目的 探讨自我效能增强干预对糖尿病视网膜病变定期眼底检查的影响.方法 将100例糖尿病视网膜病变患者,随机分成对照组和观察组各50例.对照组按传统的糖尿病视网膜病变治疗和护理,观察组在对照组的基础上实施自我效能增强干预,采用糖尿病自我效能量表(DSES)在干预前及干预1年后进行自我效能评价,比较分析两组患者自我效能、定期眼底检查及早期眼底激光治疗的差异.结果 自我效能增强干预后观察组患者自我效能为(114.45±11.31),50例定期眼底检查,38例早期行眼底激光治疗;对照组患者自我效能为(92.44±14.21),12例定期眼底检查及早期眼底激光治疗;两组比较差异有显著性(P＜0.05).结论 对糖尿病视网膜病变患者实施自我效能干预,能提高患者的自我管理及定期眼底检查依从性,早发现,及时行眼底激光治疗,延缓疾病的发展.%Objective To study the effects of enhanced self-efficacy intervention on regular diabetic retinopathy fundus examination.Methods 100 cases of diabetic retinopathy were randomly divided into control group and observation group,50 cases in each group,the control group had the tradition of the diabetic retinopathy therapy and nursing,observation group,based on the control group,implemented enhanced self-efficacy intervention,using the diabetes selfefficacy scale (DSES) 1 year before and after the intervention self evaluation,a comparative analysis was conducted in two groups to compare the self-efficacy,regular fundus examination and early fundus laser treatment differences.Results Enhanced self-efficacy intervention after the observation group self-efficacy was (114.45 ± 11.31),50 patients periodically fundus examination,fundus laser treatment of 38 cases of early line,while those of control group were self-efficacy (92.44 ± 14.21),12 cases with regular fundus examination and early fundus laser treatment,there was significant difference between two groups (P＜0.05).Conclusion Implementation of self-efficacy intervention to diabetic retinopathy patients,can improve their self-management and regular fundus examination compliance with early detection,prompt fundus laser treatment and slow the progress of the disease.
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