前瞻性护理干预对新生血管性青光眼手术治疗患者临床疗效影响  

Effect of prospective nursing intervention on clinical outcomes of patients with neovascular glaucoma surgery

作　　者：徐志英[1] 殷雪群[2] 李弢[1] 盛群芳 Xu Zhiying;Yin Xuequn;Li Wei;Sheng Qunfang(Department of Ophthalmology,First People's Hospital Affiliated to Suzhou University,Suzhou,Jiangsu 215006;Department of Anesthesiology,First People's Hospital Affiliated to Suzhou University,Suzhou,Jiangsu 215006)

机构地区：[1]苏州大学附属第一人民医院眼科,江苏苏州215006 [2]苏州大学附属第一人民医院麻醉手术科,江苏苏州215006

出　　处：《中外女性健康研究》2019年第21期13-15,共3页Women＇s Health Research

摘　　要：目的:探讨前瞻性护理干预对新生血管性青光眼(NVG)手术治疗患者的疗效影响观察。方法:选取本院接受手术治疗的40例NVG患者,根据数字随机分配法均分为观察者和对照组各20例。对照组给予常规眼科护理,观察者在对照组基础上实施科学、系统的围手术期前瞻性护理干预。对比两组患者平均住院时间、术后出院时间,术后眼压控制、疼痛等级以及术后并发症发生率。结果:两组术后眼压控制水平及矫正视力比较无明显差异(P>0.05);观察组平均住院和术后出院时间明显短于对照组;观察组术后疼痛程度为轻痛、中痛者明显低于对照组;观察组术后并发症发生率明显低于对照组,以上差异均有统计学意义(P<0.05)。结论:对接受手术治疗的NVG患者实施科学、系统的围手术期前瞻性护理干预,能显著缩短患者平均住院治疗时间,减轻术后疼痛,降低术后并发症发生率,保证手术效果,加快床位周转。Objective:To investigate the effect of prospective nursing intervention on the treatment of neovascular glaucoma(NVG).Methods:Forty patients with NVG who underwent surgery in our department were divided into 20 cases of observer and control group according to the numerical random distribution method.The control group was given conventional ophthalmic care.The observers performed a scientific,systematic perioperative prospective nursing intervention based on the control group.The average length of hospital stay,postoperative discharge time,postoperative intraocular pressure control,pain level,and postoperative complication rate were compared between the two groups.Results:There was no significant difference in postoperative intraocular pressure control and corrected visual acuity between the two groups(P>0.05).The average hospitalization and postoperative discharge time in the observation group were significantly shorter than those in the control group.The postoperative pain degree in the observation group was significantly lower than that in the moderate and severe cases.In the control group,the incidence of postoperative complications was significantly lower in the observation group than in the control group,and the above differences were statistically significant(P<0.05).Conclusion:The implementation of scientific and systematic perioperative prospective nursing intervention in patients with NVG undergoing surgery can significantly shorten the average hospitalization time,reduce postoperative pain,reduce the incidence of postoperative complications,ensure the surgical effect,and accelerate bed turnover.

关 键 词：新生血管性 青光眼 手术治疗 前瞻性 

分 类 号：R47[医药卫生—护理学]