New progress in the application of a full-course personalized care model for diabetic retinopathy patients
糖尿病视网膜病变患者全程个性化护理模式应用新进展

摘要

糖尿病视网膜病变是糖尿病常见慢性并发症，也是工作年龄人群不可逆致盲的首要原因，传统同质化护理难以匹配患者个体需求，对长期健康行为建立与生存质量改善的作用存在局限。为梳理该领域护理模式优化方向，系统整合近年门诊随访分层管理、住院围手术期个性化评估干预、全病程居家+院外协同管理的实践进展，总结新技术工具应用，及不同疾病分期护理方案调整的相关成果，验证多学科协作干预的效果。研究结果可为构建适配患者个体需求的全病程干预体系提供参考，对推动糖尿病视网膜病变护理质量整体提升有现实意义。

Abstract

Diabetic retinopathy is a common chronic complication of diabetes and the leading cause of irreversible blindness in working-age populations. Traditional homogeneous nursing approaches struggle to meet patients' individualized needs, with limited efficacy in fostering long-term healthy behaviors and improving quality of life. To clarify the direction for optimizing nursing models in this field, this study systematically integrates recent advancements in outpatient stratified follow-up management, personalized perioperative assessment and intervention during hospitalization, as well as home-based and extramural coordinated management throughout the entire disease course. It summarizes the application of new technological tools and relevant outcomes of nursing scheme adjustments across different disease stages, while validating the effects of multidisciplinary collaborative interventions. The findings provide a reference for building a comprehensive intervention system tailored to patients' individual needs, holding practical significance for improving the overall quality of diabetic retinopathy nursing.