不同健康教育时机下准分子激光角膜屈光手术效果的研究  

Effects of excimer laser corneal refractive surgery under different health education timing

作　　者：赵翠玲[1] 原艳波 张钢琴[1] 

机构地区：[1]长治医学院附属和平医院眼科,046000

出　　处：《中华现代护理杂志》2017年第6期805-808,共4页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金项目（30973248）

摘　　要：目的 探讨不同健康教育时机下准分子激光角膜屈光手术的效果.方法 选取2015年3月-2016年3月在笔者所在医院择期行准分子激光角膜屈光手术的患者1136例,根据数字表法随机将患者分为对照组和观察组,每组568例.对照组给予常规健康教育,观察组给予时机调整后的健康教育.干预2个月后,比较两组患者的治疗效果、遵医行为、健康教育的掌握情况、并发症以及满意度.结果 治疗后两组患者的裸眼视力以及屈光度比较,差异无统计学意义（P〉0.05）;观察组患者的健康教育知识评分和健康教育知识掌握达标率高于对照组,差异均有统计学意义（P〈0.05）;观察组患者的用药规范、护眼意识以及按时就诊的遵医行为水平高于对照组,差异有统计学意义（P〈0.05）;观察组患者的并发症发生率低于对照组,差异有统计学意义（P〈0.05）;观察组患者的满意度高于对照组,差异有统计学意义（P〈0.05）.结论 将健康教育中术后治疗效果以及可能并发症等内容调整至术前宣教,可以有效地提高患者健康教育知识掌握程度、遵医行为和满意度,降低患者术后并发症的发生率,值得临床推广.Objective To investigate the effects of excimer laser corneal refractive surgery under different health education timing.Methods A total of 1136 cases undergoing excimer laser corneal refractive surgery in our hospital from March 2015 toMarch 2016 were randomly divided into control group and observation group according to the number table method, 568 cases respectively. The control group was given normal health education, while the observation group was given the time adjustment healthy education. Therapeutic effect, compliance, knowledge of health education, complications and satisfaction were compared between two groups after 2 months of the intervention.Results There was no statistical significance difference of patients＇ visual acuity and diopter difference between two groups after treatment （P〉0.05）. The score of patients＇ knowledge of health education and its compliance rate in the observation group were higher than those in the control group. The difference was statistically significant （P〈0.05）. The levels of patients＇ medication practice, consciousness of eye protection and compliance behavior of on time treatment in the observation group were higher than those in the control group, with statistically significant differences （P〈0.05）. The complication rate of patients in the observation group was significantly lower than that of the control group （P〈0.05）. The satisfaction ratio of patients in the observation group was significantly higher than that in the control group （P〈0.05）.Conclusions The content of postoperative treatment effects and complications in health education could be done before the operation, which can effectively improve the patient＆#39;s knowledge level of health education, compliance behavior and satisfaction so as to reduce the ratio of postoperative complications occurrence. It is worthy of clinical promotion.

关 键 词：健康教育 时机 准分子激光角膜屈光手术 

分 类 号：R473.77[医药卫生—护理学]