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目的 探讨保护动机干预在糖尿病性白内障患者人工晶状体植入术后康复中的作用.方法 选取糖尿病性白内障患者118例,按随机数字表法分为观察组与对照组,每组59例.2组患者住院时均行常规护理模式,观察组同时给予保护动机干预.评估2组患者围手术期血糖变化、术后视力恢复及生命质量指数情况.结果 观察组患者术日晨、术后1 d空腹血糖分别为(8.27±1.25)、(9.52±2.44)mmol/L,对照组分别为(10.49±1.48)、(12.77±3.36)mmol/L,2组比较差异有统计学意义(t=-5.392、-6.755,P<0.01).观察组术后1、3个月视力分别为0.64±0.22、0.67±0.30,明显高于对照组的0.56±0.18、0.58±0.20,且观察组出现术后盲或低视力率为3.95%(3眼),明显低于对照组的13.51%(10眼),2组比较差异有统计学意义(t/χ2=2.492、2.209、4.013,均P<0.05).观察组生命质量指数为(7.70±1.13)分,对照组生命质量指数为(5.22±1.48)分,2组比较差异有统计学意义(t=3.660,P<0.05).结论 保护动机干预能明显提高糖尿病性白内障患者术后视力,减少并发症的发生,提高患者生命质量.

Objective To investigate the effect of protection motivation intervention on patients with diabetic cataract after implantable collamer lens implantation. Methods A total of 118 diabetic cataract patients were divided into 2 groups (59 cases each) by random digits table method. The control group received routine ophthalmic nursing and the observation group was given protection motivation intervention based on the routine nursing. The change of the plasma glucose, postoperative visual acuity and the quality of life were evaluated. Results The blood glucose on the morning of the operation day and one day after operation in the observation group was (8.27±1.25) mmol/L, (9.52±2.44) mmol/L, which was significantly lower than that of the control group, (10.49 ± 1.48) mmol/L, (12.77 ± 3.36) mmol/L, the difference between the groups was statistically significant (t=-5.392,-6.755, P<0.01). After 1 month and 3 months, the vision of the observation group was 0.64±0.22, 0.67±0.30, which was higher than that of the control group 0.56± 0.18, 0.58 ± 0.20, in which the postoperative blindness or low vision rate was 3.95%(3 eyes) in the observation group, and 13.51%(10 eyes) in the control group(t/χ2=2.492, 2.209, 4.013,P<0.05). The quality of life in the observation group was 7.70±1.13 and 5.22±1.48 in the control group, there was statistical significance between the two groups(t=3.660, P < 0.05). Conclusions Application of protection motivation intervention on diabetic cataract patients can improve their postoperative vision and quality of life.