预警机制人性化护理在PDR玻璃体切除患者中的应用观察  

Clinical observation of humanistic nursing based on fore-warning mechanism in PDR patients with vitrectomy

作　　者：刘影[1] 王红霞[1] 周娜磊[1] 段佳良[1] 杨欣[1] 安建斌[1] LIU Ying;WANG Hong-xia;ZHOU Na-lei;DUAN Jia-liang;YANG Xin;AN Jian-bin(Department of Ophthalmology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院眼科,河北石家庄050000

出　　处：《河北医科大学学报》2018年第6期688-690,694,共4页Journal of Hebei Medical University

摘　　要：目的探讨基于预警机制的人性化护理在增殖性糖尿病视网膜病变玻璃体切除术后患者中的应用及效果观察。方法选取增殖性糖尿病视网膜病变患者中需行玻璃体视网膜手术者112例,随机分为对照组与观察组各56例,观察组给予基于预警机制管理的人性化护理,对照组给予常规眼科护理,比较2组汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)精神障碍评分情况、满意度等。结果观察组依从性合格率高于对照组(P<0.05);术后7d,观察组HAMA及HAMD评分均低于入院时,对照组HAMA及HAMD评分均高于入院时,观察组HAMA及HAMD评分均低于对照组(P<0.05)。观察组护理满意度高于对照组(P<0.05)。结论预警机制管理有效考虑了患者精神状态,根据需求进行人性化护理,增强了患者的依从性,提高了患者的满意度。Objective To investigate the effect of humanistic nursing based on fore-warming mechanism in proliferative diabetic retinopathy（PDR） patients, who need vitrectomy.Methods We enrolled 112 patients with PDR, who were diagnosed with PDR and needed vitrectomy. Then the patients were divided into observation group and control group. The observation patients were given humanistic nursing based on fore-warming mechanism, while patients in control group were given ordinary ophthalmic nursing. We compared the differences of mental disorders accessed by Hamilton Anxiety Scale（HAMA） and Hamilton Depression Scale（HAMD）, and satisfaction of nursing between these groups.Results The compliance rate of observation group was significantly higher than that of control group with（ P 〈 0.05）. The HAMA and HAMD scores of observation group at 7 days postoperative were significantly lower than those scores at admission, while the HAMA and HAMD scores of clinical group at 7 days postoperative were significantly higher than those scores at admission. Satisfaction rate of nursing in observation group, which was significantly higher than that of control group with（ P 〈 0.05）.Conclusion Humanistic nursing based on fore-warning mechanism takes the mental disorders of each patient into account, and demands humanistic nursing to every patient. And finally this brand-new nursing scheme yields higher compliance rate and satisfaction rate of nursing.

关 键 词：糖尿病视网膜病变 玻璃体视网膜手术 护理 

分 类 号：R587.26[医药卫生—内分泌]