改良型辅助用具加健身操改善玻璃体切割术后患者舒适度  

Modified prone position maintaining device combined with exercises improves comfort level for patients after vitrectomy

作　　者：王峥嵘[1] 鲁才红[1] 林婉婷[1] 刘乔容[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,湖北武汉430022

出　　处：《护理学杂志》2015年第16期19-21,共3页

基　　金：华中科技大学同济医学院附属协和医院科研课题(2013-26)

摘　　要：目的探讨提高复杂视网膜脱离术后患者持续面向下体位依从性的方法,提高卧位舒适度,减少并发症和复发率。方法将160例行玻璃体切割术术后需采用面向下体位的患者随机分为对照组和观察组各80例;两组均给予健康教育,对照组采用普通护颈枕及软枕;观察组采用改良型头胸枕,即将头枕放置在患者面部,胸前放置一软枕,结合健身操和热敷按摩等形成综合改良系统,提高患者舒适度。结果观察组术后第1、2、3、7天患者体位依从性显著优于对照组(P<0.01);观察组患者术后不适感显著低于对照组(P<0.01),术后疼痛、眼睑肿胀、高眼压发生率显著低于对照组(P<0.05,P<0.01)。结论改良型辅助用具和健身操综合运用对提高玻璃体切割术术后患者持续面向下体位的依从性、俯卧位舒适度方面具有明显作用。Objective To explore the methods improving compliance of face-down prone position for patients after complicated retinal detachment operation,to enhance comfort level of the position,and decrease complications as well as recurrence rate.Methods A total of 160post-vitrectomy patients needing to keep face-down prone position,were averagely randomized into 2groups.All patients received health education,then the control group only used conventional neck-protecting pillows and soft pillows,while the observation group utilized modified head chest pillows,and combined with exercises,hot compress and massage.Results Compared with the control group,position compliance of patients in the observation group on day 1,2,3,7after vitrectomy was higher and the rate of discomfort was lower（P〈0.01 for both）,the rates of pain,eyelid swelling and ocular hypertension after operation were also lower in the observation group（P〈0.05,P〈0.01）.Conclusion Comprehensive utilization of face-down prone position maintaining device and exericses increases position compliance and the comfort level for post-vitrectomy patients.

关 键 词：视网膜脱离 玻璃体切割术 面向下体位 舒适度 

分 类 号：R473.77[医药卫生—护理学]