个案管理对甲状腺相关眼病患者自我管理效能及并发症的影响
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女,本科,主管护师

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湖北省自然科学基金面上项目(WJ2021M238)


Effect of case management on self-management efficacy and complications in patients with thyroid associated ophthalmopathy
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    目的 探讨个案管理模式对甲状腺相关眼病患者自我管理效能及并发症影响,促进患者康复。方法 将282例甲状腺相关眼病患者按照入院时间分为对照组136例,观察组146例。对照组实施常规眼科护理,观察组在常规护理基础上实施个案管理模式。比较两组患者干预前及干预1、3个月自我管理效能及并发症发生率。结果 干预3个月,观察组自我管理效能评分显著高于对照组,切口感染及暴露性角膜炎发生率显著低于对照组(均P<0.05)。结论 个案管理模式的应用可提高甲状腺相关眼病患者的自我管理效能,减少并发症发生率。

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    Objective To explore the impact of case management model on self-management efficacy and complications in patients with thyroid associated ophthalmopathy, and to promote patients′ recovery.Methods A total of 282 patients with thyroid associated ophthalmopathy were divided into a control group (n=136) and an observation group (n=146) according to admission time.The control group received routine ophthalmologic care, while the observation group received the case management model in addition to routine care.Self-management efficacy and the incidence of complications were compared between the two groups before and 1, 3 months after the intervention.Results After 3 months of intervention, the self-management efficacy score of the observation group was significantly higher than that of the control group, and the incidence of incision infection and exposure keratitis was significantly lower than that of the control group (all P<0.05).Conclusion The application of the case management model can enhance the self-management efficacy of patients with thyroid associated ophthalmopathy and reduce the incidence of complications.

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张希,王峥嵘,胡梦云,谢其修,张越.个案管理对甲状腺相关眼病患者自我管理效能及并发症的影响[J].护理学杂志,2024,39(13):40-43

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  • 收稿日期:2024-02-27
  • 最后修改日期:2024-04-11
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  • 在线发布日期: 2024-08-18