叙事护理在视网膜脱离行手术治疗患者中的应用效果  

Effects of narrative nursing in patients with retinal detachment undergoing surgery

作　　者：闫美华 隋妍 秦明照[3] 刘伟萍[1] 王倩[1] 叶辉[1] Yan Meihua;Sui Yan;Qin Mingzhao;Liu Weiping;Wang Qian;Ye Hui(Department of Cadre Health,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;School of Medical Humanities,Capital Medical University,Beijing 100061,China;Department of Ophthalmology,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China)

机构地区：[1]首都医科大学附属北京同仁医院干部保健科,北京100005 [2]首都医科大学医学人文学院,北京100061 [3]首都医科大学附属北京同仁医院眼科,北京100005

出　　处：《中华现代护理杂志》2022年第18期2514-2516,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨叙事护理在视网膜脱离行手术治疗患者中的应用效果。方法采用便利抽样法,选择2020年2月—2021年8月首都医科大学附属北京同仁医院老年医学科和眼科收治的40例视网膜脱离行手术治疗患者为研究对象,按照随机数字表法分为观察组和对照组,各20例。对照组患者给予常规护理,观察组在此基础上给予叙事护理。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、纽芬兰纪念大学幸福度量表(MUNSH)、生活质量综合评定问卷(GQOLI-74)对两组患者进行调查,并记录两组患者患者住院时间及并发症发生情况。结果出院时,观察组患者的SAS和SDS评分低于对照组,观察组患者的GQOLI-74、MUNSH评分高于对照组,差异均有统计学意义(P<0.01)。观察组患者的住院时间短于对照组,差异有统计学意义(P<0.05)。两组患者术后高眼压发生例数比较,差异无统计学意义(P>0.05)。结论叙事护理能有效的改善视网膜脱离手术患者的焦虑和抑郁情绪,提高患者幸福感和生活质量,缩短住院时间。Objective To explore the effect of narrative nursing in patients with retinal detachment undergoing surgery.Methods From February 2020 to August 2021,40 patients with retinal detachment who underwent surgical treatment in the Department of Geriatrics and Ophthalmology of Beijing Tongren Hospital,Capital Medical University were selected as the research object by the convenient sampling method.According to the random number table method,the patients were divided into the observation group and the control group,20 cases in each.The patients in the control group were given routine nursing,and the patients in the observation group received narrative nursing on this basis.Before and after the intervention,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Memorial University of Newfoundland Scale of Happiness(MUNSH),and Generic Quality of Life Inventory-74(GQOLI-74)were used to investigate the two groups of patients.The hospitalization time and complications of the two groups of patients were recorded.Results At discharge,the SAS and SDS scores of the observation group were lower than those of the control group,the GQOLI-74 and MUNSH scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.01).The hospitalization time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the number of cases of postoperative intraocular hypertension between the two groups(P>0.05).Conclusions Narrative nursing can effectively relieve anxiety and depression in patients with retinal detachment surgery,improve patients'well-being and quality of life,and shorten hospitalization time.

关 键 词：视网膜脱离 手术治疗 焦虑 抑郁 叙事护理 

分 类 号：R473.77[医药卫生—护理学]