现代医药卫生2025，Vol.41Issue(5)：1116-1120,1125,6.DOI:10.3969/j.issn.1009-5519.2025.05.014
CICARE沟通模式下全程关护护理在原发性开角型青光眼小梁切除术后患者中的应用效果
The application effect of CICARE communication mode in the whole course of nursing care in patients with primary open-angle glaucoma after trabeculectomy
摘要
Abstract
Objective To explore the application effect of whole-course nursing care under CICARE[C(connect),I(introduction),C(communicate),A(ask),R(respond),E(exit)]communication mode in patients with primary open-angle glaucoma after trabeculectomy and its influence on patients'self-efficacy and stigma.Methods A total of 72 patients with primary open-angle glaucoma who underwent trabeculectomy in our hospital from February 2023 to May 2024 were selected as the research objects.They were divided into study group and control group by random number table method,with 36 cases in each group.Morisky evalua-tion standard was used to evaluate the compliance of patients in the two groups after intervention.General Self-Efficacy Scale(GSES)was used to evaluate the self-efficacy of patients in the two groups.Non-contact in-traocular pressure meter was used to measure the intraocular pressure of patients in the two groups.Social Impact Scale(SIS)was used to evaluate the stigma level of patients in the two groups.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD,17 items)were used to evaluate the psychological state of patients in the two groups.Newcastle Nursing Satisfaction Scale was used to evaluate the nursing sat-isfaction of patients in the two groups.Corneal edema,eye pain,foreign body sensation and other complica-tions were compared between the two groups.Results After intervention,the proportion of patients with good compliance[86.11％(31/36)vs.63.89％(23/36)]and nursing satisfaction rate[91.67％(33/36)vs.72.22％(26/36)]in the study group were significantly higher than those in the control group.The intraocular pressure at one week and one month after operation and the incidence of postoperative complications were sig-nificantly lower than those in the control group,the differences were statistically significant(P＜0.05).The GSES scores of the two groups after intervention were significantly higher than those before intervention,and the SIS,HAMA and HAMD(17 items)scores were significantly lower than those before intervention,and the GSES scores of the study group after intervention were significantly higher than those of the control group,and the SIS,HAMA and HAMD(17 items)scores were significantly lower than those of the control group,the differences were statistically significant(P＜0.05).Conclusion The whole course nursing care under CICARE communication mode can improve patients' compliance and self-efficacy,promote the reduction of postoperative intraocular pressure to normal level,improve patients' mental health status,reduce the level of stigma,reduce complications and improve nursing satisfaction.关键词
青光眼/小梁切除术/CICARE沟通模式/全程关护护理/自我效能/病耻感Key words
Glaucoma/Trabeculectomy/CICARE communication model/Whole course nursing care/Self-efficacy/Stigma分类
临床医学引用本文复制引用
赵曼峰,杨文娟..CICARE沟通模式下全程关护护理在原发性开角型青光眼小梁切除术后患者中的应用效果[J].现代医药卫生,2025,41(5):1116-1120,1125,6.基金项目
河南省医学科技攻关计划联合共建项目(2018020284). （2018020284）
