Study on the application of integrated Orem behavior care model in early diabetic retinopathy intervention with Yijing soup

ABSTRACT

Objective: To investigate the impact of the Orem integrated self-care model on patients 'self-care deficits in the early stage of type 2 diabetic retinopathy treated with Yijing Decoction. Methods: This study is a prospective randomized controlled trial involving 48 patients (96 eyes) with early-stage type 2 diabetic retinopathy (aged 45-60 years). These patients were randomly divided into two groups: Group A (control group) received Yijing Decoction under the Orem self-care model, and Group B (control group) received Yijing Decoction alone. Both groups underwent examinations of visual acuity, fundus fluorescein angiography, fundus photography, and changes in TCM syndrome at baseline, one day before treatment, and at 3 days, 7 days, 14 days, 1 month, and 3 months post-treatment. The sample mean and standard deviation of general data were analyzed using independent samples T-tests, and the effectiveness (changes in visual acuity before and after treatment) was evaluated using chi-square tests. Results: Before treatment, there was no statistically significant difference in the general data between the two groups. After treatment, Group A showed significantly better corrected vision and TCM syndrome efficacy index compared to Group B, with all differences being statistically significant (P<0.05). Conclusion: The Orem integrated self-care model can compensate for patients' self-care deficiencies, enhance their self-care abilities, and improve the efficacy of Yijing Decoction in treating early-stage type 2 diabetic retinopathy. DM worldwide had surpassed 400 million [1]. In China,