摘要: 目的：探讨延续性护理模式对玻璃体切割术患者术后遵医依从性、并发症总发生率、最佳矫正视力及自护能力的影响。方法：选取2025年1月~2025年7月于粤北人民医院眼科实施玻璃体切割术治疗且顺利出院的70例患者，采用抽签法分为观察组和对照组，每组35例。观察组采用延续性护理模式，对照组采用常规随访护理模式。统计遵医依从率(是否保持体位、按时用药、合理饮食、定期复诊)、并发症总发生率，测定最佳矫正视力、自护能力评分并进行对比。结果：观察组的保持体位依从率100.00%、按时用药依从率94.29%、合理饮食依从率97.14%、定期复诊依从率85.71%，均高于对照组的88.57%、77.14%、82.86%、65.71% (
χ2 = 4.848, 4.800, 4.535, 4.351,
P = 0.028, 0.028, 0.033, 0.037)，并发症总发生率8.57%，低于对照组的25.71% (
χ2 = 4.138,
P = 0.042)；随访前两组的最佳矫正视力、自护能力评分无差异(
P > 0.05)，随访后该两项指标均高于本组护理前且观察组高于对照组(
P < 0.05)。结论：延续性护理模式的应用能够进一步提升玻璃体切割术患者的遵医依从性水平，预防相关并发症的发生并强化其自护能力，远期视力改善效果更佳，可作为优选护理模式加以推广应用。
Abstract: Objective: To explore the effects of continuity of care model on postoperative medical compliance, total incidence of complications, optimal corrected visual acuity, and self-care ability of patients undergoing vitrectomy. Method: 70 patients who underwent vitrectomy treatment and were successfully discharged from the ophthalmology department of Yuebei People’s Hospital from January 2025 to July 2025 were selected and divided into an observation group and a control group using a lottery method, with 35 patients in each group. The observation group adopted a continuity of care model, while the control group adopted a routine follow-up care model. Statistical statistics on medical compliance rate (whether to maintain posture, take medication on time, eat reasonably, and have regular follow-up visits), and the total occurrence of complications rate, best corrected visual acuity, self-care ability scores were measured and compared. Result: The compliance rates of maintaining body position, timely medication, reasonable diet, and regular follow-up in the observation group were 100.00%, 94.29%, 97.14%, and 85.71%, respectively, which were higher than those in the control group 88.57%, 77.14%, 82.86%, and 65.71% (χ2 = 4.848, 4.800, 4.535, 4.351, P = 0.028, 0.028, 0.033, 0.037). The total incidence of complications was 8.57%, which was lower than the control group’s 25.71% (χ2 = 4.138, P = 0.042); There was no significant difference in the best corrected visual acuity and self-care ability scores between the two groups before follow-up (P > 0.05). After follow-up, both indicators were higher than before nursing in this group, and the observation group was higher than the control group (P < 0.05). Conclusion: The application of continuity of care model can further improve the compliance level of patients undergoing vitrectomy, prevent related complications, and strengthen their self-care ability. The long-term visual improvement effect is better, and it can be promoted and applied as a preferred nursing model.