针对性护理在灾害环境下眼外伤手术中的应用  

Application of targeted nursing in ocular trauma surgery under disaster environment

作　　者：邓丽琴[1] 侯豹可[1] 李燕[1] 李坤 刘钰凤[1] 王瑛[1] DENG Liqin;HOU Baoke;LI Yan;LI Kun;LIU Yufeng;WANG Ying(Senior Department of Urology,the Third Medical Center of PLA General Hospital,Beijing 100039,China;Department of Ophthalmology Peking University International Hospital,Beijing 102206,China)

机构地区：[1]解放军总医院第三医学中心眼科医学部,北京100039 [2]北京大学国际医院眼科,北京102206

出　　处：《中华灾害救援医学》2022年第1期1-4,共4页Chinese Journal of Disaster Medicine

基　　金：国家重点研发计划(2016YFC1305504)。

摘　　要：目的研究玻璃体切除术治疗因灾害导致的复杂眼外伤的针对性护理措施。方法选取2019-01至2020-11在我院行玻璃体切除术的因灾害导致复杂眼外伤患者68例,依据奇数偶数分组法,将患者分成观察组和对照组。对照组实施常规护理(n=34),观察组实施针对性护理(n=34),比较两组患者视力改善情况和住院天数、术后并发症发生率以及满意率。结果 2组术前矫正视力(Corrected Visual,CV)评分比较,观察组1.53±0.42,对照组1.54±0.39,P>0.05;术后1个月CV评分比较,观察组1.22±0.13,低于对照组1.28±0.14,P<0.05;住院天数,观察组7.2±1.8,短于对照组10.5±2.2,P<0.001;观察组的术后并发症发生率为14.71%,低于对照组的44.12%,P<0.05;观察组的满意率为97.06%,高于对照组的76.47%,P<0.05。结论玻璃体切除术治疗复杂眼外伤,采取针对性护理干预可提高手术治疗的效果,减少并发症的发生,有助于提升护理满意度。Objective To investigate the targeted care of vitrectomy for complex ocular trauma due to disasters. Methods From November 2019 to November 2020, 68 patients in the Third Medical Center of PLA General Hospital with vitrectomy complicated ocular trauma. Based on the t group method, the patients were divided into observation and control groups.The control group was given conventional care(n=34), and the observation group was given targeted care(n=34). Two groups of vision improvement and hospitalization days postoperative complications and satisfaction were compared. Results Comparing the score of Corrected Visual(CV) acuity before the operation between the two groups.The observation group was 1.53±0.42, the control group was 1.54±0.39, P>0.05. One month after surgery, the CV score of the observation group was 1.22±0.13, which was lower than that of the control group by 1.28±0.14, P<0.05, and the length of hospital stay in the observation group was 7.2±1.8, which was also shorter than 10.5±2.2 the control group, P<0.001. The incidence of postoperative complications in the observation group was 14.71% lower than 44.12% in the control group(P<0.05). The satisfaction rate of the observation group was 97.06%, which was higher than that of the control group(76.47%), P<0.05. Conclusion Target nursing intervention in vitrectomy treatment of complex ocular trauma can improve the effectiveness of surgical treatment, reduce the incidence of complications, and help to improve nursing satisfaction.

关 键 词：玻璃体切除术 灾害 复杂眼外伤 护理干预 

分 类 号：R473.77[医药卫生—护理学]