The Effect Evaluation of Continuous Nursing Intervention in Patients With Type 2 Diabetic Retinopathy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- DR patient care satisfaction questionnaire during follow-up
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(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.
排除标准
- •(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.
研究组 & 干预措施
intervention group
Continuous nursing intervention was performed on the basis of the control group
干预措施: A continuous nursing intervention group was established. (Behavioral)
control group
discharge guidance was performed according to routine nursing intervention at the time of discharge, and the patients were informed to return to the hospital for regular review (review was performed at 1 month, 3 months, half a year, 1 year, and 2 years after discharge, respectively).
结局指标
主要结局
DR patient care satisfaction questionnaire during follow-up
时间窗: 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)
时间窗: 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
时间窗: 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.
次要结局
未报告次要终点
研究者
Hui Du
doctor
Beijing Tongren Hospital