The effect of dual-track parallel intervention on self-management and quality of life in patients with diabetic retinopathy

Abstract

Objective To investigate the effect of dual-track parallel intervention on self-management and quality of life in patients with diabetic retinopathy. Methods From July 2015 to July 2016, 86 patients with diabetic retinopathy who underwent routine nursing care in our hospital were selected as the control group; from August 2016 to August 2017, 86 patients with diabetic retinopathy who underwent dual-track parallel intervention in our hospital were selected as the observation group. The self-management ability, quality of life, and blood glucose level before and after nursing were compared between the two groups. Results After 3 months of nursing, C-DMSES score and SDSCA score in the observation group were (36.03±4.74) and (41.27±5.36), both higher than those in the control group, with statistically significant differences (P<0.05). After 3 months of nursing, the scores of physiological function, role physical, role emotional, energy, body pain, general health, mental health, social function in the observation group were (68.64±6.69), (71.44±6.31), (80.37±5.91), (73.35±4.93), (74.52±6.26), (66.19±4.75), (78.72±5.89), (85.31±6.58), all higher than those in the control group, with statistically significant differences (P<0.05). After 3 months of nursing, the levels of fasting blood glucose, postprandial 2 h glucose, glycated hemoglobin in the observation group were (6.14±1.31) mmol/L, (8.57±2.04) mmol/L, (6.12±0.78)%, all lower than those in the control group, with statistically significant differences (P<0.05). Conclusion Dual-track parallel intervention can effectively reduce blood glucose level, improve self-management ability and the quality of life in patients with diabetic retinopathy, worthy of clinical promotion. Key words: Dual-track parallel intervention; Diabetic retinopathy; Self-management; Quality of life; Blood glucose