| Objective:To assess the associated symptoms,visual function,and quality of life in patients with diabetic retinopathy.To explore the effects of diabetic retinopathy on the symptoms,visual function and quality of life associated with diabetes.The structural equation model was used to comprehensively analyze the symptoms,visual function,quality of life and other factors of diabetic retinopathy patients,and the correlation between various factors was analyzed by building a relevant model,which provided new ideas and reference for the nursing of diabetic retinopathy patients in the future.Methods:Using the convenient sampling method,a questionnaire survey was conducted from the endocrinology ward of a third-class hospital in Hefei,Anhui Province,and a total of 234 research subjects were included in the questionnaire survey from October 2021～October2022.Among them,117 patients with diabetes and 117 patients with diabetic retinopathy were surveyed using the general information survey scale,self-feeling burden scale,depression self-rating scale,self-management scale,visual function scale,and quality of life scale.IBM SPSS26.0 software is used to analyze the statistical analysis of data,Pearson analyzes and discusses the correlation between their elements,establishes structural equation models,and uses IBM SPSS Amos 24.0 software to run and correct.Results:1.According to a general data analysis of the study participants,the results showed that the average age of DM patients was(56.04±11.11),patients with DR were(57.61±11.16)years old;and the male-to-female ratio was 1.41:1,male patients were slightly more than female patients,75.21% of patients in the diabetes group had 1 ～ 3comorbidities,and 68.38% of patients in the retinopathy group.2.(1)The results of the analysis between the groups showed that the totalscore of visual function scale for DM patients was(44.38±6.76),the total visualfunction scale score of DR patients was(67.22 ± 12.50),and the difference between the two groups was statistically significant in the visual function,psychological assessment and visual symptoms(P<0.05).(2)The total score of the depression self-rating scale of DM patients was(54.79 ± 5.48)points,and 26.5% were mildly depressed,11.11% moderately depressed,and 3.42% severely depressed.The total score of the depression self-rating scale for DR patients was(57.80±7.12),29.06% were mildly depressed,21.37% were moderately depressed,and 7.69% were severely depressed.The total score of the depression self-rating scale was statistically significant(P<0.05).(3)The scores of the Self-Perceived Burden Scale were mild to moderate in DM patients and DR patients,and the differences in the total score of the Self-Perceived Burden Scale,financial burden and emotional burden dimensions were statistically significant(P<0.05).(4)There were statistically significant differences between patients with DM and DR in total diabetes self-management scale scores,glycemic control,diet,and follow-up(P<0.05).(5)On the Quality of Life scale,there were statistically significant comparisons between DM patients and DR patients in terms of quality of life,mental health and normality(P<0.05).3.The correlation study discovered The Depression Self-rating Scale was positively correlated with the Self-Feeling Burden Scale(P<0.05);The depression self-rating scale was positively correlated with the visual function scale(P<0.01);TThere was a significant negative correlation between the Depression Self-rating Scale and the Diabetes Self-Management Scale(P<0.01);There was a significant positive correlation between the Self-Perceived Burden Scale and the Visual Function Scale(P<0.01);The Diabetes Self-Management Scale was negatively correlated with the Visual Function Scale(P<0.05);There was a significant positive correlation between the Quality of Life Scale and the Diabetes Self-Management Scale(P<0.01);There was a significant negative correlation between quality of life and the visual function scale,depression self-rating scale,and self-feeling burden scale(P<0.01),and differences were statistically significant across the research mentioned above.4.The structural equation model shows that the fit degree of the initial model is low,and the modified model fit test results show that the χ2/df values <3,RMSEA values <0.05 and its GFI,NFI,CFI,IFI and TLI values were all >0.9.Its modified results met the fit criteria,the model fitted well overall and all structural coefficients were statistically significant(P<0.05).Conclusion:1.Compared with diabetic patients,the occurrence of DR will aggravate the degree of depression in patients,and the self-perceived burden of DR patients is generally mild to moderate.2.Compared with diabetic patients,DR patients with depression,self-perceived burden and visual function have direct negative effects on their quality of life.3.Compared with diabetic patients,patients with diabetic retinopathy have a poorer overall quality of life,which is related to depression,greater self-perceived burden,and reduced self-management ability,and visual dysfunction is a major factor affecting the reduction of quality of life. |
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