ORIGINAL RESEARCH article
Front. Med.
Sec. Geriatric Medicine
Effects of A study of the outcomes of a Nursing Iintervention based on the Theory of Planned Behaviour in on Visual Function, Blood Sugar Levels, and Quality of Life in Perioperative Patients with Diabetic Retinopathy Patients
Provisionally accepted
- Huai’an First People’s Hospital Affiliated to Nanjing Medical University, Huaian, China
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Objective: To evaluate the effects of nursing intervention based on the Theory of Planned Behavior (TPB) on perioperative patients with diabetic retinopathy (DR). Methods: A total of 120 DR patients admitted from January 2021 to January 2024 were randomly assigned to an intervention group (TPB-based nursing) or a control group (conventional nursing). Visual function, glycemic indicators, incidence of adverse events, self-management ability, and quality of life were assessed. Paired t-tests and independent t-tests were applied as appropriate. Results: After 2 months, the intervention group showed greater improvements in visual function than the control group, with greater reductions in peripheral vision score (−5.81 vs. −1.51; P<0.001), sensory adaptation score (−9.20 vs. −5.20; P<0.001), and daily activity restriction score (−9.06 vs. −5.04; P<0.001). Glycemic outcomes also improved more significantly, including fasting blood glucose (−3.07 vs. −1.00 mmol/L; P<0.001), 2 h postprandial blood glucose (−4.22 vs. −2.19 mmol/L; P<0.001), and glycosylated hemoglobin (−3.78% vs. −1.76%; P<0.001). In addition, the intervention group had fewer adverse events and better improvement in self-management and quality of life (all P<0.001). Conclusion: TPB-based nursing intervention effectively enhanced visual function recovery, glycemic control, self-management ability, and overall outcomes in perioperative DR patients, supporting its clinical applicability.
Keywords: Diabetic Retinopathy, Theory of Planned Behavior, Nursing, visual function, blood glucose level
Received: 28 May 2025; Accepted: 30 Oct 2025.
Copyright: © 2025 Wang, Shang, Yang, Jiang and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hailian Huang, huanghailian_edu@163.com
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