术前健康教育结合认知行为干预对中老年白内障患者手术质量及预后的影响  

Effect of preoperative health education combined with cognitive behavioral intervention on surgical quality and prognosis of middle-aged and elderly patients with cataract

作　　者：汪海燕 张雪贝 贾文娟 胡兵 WANG Haiyan;ZHANG Xuebei;JIA Wenjuan;HU Bing(Department of Cataract,Affiliated Ophthalmic Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong,250004,China;Party Committee Office,Affiliated Ophthalmic Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong,250004,China)

机构地区：[1]山东中医药大学附属眼科医院白内障科,山东济南250004 [2]山东中医药大学附属眼科医院党委办公室,山东济南250004

出　　处：《中西医结合护理（中英文）》2022年第1期13-16,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析术前健康教育结合认知行为干预对行白内障超声乳化术的中老年患者手术质量及预后的影响。方法以2020年4月至2021年4月于山东中医药大学附属眼科医院行超声乳化术联合人工晶体植入的120例中老年白内障患者作为本研究对象,采用便利抽样法分为2组,对照组60例,观察组60例。对照组在入院后给予常规护理,观察组在对照组护理方法的基础上加用术前健康教育结合认知行为干预。对比并分析2组的手术质量、生活质量和并发症。结果术后1周,2组的眼压均明显低于术前(P均<0.05),观察组的眼压低于对照组(P<0.05)。术后1个月,2组的视力和角膜内皮细胞密度均明显优于术前(P均<0.05),且观察组的上述指标均明显优于对照组(P均<0.05)。术后1个月,2组的低视力者生活质量量表各维度评分均明显高于术前(P均<0.05),且观察组的上述维度评分均明显高于对照组(P均<0.05)。观察组在术中和术后的并发症总发生率低于对照组(P<0.05)。结论术前健康教育联合认知行为干预能有效提升中老年白内障患者的手术质量,改善术后生活质量,降低并发症的发生率。Objective To analyze the effect of preoperative health education combined with cognitive behavioral intervention on the surgical quality and prognosis of middle-aged and elderly patients undergoing phacoemulsification cataract surgery.Methods A total of 120 middle-aged and elderly patients with cataract who underwent phacoemulsification combined with intraocular lens implantation at the Affiliated Ophthalmic Hospital of Shandong University of Traditional Chinese Medicine from April 2020 to April 2021 were enrolled and divided into two groups by convenience sampling,with 60 patients in the control group and 60 patients in the observation group.The control group was given routine nursing after admission,and the observation group was given preoperative health education combined with cognitive behavioral intervention on the basis of the nursing method of the control group.The surgical quality,quality of life,and complications of the two groups were compared and analyzed.Results One week after surgery,the intraocular pressure of the two groups was significantly lower than that before surgery(both P<0.05),and the intraocular pressure of the observation group was lower than that of the control group(P<0.05).One month after surgery,the visual acuity and corneal endothelial cell density of the two groups were significantly better than those before surgery(all P<0.05),and the above indicators of the observation group were significantly better than those of the control group(both P<0.05).One month after surgery,the scores of various dimensions of low vision quality of life questionnaire in the two groups were significantly higher than those before surgery(all P<0.05),and the scores of the above dimensions in the observation group were significantly higher than those in the control group(all P<0.05).The total incidence of intraoperative and postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Preoperative health education combined with cognitive behavioral intervent

关 键 词：白内障 术前健康教育 认知行为干预 手术质量 

分 类 号：R473.77[医药卫生—护理学]