉相关生活质量,患者的心理一致感在社会支持与视觉相关生活质量间发挥部分中介作用,中介效应为0.167,中介效应占比为27.6%。结论DR患者的心理一致感在社会支持与视觉相关生活质量间起到部分中介作用,需提高患者的心理一致感水平,加强社会支持力度,从而提高患者的视觉相关生活质量。展开更多
基金Hospital Quality Management Research Fund Project of China Medical Quality Management Association(Project No.:YLZG202511)。
文摘Objective:To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period(1 day before surgery to 1 day after surgery),and to provide a basis for optimizing clinical nursing plans for elderly cataract surgery.Methods:A retrospective selection of 90 elderly patients(aged≥60 years)who underwent cataract surgery in the Ophthalmology Department of our hospital from August 2024 to December 2024 was conducted.They were divided into an observation group(n=45)and a control group(n=45)using a random number table method.The control group received routine nursing for cataract surgery,while the observation group implemented evidence-based predictive nursing intervention(including the establishment of a multidisciplinary evidence-based team,hierarchical psychological intervention,perioperative environment optimization,intraoperative personalized cooperation,and video-based health education).Psychological stress indicators[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-Efficacy Scale(GSES)]on the 1st day before surgery and 1st day after surgery,and fluctuations of physiological indicators[Heart Rate(HR),Systolic Blood Pressure(SBP),Diastolic Blood Pressure(DBP)]on the 1st day before surgery and during surgery were compared between the two groups.Results:Before intervention,there were no statistically significant differences in SAS,SDS,GSES scores,HR,SBP,or DBP between the two groups(p>0.05);after intervention,the SAS score(33.62±5.72)and SDS score(32.14±4.86)of the observation group on the 1st day after surgery were significantly lower than those of the control group[(41.05±5.56),(43.59±4.75)],and the GSES score(31.15±3.28)was significantly higher than that of the control group(24.84±3.52)(all p<0.05);during surgery,the fluctuations of HR(74.0±6.0)beats/min,SBP(127.0±15.8)mmHg,and DBP(75.0±5.9)mmHg in the observation group were significantly smaller than those in the control group(all p<0.05).Conclusion:Evidence-based predictive nursing intervention can effectively alleviate anxiety and depression in elderly cataract patients during the perioperative period,improve self-efficacy,stabilize intraoperative physiological status,and enhance surgical cooperation,which is worthy of clinical promotion.
文摘目的探讨心理一致感在糖尿病视网膜病变(diabetic retinopathy,DR)患者社会支持和视觉相关生活质量间的中介作用。方法采用便利抽样法,选取2024年1—6月收治于贵州省某三甲医院的DR患者,使用一般资料调查表、美国国立眼科研究所视功能调查问卷-25(National Eye Institute-vision function questionnaire-25,NEI-VFQ-25)、社会支持评定量表(social support rating scale,SSRS)、心理一致感量表(sense of coherence scale 13,SOC-13)进行问卷调查。使用Amos 29.0软件建立结构方程模型并进行中介效应分析。结果本研究共发放调查问卷228份,最终有效回收225份,问卷有效回收率为98.7%。患者SSRS得分为(31.00±5.62)分、SOC-13得分为(59.14±8.33)分、NEI-VFQ-25得分为(41.06±13.77)分。相关性分析显示,DR患者社会支持与心理一致感及视觉相关生活质量呈正相关(P<0.001);结构方程模型结果显示,DR患者社会支持能够正向预测其视觉相关生活质量,患者的心理一致感在社会支持与视觉相关生活质量间发挥部分中介作用,中介效应为0.167,中介效应占比为27.6%。结论DR患者的心理一致感在社会支持与视觉相关生活质量间起到部分中介作用,需提高患者的心理一致感水平,加强社会支持力度,从而提高患者的视觉相关生活质量。
