The Effect Evaluation of Continuous Nursing Intervention in Patients With Type 2 Diabetic Retinopathy
- Conditions
- Type 2 Diabetic Retinopathy
- Interventions
- Behavioral: A continuous nursing intervention group was established.
- Registration Number
- NCT05716308
- Lead Sponsor
- Beijing Tongren Hospital
- Brief Summary
Objective: To evaluate the application effect of continuous nursing intervention in type 2 diabetic retinopathy (DR), and to explore its clinical application value. Methods：Patients with type 2 DR admitted to our Hospital from June 2019 to June 2022 were selected as the research objects and divided into intervention group and control group by random number table method. The control group received routine nursing intervention, and the intervention group received continuous nursing intervention on the basis of the control group. The related effect evaluation indexes such as fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin and visual acuity were collected and compared between the two groups at discharge, 1 year and 2 years after discharge. The readmission rate of the two groups was counted to evaluate the effect of continuous nursing intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
- (1) DR diagnosis and classification criteria in line with the latest version of the 2017 Clinical Guidelines for Diabetic Retinopathy developed by the American Eye Association [9];
- (2) Type 2 diabetes course of more than 5 years, with varying degrees of retinopathy;
- (3) Monocular disease, no blindness;
- (4) Education level above primary school; - (5) Patients informed consent for this study and signed a consent form.
- (1) with severe cerebral hemorrhage or cerebral infarction, severe nephrotic syndrome, senile dementia, cardiovascular and cerebrovascular diseases;
- (2) Patients with macular edema, severe corneal (and) or lens opacity affect the observation of the fundus, angle-closure glaucoma can not mydriasis, other fundus diseases, and nursing interventions for other chronic diseases. This study was approved by the ethics committee of our hospital.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description intervention group A continuous nursing intervention group was established. Continuous nursing intervention was performed on the basis of the control group
- Primary Outcome Measures
Name Time Method DR patient care satisfaction questionnaire during follow-up 2 years Each item was scored according to three levels of 10 points, 6 points and 2 points, with a total score of 20-100 points. The higher the score, the higher the nursing satisfaction
The Summary of Diabetes Self-Care Activities (SDSCA) 2 years The translated Chinese version of the SDSCA scale consists of 11 items, reflecting five parts of self-management : diet, exercise, blood glucose monitoring, foot care, and drugs. Each item is scored by 8 levels of 0-7 points, of which 1 item is a reverse question. The purpose of this scale is to measure the self-management behavior of patients within 7 days. The total score is 0\~77 points. The higher the score, the better the self-management ability. Above 56 points is good for self-management ability, 42\~56 points is medium, and below 42 points is poor.
Criteria for visual acuity changes 2 years 1. Significant improvement: visual acuity improvement≥4 lines.
2. improvement: vision improvement≥2 lines.
3. unchanged: visual acuity increased by 1 line or decreased by 1 line.
4. decline: visual decline≥2 lines.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Beijing Tongren Hospital,Capital Medical University
🇨🇳Beijing, Beijing, China