角膜溃疡患者互联网+精准症状管理方案的构建及应用研究

doi:10.3761/j.issn.0254-1769.2025.06.008

摘要/Abstract

摘要：

目的构建角膜溃疡患者互联网+精准症状管理方案，并评价其应用效果。方法组建干预小组，构建角膜溃疡患者互联网+精准症状管理方案，选取2023年7月—12月在重庆市某三级甲等医院住院的120例角膜溃疡患者作为研究对象，按照随机数字表将患者分为试验组（n=60）和对照组（n=60）。试验组实施角膜溃疡患者互联网+精准症状管理方案，对照组实施常规护理。在住院期间每天1次及出院后每周2次进行症状评估，在入院当天和出院后4周进行视力、生活质量和自我效能的评估。结果共112例患者完成了该研究，其中试验组54例，对照组58例。住院期间以及出院后4周内，试验组报告的症状阈值事件低于对照组（P=0.031，P=0.027），且试验组在出院后第4周的视力、生活质量和自我效能均优于对照组，差异具有统计学意义（均P<0.05）。结论基于互联网+的精准症状管理方案可缓解患者的症状体验，改善患者的视力情况，提高患者的生活质量和自我效能。

关键词: 角膜溃疡, 互联网+, 症状管理, 护理

Abstract:

Objective To evaluate the influence of precision symptom management based on Internet plus on patients with corneal ulcer. Methods An intervention team was set up to build an Internet + precise symptom management plan for corneal ulcer patients，and the research involved 120 patients with corneal ulcers in a tertiary A hospital in Chongqing from July to December 2023. The patients were divided into an intervention group（n=60） and a control group（n=60） according to the random number table generated by SPSS. Symptom assessment questionnaires were completed once a day during hospitalization and twice a week after discharge，and visual acuity，quality of life，and self-efficacy were assessed on the day of admission and 4 weeks after discharge. Results A total of 112 patients completed the study. The data of 54 cases in the intervention group and 58 cases in the control group were statistically analyzed. During hospitalization and within 4 weeks after discharge，the reported symptom threshold events in the intervention group were lower than those in the control group（P=0.031，P=0.027），and the visual acuity，quality of life，and self-efficacy of the intervention group patients were better than those of the control group patients at the end of the 4th week，with statistically significant differences（all P<0.05）. Conclusion Symptom management program based on internet plus can alleviate patients’ symptom experience，improve patients’ visual acuity，quality of life and self-efficacy.

Key words: Corneal Ulcer, Internet Plus, Symptom Management, Nursing Care

雷丹, 卞薇, 王宗华, 苏君, 万君丽, 王露. 角膜溃疡患者互联网+精准症状管理方案的构建及应用研究[J]. 中华护理杂志, 2025, 60(6): 688-695.

LEI Dan, BIAN Wei, WANG Zonghua, SU Jun, WAN Junli, WANG Lu. Construction and application of precision symptom management based on Internet plus in patients with corneal ulcer[J]. Chinese Journal of Nursing, 2025, 60(6): 688-695.

图/表 5

表1 角膜溃疡患者互联网+精准症状管理方案

Table 1 Symptom management program for patients with corneal ulcers

表2 两组一般资料的比较

Table 2 Comparison of general data between 2 groups

表3 两组住院期间症状阈值事件总数的比较

Table 3 Comparison of symptom threshold events during hospitalization between 2 groups

表4 两组出院后4周内症状阈值事件总数的比较

Table 4 Comparison of symptom threshold events within 4 weeks of discharge between 2 groups

表5 两组干预前后受累眼最佳矫正视力、生活质量、自我效能的比较

Table 5 Comparison of the best corrected visual acuity of the affected eye，NEI-VFQ-25，and self-efficacy before and after intervention between 2 groups

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