目的 探讨糖尿病视网膜病变患者生活质量现状及影响因素，并分析三者之间的相关性。方法 采用便利抽样法，选取2021年11月—2022年8月在承德市3所三级甲等医院眼科就诊的300例糖尿病视网膜病变患者作为研究对象，采用一般资料调查表、中文版糖尿病健康素养量表（HLS）、医学应对方式问卷（MCMQ）、视功能损害眼病患者生存质量量表（VQOL-DVI）进行横断面调查。结果 糖尿病视网膜病变患者HLS得分为（35.36±6.38）分，MCMQ得分为（52.52±7.75）分，VQOL-DVI得分为（110.36±27.49）分；Pearson相关性检验显示，DR患者VQOL-DVI总分与HLS总分、MCMQ总分均呈正相关（r=0.434,P<0.01；r=0.227,P<0.01）。多元线性回归分析结果显示，年龄、DR类型、饮酒史、甘油三酯、健康素养、不同应对方式（面对、回避、屈服）是糖尿病视网膜病变患者生活质量的主要影响因素（P＜0.05），共解释糖尿病视网膜病变患者生活质量49.5%的总变异量。结论 糖尿病视网膜病变患者生活质量水平较低，通过提高健康素养水平、鼓励患者采取积极的应对方式，以减缓视网膜病变进展，进而提高患者生命质量。
糖尿病视网膜病变(DR)致病率、致残率高,严重影响患者的生活质量.现有的医疗技术条件下,DR无法治愈,只能通过早期筛查、定期检测和识别相关危险因素来预防病情进一步发展.因此,本文就DR患者的生活质量现状、评价工具、影响因素及护理措施进行综述,以期为临床制定相关干预方案提供参考.
Spiritual care refers to a series of spiritual care activities that medical staff assess the spiritual needs of patients and provide them with companionship, listening or support. Because of the particularity of the external performance of the thinking and behavior of the patients with mental illness, the spiritual needs of the patients with mental illness are often ignored. Therefore, this article will systematically describe the identification of spiritual pain, assessment of spiritual needs, implementation of spiritual care and other aspects in combination with the existing literature on spiritual care for mental patients at home and abroad, aiming to improve the medical staff''s understanding of spiritual care for mental patients, promote highquality nursing services, improve the mental state of mental patients, improve the patients, quality of life and nursing satisfaction.
