Objective To investigate the effect of self-management-oriented 5A nursing mode on postoperative self-care ability and follow-up compliance of glaucoma patients. Methods A total of 87 glaucoma patients admitted to our hospital from November 2021 to November 2022 were selected as the study objects. They were divided into the observation group(44 cases) and the reference group(43 cases) by random envelope method. The reference group received routine nursing mode, and the observation group received self-management-oriented 5A nursing mode on the basis of routine nursing. Both groups continued to be intervened for six months. The self-management ability [adult health self-management ability scale(AHSMSRS)], sleep quality [Pittsburgh sleep quality index scale(PSQI)], quality of life[quality of life scale for patients with visual impairment(SQOL-DVI)], self-care ability [self-care ability scale(ESCA)], anxiety and depression [Beck anxiety inventory(BAI), Beck depression inventory(BDI)] were compared and analyzed between the two groups before and after follow-up compliance, knowledge mastery, postoperative recovery(visual acuity, intraocular pressure, recurrence rate, complication rate). Results The follow-up compliance rate of the observation group [100.00%(44/44)] was higher than that of the reference group [86. 05%(37/43)], and the difference was statistically significant(χ²=4. 600, P =0.032). The scores of disease, medication, correct eye knowledge and postoperative precautions in the observation group were higher than those in the reference group, and the differences were statistically significant(P <0.001). The recurrence rate of the observation group[2. 27% (1/44)] was lower than that of the reference group[18. 60%(8/43)], and the difference was statistically significant( χ²=4. 617, P =0.032). The incidence of complications in the observation group [4. 55%(2/44)] was lower than that in the reference group[23. 26%(10/43), and the difference was statistically significant(χ²= 6. 403, P =0.011). The improvement of visual acuity and intraocular pressure in the observation group after nursing was greater than that in the reference group, and the differences were statistically significant(P < 0.05). After nursing, the AHSMSRS and ESCA scores of the observation group were higher than those of the reference group, and the differences were statistically significant(P < 0.05). After nursing, the scores of PSQI, SQOL-DVI, BAI and BDI in the observation group were lower than those in the reference group, and the differences were statistically significant(P <0.05). Conclusion Self-management-oriented 5A nursing model can improve the self-management ability and self-care ability of glaucoma patients after surgery, relieve their anxiety and depression, and improve their compliance. [ABSTRACT FROM AUTHOR]