眼部并发症聚焦预防护理在全麻俯卧位手术患者中的应用研究  

Application of focused preventive nursing for ocular complications in patients undergoing general anesthesia prone surgery

作　　者：仇慧敏 冯建萍[1] 徐娟[1] 陈建[2] Qiu Huimin;Feng Jianping;Xu Juan;Chen Jian(Operating Room of Jiangsu Provincial People's Hospital,Nanjing 210000,China;Department of Orthopedics,Jiangsu Provincial People′s Hospital,Nanjing 210000,China)

机构地区：[1]江苏省人民医院手术室,南京210000 [2]江苏省人民医院骨科,南京210000

出　　处：《中国实用护理杂志》2021年第3期197-200,共4页Chinese Journal of Practical Nursing

摘　　要：目的观察眼部并发症聚焦预防护理在全麻俯卧位手术患者中的应用效果。方法将2019年1—5月行全麻俯卧位手术患者100例设为对照组,给予常规手术室护理;将2019年6—10月行全麻俯卧位手术患者100例设为试验组,在常规手术室护理基础上给予眼部并发症聚焦预防护理干预。对2组干预后患者结膜充血、水肿、暴露性角膜炎以及护士、患者满意度进行比较。结果观察组的护士、患者满意度得分分别为(9.40±0.57)、(9.30±0.56)分,对照组分别为(7.51±0.88)、(7.09±1.10)分,2组比较差异有统计学意义(t值为18.013、13.063,均P<0.05);观察组患者在结膜充血、水肿和暴露性角膜炎的发生率分别为4.00%(4/100)、2.00%(2/100)和1.00%(1/100),对照组分别为12.00%(12/100)、10.00%(10/100)和9.00%(9/100),2组比较差异有统计学意义(χ^2值为4.348、5.674、6.737,均P<0.05)。结论对全麻俯卧位手术患者开展眼部并发症聚焦预防护理活动,可显著降低该类受术者眼部并发症风险,深受护患双方认可。Objective To explore the effect of application in patients undergoing general anesthesia prone surgery on basis of observation of ocular complications and focus on preventive care.Methods One hundred patients who underwent general anesthesia prone surgery before the start of the ocular complications focused preventive care exploration activity(January to May 2019)were set as the control group.After the ocular complications focused preventive care exploration activity was launched(June to October,2019)100 cases of general anesthesia prone surgery in our hospital were set as the experimental group,and the observation indexes after the two groups were compared.Results The satisfaction scores of nurses and patients in the observation group were(9.40±0.57)and(9.30±0.56)respectively,while those in the control group were(7.51±0.88)and(7.09±1.10)respectively,the difference between the two groups was statistically significant(t values were 18.013 and 13.063,all P<0.05).The incidence rates of conjunctival congestion,edema and exposure keratitis in the observation group were 4.00%(4/100),2.00%(2/100)and 1.00%(1/100),respectively,while those in the control group were 12.00%(12/100),10.00%(10/100)and 9.00%(9/100),respectively.the difference between the two groups was statistically significant(χ^2 values were 4.348,5.674,6.737,all P<0.05).Conclusion The focus on preventive care of ocular complications in patients undergoing general anesthesia prone surgery can significantly reduce the risk of ocular complications in this type of patients,and it is well recognized by both patients and patients.

关 键 词：眼部并发症 预防护理 全麻俯卧位 

分 类 号：R473.6[医药卫生—护理学]