Improve self-management behaviour of the patients with glaucoma after day surgery:an online-to-offline health education based on timing theory
10.3969/j.issn.1671-8283.2025.08.007
- VernacularTitle:基于时机理论的O2O健康教育模式提高术后青光眼日间手术患者自我管理行为的研究
- Author:
Chunyan YANG
1
;
Weixin ZHENG
1
;
Wenmin HUANG
1
;
Huiming XIAO
1
;
Bomin LIN
1
;
Xiaoye XU
1
;
Xinyan LI
1
;
Yu ZHANG
1
Author Information
1. 中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广东 广州,510060
- Publication Type:Journal Article
- Keywords:
glaucoma;
day surgery;
timing theory;
health education;
online-to-offline model;
self-management behaviour
- From:
Modern Clinical Nursing
2025;24(8):46-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of an online-to-offline(O2O)health education guided by the'Timing Theory'in improving self-management behaviours among the patients with glaucoma after day surgery.Methods In this randomised controlled study conducted between July and December 2022,70 patients with glaucoma after day surgery in our hospital were assigned to a control group and an experimental group,with 35 patients per group.Patients in control group received routine nursing care,while those in experimental group received O2O health education based on timing theory in addition to the routine nursing care.Outcomes were evaluated using the glaucoma awareness and knowledge questionnaire(GAKQ),self-efficacy to manage chronic disease scale(SEMCD)and glaucoma self-management questionnaire(GSMQ)at baseline,at 1 month and 3 months after surgery.Results A total of 32 patients in the experimental group and 27 in the control group completed the study.The generalised estimating equation(GEE)analysis showed a significant difference,respectively,in total score of GSMQ in interaction effect(F=8.408,P=0.015)and SEMC in time main effect(F=54.660,P<0.001).There were significant differences in total scores of GAKQ in time main effect,inter-group main effect and interaction effect(F=128.483,P<0.001;F=7.991,P<0.05;F=32.652,P<0.001,respectively).At one-month after intervention,the experimental group showed significantly higher GAKQ and SEMCD scores than the control group(Z=-2.004,P<0.05;Z=-2.029,P<0.05,respectively).At 1-and 3-months after intervention,the experimental group demonstrated significantly higher GAKQ scores(Z=-3.987,P<0.001;Z=-4.505,P<0.001,respectively).Conclusion The timing theory based O2O health education significantly improves knowledge of glaucoma,self-efficacy and self-management behaviours among day surgery patients and helps patients better cope with perioperative self-management over day surgery.
