多阶段健康教育对玻璃体视网膜显微手术患者临床护理效果、知识掌握度及不良事件分析  

Clinical nursing effect, knowledge mastery and adverse events in patients after vitreoretinal microsurgery by multi-stage health education

作　　者：王静 Wang Jing(Department of Nursing, the Third Hospital Affiliated to Jinzhou Medical University, Jinzhou 121000, Chin)

机构地区：[1]锦州医科大学附属第三医院护理部,121000

出　　处：《中国实用护理杂志》2018年第10期761-764,共4页Chinese Journal of Practical Nursing

摘　　要：目的对玻璃体视网膜显微手术患者行多阶段健康教育的临床护理效果、知识掌握度和不良事件进行分析。方法选择2015年4月至2017年4月行玻璃体视网膜显微手术医治100例患者，按照随机数字表法分成2组，将行常规性护理50例患者作为对照组，将于对照组基础上行多阶段健康教育50例患者作为观察组，对2组临床护理效果、知识掌握度和不良事件进行比较。结果观察组一次体位的维持时间、住院时间分别为（171．45±25．36）min、（8．10±1．05）d，对照组分别为（90．20±24．10）min、（10．40±2．31）d，2组比较差异有统计学意义（t=16．422、6．410，均P〈0．05）；观察组相关技能和知识掌握完全了解所占比例分别为92．00％（46／50）和96．00％（48／50），对照组分别为60．00％（30，50）和64．00％（32／50），2组比较差异有统计学意义（X2=14．035、16．000，均P〈0．05）；观察组眼压升高、视力下降、眼痛所占比例分别为24．00％（12／50）、26．00％（13／50）、26．00％（13/50），对照组分别为82．00％（41／50）、80．00％（40／50）、86．00％（43／50），2组比较差异有统计学意义（x2=33．762、29．265、36．560，均P〈0．05）。结论玻璃体视网膜显微手术患者行多阶段健康教育能够延长其一次体位的维持时间和缩短住院时间，提高患者知识掌握度，降低不良事件发生概率。Objective To analyze the clinical nursing effect of multi-stage health education in patients after vitreoretinal microscopy and its effects on their knowledge mastery and the adverse events. Methods The clinical data of 100 patients who had received vitreoretinal microsurgery between April 2015 and April 2017 were analyzed. These patients were divided into 2 groups by random digits table method. The 50 cases given routine nursing were taken as the control group, whereas the other 50 given both routine nursing and multi-stage health education as the observation group. The clinical nursing effect, knowledge mastery and adverse events were compared between the two groups. Results The position holding time and the length of hospital stay was respectively （171.45±25.36） min and （8.10±1.05） d in the observation group, and was respectively （90.20±24.10） min and （10.40±2.31） d in the control group, with the difference between the two groups being statistically significant （t =16.422, 6.409, P〈0.05）. The percentages of relevant skills and knowledge mastery was respectively 92.00% （46/50） and 96.00% （48/ 50） in the observation group, and was respectively 60.00% （30/50） and 64.00% （32/50） in the control group, with statistically significant difference shown between the two groups （X2=14.035, 16.000, P〈0.05）. Patients with increased intraocular pressure, impaired vision and sore eyes in the observation group accounted for 24.00% （12/50）, 26.00% （13/50） and 26.00% （13/50） respectively, whereas those with increased intraocular pressure, impaired vision and sore eyes in the control group was respectively 82.00% （41/50）, 80.00%（40/50） and 86.00% （43/50）, the difference was significant（X2=33.762, 29.265, 36.560, P〈 0.05）. Conclusions For patients who had undergone vitreoretinal microsurgery, multi-stage health education can prolong the duration of position holding, shorten the length of hospital stay, and improve the patients＇ knowledge mastery and re

关 键 词：显微手术 玻璃体视网膜手术 多阶段健康教育 知识掌握度 不良事件 

分 类 号：R473.77[医药卫生—护理学]