白内障超声乳化联合晶体植入患者术中体验的质性研究  

Experience of patients undergoing cataract surgery via phacoemulsification with intraocular lens implantation:aqualitative study

作　　者：程芳[1] 李霞[1] 李燕玲[2] 高玉红[2] 

机构地区：[1]首都医科大学电力教学医院手术室,北京100073 [2]首都医科大学电力教学医院护理部,北京100073

出　　处：《护理学杂志》2015年第18期55-57,共3页

基　　金：首都医科大学护理学院院级课题(HY201405)

摘　　要：目的了解白内障超声乳化联合晶体植入患者术中的真实体验,为提高患者术中舒适度、有效应对手术应激提供依据。方法采用目的抽样法选取11例行超声乳化白内障摘除联合人工晶体植入术患者,进行半结构式访谈。采用内容分析法分析资料。结果归纳患者术中体验的4个主题:手术操作、器械刺激及体位固定引起的生理不适,多样化的主观视觉体验,对手术过程的不确定感以及紧张、害怕等负性心理体验及其应对。结论患者术中体验复杂多样,应积极关注并给予术前健康教育、放松训练等干预措施,提高术中舒适度和满意度。Objective To promote patients′comfort and coping in surgery by understanding their experiences during cataract surgery via phacoemulsification with intraocular lens implantation.Methods Eleven patients who had received phacoemulsification and intraocular lens implantation were selected by purposive sampling.Data were collected by semi-structured interviews and analyzed using content analysis.Results Four themes were identified：physical discomfort induced by operation procedures,instrument irritation,and maintenance of body posture;a variety of subjective visual experience;negative emotions such as uncertainty,tension and fear;and coping with these emotions.Conclusion The experiences of patients undergoing cataract surgery via phacoemulsification with intraocular lens implantation are complicated and diverse.Healthcare providers should focus on patients′feelings,provide health education and relax training before the surgery,and thus to promote patients′comfort and satisfaction.

关 键 词：白内障 超声乳化白内障摘除 人工晶体植入 体验 舒适 应对 质性研究 

分 类 号：R472.3[医药卫生—护理学] R779.66[医药卫生—临床医学]