改良泪道冲洗设备运用于婴幼儿泪囊炎冲洗中的护理效果分析  

Analysis of nursing effect of improved lacrimal passage washing equipment applied to infantile dacryocystitis washing

作　　者：汤艳华 张建萍 韦丽芳 马金瑜 韦仙华 Tang Yanhua;Zhang Jianping;Wei Lifang;Ma Jinyu;Wei Xianhua(ENT Ward,Liuzhou Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region,Maternity hospital and children′s Hospital Affiliated to Guangxi Medical University,Liuzhou 545001,China)

机构地区：[1]广西壮族自治区柳州市妇幼保健院,广西科技大学附属妇产医院、儿童医院五官科病区,545001

出　　处：《中国实用护理杂志》2020年第25期1961-1965,共5页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20170521)。

摘　　要：目的通过改良婴幼儿泪道冲洗设备,在婴幼儿泪囊炎冲洗的护理过程中建立一种新型的冲洗技术体系,并评估其效果。方法收集2017年1月至2019年9月在眼科门诊就诊的泪囊炎患儿3000例,按照随机数字表法分成观察组和对照组,每组1500例。观察组采用新型泪道冲洗体系,对照组采用传统的泪道冲洗体系,比较2组护理效果、并发症发生率、患儿家属满意度及操作者满意度等指标。结果观察组治疗婴幼儿泪囊炎一次探通后再冲洗及二次探通后再冲洗的治愈率分别为96.93%(1201/527)、78.95%(30/38),高于对照组的84.36%(1009/1196)、50.80%(95/187),差异有统计学意义(P<0.01);观察组婴幼儿泪囊炎并发症发生率为0.27%(4/1500),低于对照组的5.00%(75/1500),差异有统计学意义(χ^(2)=11.536,P<0.01);观察组患儿家属总满意率为98.14%(1472/1500),高于对照组的91.93%(1397/1500),差异有统计学意义(χ^(2)=12.018,P<0.01);观察组操作者总满意率为98.00%(1470/1500),高于对照组的90.87%(1363/1500),差异有统计学意义(χ^(2)=12.598,P<0.01)。结论应用改良后的新型泪道冲洗体系对婴幼儿进行护理,能够有效提高婴幼儿泪囊炎的治愈率,减少并发症的发生,提高患儿家属及操作者的满意度,值得临床推广。Objective By improving the lacrimal passage irrigation equipment for infants and young children,a new type of irrigation technology system was established during the nursing process of infantile dacryocystitis washing,and the effect was evaluated.Methods A total of 3000 children with dacryocystitis from January 2017 to September 2019 in ophthalmology clinic were collected,and they were randomly divided into the observation group and the control group by the random number table method with 1500 cases in each group.The observation group used a new lacrimal passage flushing system,and the control group used the traditional lacrimal passage flushing system.The nursing effect,the incidence of complications,the satisfaction of the family members of the children and the operator satisfaction were compared between the two groups.Results The cure rate after re-rinsing and secondary irrigation was 96.93%(1201/1527),78.95%(30/38)in the observation group,and 84.36%(1009/1196),50.80%(95/187)in the control group,the difference was statistically significant(P<0.01).The incidence of dacryocystitis in infants and young children was 0.27%(4/1500)in the observation group,and 5.00%(75/1500)in the control group,the difference was statistically significant(χ^(2) value was 11.536,P<0.01).The total satisfaction rate of children in the observation group was 98.14%(1472/1500),which was higher than the control group′s total satisfaction rate of 91.93%(1397/1500),and the difference was statistically significant(χ^(2) value was 12.018,P<0.01).The total satisfaction rate of operators in the observation group was 98.00%(1470/1500),which was higher than the total satisfaction rate of operators in the control group by 90.87%(1363/1500),and the difference was statistically significant(χ^(2) value was 12.598,P<0.01).Conclusions The application of the improved new lacrimal irrigation system for infants and young children can effectively improve the cure rate of infantile dacryocystitis,reduce the occurrence of complications,and improve the sat

关 键 词：眼科 泪道冲洗 治疗体系 疗效 

分 类 号：R473.77[医药卫生—护理学]