目的：探讨青光眼日间手术患者的自我管理行为现状及影响因素分析。方法：采用便利抽样法选取2021年9月—2022年5月于广州市某三级甲等眼科专科医院就诊的223例青光眼日间手术患者。采用一般资料调查表、青光眼自我管理行为量表、慢性疾病自我效能量表和青光眼知识学习问卷进行问卷调查。结果：青光眼日间手术患者的自我管理行为得分为(54.03±6.95)分，其中生活调整维度得分最低。慢性病自我效能与自我管理行为呈正相关(r=0.368, P<0.001)。疾病知识与自我管理行为无显著相关性(r=0.077, P=0.252)。多因素线性回归分析结果显示，患者的文化程度(P<0.001)和自我效能(P=0.028)是自我管理行为的影响因素，可解释自我管理行为总变异的12.4%。结论：青光眼日间手术患者具有良好的自我管理行为，较低的自我效能和文化程度是自我管理行为的危险因素，因此应优先提高患者的自我效能，并提供个性化教育。

Objective: To determine self-management and its association with self-efficacy and knowledge among glaucoma patients undergoing day surgery. Methods: A total of 223 glaucoma patients were recruited from September 2021 to May 2022and they were investigated with the Glaucoma Self Management Questionnaire (GSMQ), The Self- Efficacy in Chronic Disease Scale (SECD-6), and the glaucoma knowledge questionnaire. Results: Of the 223 study participants, the study population had a total GSMQ score of 54.03±6.95 with the lowest score found in the life adjustment dimension. The total SECD-6 score was showing a significantly positive correlation with the total GSMQ score(r =0.368, P <0.001). The total score of disease knowledge was without significant correlation with the total GSMQ score (r =0.077, P =0.252). Multivariate linear regression analysis showed that self-efficacy (P <0.001) and education level was independently associated with self-management(P =0.028). Conclusions: Glaucoma patients undergoing daytime surgery demonstrated good overall self-management, yet further improvement was required in terms of life adjustment. Low self-efficacy and educational level were identified as risk factors for self-management. Therefore, self-management programs should prioritize enhancing patients' self-efficacy and delivering individualized education.

目的：探讨人文关怀护理对提高眼科专科病房护理质量及病人满意度的效果。

方法：建立人文关怀护理模式，优化环境，细化工作流程，注重护士人文关怀技能的培养，应用多元化的宣教工具，实施全程、连续、无缝隙的责任制护理。

结果：人文关怀护理措施落实，护士沟通能力提高，转变过去的被动服务为主动服务，护理的质量及患者满意度明显提高，零差错，零投诉，患者满意度为99％。

结论：将人文关怀护理体现在临床护理工作中才能给患者提供高品质的护理。

Purpose：To discuss the role of humanistic nursing care in improving the nursing quality and patients' degree of satisfaction in ophthalmic ward．

Methods：A mode of humanistic nursing care was established，hospital environment was improved and work flow was arranged in details．Nurses received professional training of humanistic care skills．By using multiple educational approaches，nursing care with responsibility system can be delivered in a continuous and seamless manner．

Results：The measures of humanistic nursing care were fully implemented．The nurses'  communication ability was improved and the nurses worked more actively. The quality of nursing and patients'  degree of satisfaction (99％) were equally significantly improved．No mistake occurred and no complaint was received from the patients．

Conclusion：Proper application of humanistic care in clinical nursing provides high-quality nursing for patients．