36例角膜移植术后延伸护理干预的临床疗效  

Clinical efficacy of extended nursing intervention after corneal transplantation in 36 cases

作　　者：孙秋萍[1] 王志中[2] 朱小丽[1] 李文静[1] 周兴玲 陈媛媛 SUN Qiuping;WANG Zhizhong;ZHU Xiaoli;LI Wenjing;ZHOU Xingling;CHEN Yuanyuan(PLA 474 Hospital military Ophthalmology Center,Urumqi 830013;Department of traditional Chinese Medicine Rehabilitation physiotherapy,474 Hospital of PLA,Urumqi 830013)

机构地区：[1]解放军第474医院全军眼科中心,乌鲁木齐830013 [2]解放军第474医院中医康复理疗科,乌鲁木齐830013

出　　处：《眼科学报》2019年第1期27-31,共5页Eye Science

基　　金：新疆维吾尔自治区科技支疆项目(201491171);兰州军区卫生科研计划项目(CLZ14JA16;CLZ11JA25)~~

摘　　要：目的:探讨延伸护理对角膜移植术后的作用及临床意义。方法:回访收集71例角膜移植术后患者院外用药、视力及门诊随访病情信息,将患者随机分为延伸护理组与常规护理组,延伸护理组36例,常规护理组35例,比较两组术前后视力变化值、家庭功能与生活质量评分及遵医行为。结果:延伸护理组与常规护理组在手术前后视力均明显改善,而两组组间差异无统计学意义(P>0.05)。延伸护理前后家庭功能与生活质量评分差异有统计学意义(P<0.05),而常规护理前后评分无差异(P>0.05),两组间比较差异有统计学意义(P<0.05)。延伸护理在遵医嘱行为方面显著优于常规对照组(P<0.05)。结论:延伸护理能明显改善角膜移植术后患者治疗与护理依从性,能良好体现护理专业价值与社会服务功能,有助于患者从医院到居家的平稳过渡。Objective: To investigate the effect of extended nursing care on corneal transplantation and its clinical significance. Methods: Clinical data of 71 patients after corneal transplantation, including extramural medication, visual acuity and outpatient follow-up were collected. The patients were randomly divided into the extended nursing care (n=36) and routine nursing care groups (n=35). The changes of visual acuity, family function and quality of life were compared between two groups. Results: The visual acuity in two groups was significantly improved after surgery, but no significant difference was noted between two groups (P>0.05). The family function and quality of life scores significantly differed before and after extended care (P<0.05), and there was no difference in the score before and after routine care (P>0.05), there was a significant difference between the two groups (P<0.05).Extended care was significantly superior to the routine care (P<0.05). Conclusion: Extended nursing care can obviously improve the compliance of treatment and nursing of patients after corneal transplantation. It can reflect the value of nursing profession and social service function, and help patients to make a smooth transition from hospital to home.

关 键 词：延伸护理 角膜移植 患者 回访 

分 类 号：R473.77[医药卫生—护理学]