Kang, H., Li, S., & Yang, Y. (2021). Effect of acceptance-commitment concept nursing intervention on quality of life in patients with diabetic retinopathy. Journal of Changchun University Chinese Medicine, 32(1), 201-203. https://doi.org/10.13463/j.cnki.cczyy.2021.01.055
diabetic retinopathy; Acceptance and commitment philosophy nursing; Treatment compliance; quality of life;
目的探讨接纳与承诺理念护理干预在糖尿病视网膜病变（DR）患者中的应用效果及对生活质量的影响。方法选取2016年6月-2018年6月我院收治的194例DR患者,采用随机数字表法分为对照组（n=96）和观察组（n=98）。对照组给予常规护理,观察组给予基于接纳与承诺理念的护理干预。比较2组治疗的依从性、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、视功能损害眼病患者生活质量量表评分以及患者满意情况。结果观察组治疗依从性明显优于对照组（P＜0.05）;干预后,观察组SAS、SDS评分均较干预前显著下降,且低于对照组（P＜0.05）;干预后,观察组生活质量评分均高于干预前,且高于对照组（P＜0.05）;观察组满意情况优于对照组（P＜0.05）。结论基于接纳与承诺理念的护理干预可有效提高DR患者治疗依从性,减轻患者焦虑、抑郁情绪,提高生活质量。
Objective: To explore the efficacy of nursing intervention based on the concept of acceptance and commitment in patients with diabetic retinopathy (DR) and its impact on their quality of life. Methods: A total of 194 patients with DR admitted to our hospital between June 2016 and June 2018 were randomly divided into a control group (n=96) and an observation group (n=98). The control group received routine nursing care, while the observation group received nursing intervention based on the concept of acceptance and commitment. The two groups were compared in terms of treatment compliance, Self-Rating Anxiety Scale (SAS) scores, Self-Rating Depression Scale (SDS) scores, Quality of Life Scale for Patients with Visual Impairment, and patient satisfaction. Results: The treatment compliance in the observation group was significantly better than that in the control group (P<0.05). After the intervention, the SAS and SDS scores in the observation group were significantly lower than those before the intervention and lower than those in the control group (P<0.05). After the intervention, the quality of life scores in the observation group were higher than those before the intervention and higher than those in the control group (P<0.05). The satisfaction in the observation group was better than that in the control group (P<0.05). Conclusion: Nursing intervention based on the concept of acceptance and commitment can effectively improve the treatment compliance of DR patients, reduce their anxiety and depression, and improve their quality of life.