护理干预对屈光不正行 LASIK 术患者围手术期应激反应的影响  

Effect of nursing intervention on perioperative period stress response in patients with LASIK

作　　者：吕秋荣[1] 周美英[1] 温秀娟[1] 吴惠恩[2] 邢燕青 林桂英[1] 

机构地区：[1]广东医学院附属医院眼科,湛江524001 [2]广东医学院附属医院门诊,湛江524001

出　　处：《中华现代护理杂志》2014年第17期2082-2084,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：广东省湛江市科技攻关项目（2011C3101024）

摘　　要：目的：探讨系统化、规范化的全方位护理干预对屈光不正行准分子激光原位角膜磨镶术（ LASIK）患者围手术期应激反应的影响。方法将200例屈光不正行LASIK术患者按简单随机法分为观察组和对照组各100例，对照组在治疗过程中采用常规护理，观察组在对照组基础上实施系统化、规范化的全方位护理干预措施。观察两组患者心率、血压及焦虑评分情况。结果护理干预前两组患者术前收缩压、心率、焦虑得分比较差异均无统计学意义（P＞0．05）；护理干预后观察组患者术中收缩压为（112．73±16．95）mmHg、心率为（76．43±11．29）次/min，焦虑得分为（32．67±3．94）分，均低于对照组[（129．45±21．17）mmHg，（84．32±12．13）次/min，（50．03±2．95）分]，差异有统计学意义（t值分别为-6．17，-4．76，-35．32；P＜0．01）。结论系统化、规范化的全方位护理干预能减轻屈光不正行LASIK术患者的围手术期应激反应，帮助其更好地适应手术，提高手术预期效果，促进患者术后早日恢复，防止并发症的发生。Objective To explore the systematic , standardized nursing intervention on stress response during perioperative period of Laser Assisted in Situ Keratomileusis （LASIK） patients.Methods A total of 200 cases of LASIK patients were randomly divided into the observation group and the control group with 100 cases in each group.The control group was treated with conventional care , while the observation group was treated with systematic and standardized nursing interventions .The blood pressure and anxiety scores of two groups of patients with heart rate were compared .Results Before the study the blood pressure , heart rate and anxiety scores between the groups had no significant difference （P〉0.05）.After the nursing intervention, the blood pressure, heart rate and anxiety scores were （112.73 ±16.95） mmHg, （76.43 ±11.29） beat/min and （32.67 ±3.94） in the observation group, which were significantly lower than （129.45 ±21.17） mmHg, （84.32 ±12.13） beat/min and （50.03 ±2.95） in the control group （t =-6.17, -4.76, -35.32, respectively;P〈0.01）.Conclusions The standardized and systematic nursing intervention can reduce the stress response of patients during the LASIK operation period and can help patients to better adapt to the operation.It can also improve the operation effect , promote the postoperative recovery and prevent the complications .

关 键 词：屈光不正 准分子激光原位角膜磨镶术 护理干预 应激反应 

分 类 号：R473.77[医药卫生—护理学]