针对性围手术期护理干预在超声乳化术治疗青光眼合并白内障患者中的应用效果研究  

Effect of Perioperative Nursing Intervention on Phacoemulsification in Patients with Glaucoma Complicated with Cataract

作　　者：吴慧玲[1] 林惠蓉[1] WU Hui-ling;LI Hui-rong(Department of Anesthesiology, the First Affiliated Hospital of Xiamen University, Xiamen, Fujian Province, 361003 China)

机构地区：[1]厦门大学附属第一医院麻醉手术室

出　　处：《中外医疗》2019年第24期164-166,175,共4页China & Foreign Medical Treatment

摘　　要：目的探讨针对性围术期护理干预应用于超声乳化治疗治疗青光眼合并白内障患者中的有效价值。方法方便选取2016年7月—2017年7月期间该院接收的76例,行超声乳化术的青光眼合并白内障患者数据作为研究样本,采用随机数字表法的形式将76例青光眼合并白内障患者平均分为研究组和对照组,每组38例。对照组予以基础的术后护理干预和术前用药指导,研究组采用针对性围术期护理指导,对比两组术后第4天和术后1个月的视力恢复情况、术后并发症发生率以及术后满意度。结果①研究组术后第4天<0.3视力值比率为13.1%,低于对照组34.2%,组间对比差异有统计学意义(χ^2=4.6590,P=0.0308),0.3~0.8占比分析,研究组60.5%高于对照组36.8%(χ^2=4.2661,P<0.05),>0.8对比,差异无统计学意义(χ^2=0.0658,P>0.05);术后1个月视力值,<0.3中,研究组31.6%和对照组36.8%对比差异无统计学意义(χ^2=0.2338,P>0.05),0.3~0.8占比,研究组10.5%低于对照组28.9%,组间对比差异有统计学意义(χ^2=4.0699,P<0.05),>0.8分析中,研究组57.9%高于对照组34.2%,两组比较有统计学意义(χ^2=4.2899,P<0.05);②并发症发生率分析中,研究组眼前房出血1例、眼前房渗出3例、眼角膜水肿2例,总发生率为15.8%。对照组眼前房出血2例、眼前房渗出7例、眼角膜水肿5例。总发生率为36.8%。组间对比差异有统计学意义(χ^2=4.3429,P<0.05);③两组满意度分析中,研究组总满意度92.1%高于对照组73.7%,组间对比差异有统计学意义(χ^2=4.5470,P<0.05)。结论对行超声乳化治疗的白内障合并青光眼患者,予以针对性围术期干预模式,能够最大程度改善临床满意度,提升手术效果,降低医疗纠纷发生几率,临床生活质量提升,推广价值存在。Objective To explore the effective value of perioperative nursing intervention in the treatment of glaucoma with cataract in patients with phacoemulsification. Methods Seventy-six patients with glaucoma and cataract who underwent phacoemulsification were convenient election enrolled in our hospital from July 2016 to July 2017. The randomized digital table method was used to calculate the average score of 76 patients with glaucoma and cataract. For the study group and the control group, each group was 38 cases. The control group underwent basic postoperative nursing intervention and preoperative medication guidance. The study group used targeted perioperative nursing guidance to compare the visual recovery and postoperative complication rate of the fourth day and one month after surgery and postoperative satisfaction. Results 1.On the fourth day after surgery, the ratio of visual acuity was 13.1%, which was lower than that of the control group (34.2%). The comparison between the groups was statistically significant (χ2=4.659 0, P=0.030 8), and the ratio of 0.3-0.8 was analyzed. 60.5% of the study group was higher than 36.8% of the control group (χ2=4.266 1, P<0.05),>0.8, no statistical significance (χ2=0.065 8, P>0.05);one month postoperative visual acuity,<0.3, there was no difference between the study group 31.6% and control group 36.8%(χ2=0.233 8, P>0.05), 0.3-0.8 ratio, study group 10.5% was lower than control group 28.9%, and the difference between groups was significant (χ2=4.069 9, P<0.05),>0.8 analysis, 57.9% of the study group was higher than the control group 34.2%, the two groups were statistically significant (χ2=4.289 9, P<0.05);2.as for the complication rate analysis, the study group anterior chamber had 1 case of hemorrhage, 3 cases of anterior chamber oozing, and 2 cases of corneal edema. The total incidence was 15.8%. In the control group, there were 2 cases of anterior chamber hemorrhage, 7 cases of anterior chamber oozing, and 5 cases of corneal edema. The overall incidence was 36.8%. The

关 键 词：针对性围术期干预 白内障 青光眼 超声乳化手术 价值分析 

分 类 号：R47[医药卫生—护理学]