延伸护理干预在眼球摘除日间手术患者中的应用效果评价  

Application effect evaluation of extended nursing intervention in patients with enucleation day surgery

作　　者：王丽[1] 刘淑贤[1] 倪如暘[1] 宋薇[1] WANG Li;LIU Shuxian;NI Ruyang;SONG Wei(Ophthalmology Center,Bejing Tongren Hospital,Capital Medical University/Key Laboratory of Ophthalmology and Visual Sciences of Beijing,Bejing 100176,P.R.Chin)

机构地区：[1]首都医科大学附属北京同仁医院眼科中心/北京市眼科学与视觉科学重点实验室,北京100176

出　　处：《华西医学》2022年第9期1347-1351,共5页West China Medical Journal

基　　金：首都医科大学附属北京同仁医院院内基金护理研究专项(2018-YJJ-HLL-007)。

摘　　要：目的探讨对接受眼球摘除日间手术的患者实施延伸护理干预后的效果。方法前瞻性选取2020年7月-2021年6月首都医科大学附属北京同仁医院眼科中心日间病房实施单眼眼球摘除手术的患者,采用随机数字表法随机分为对照组和试验组,对照组实施常规日间整体护理,试验组在常规日间整体护理的基础上,增加“前移与后延”的延伸护理干预措施,对比两组患者术前术后焦虑水平、健康知识知晓情况、手术停台率、护理满意度情况,评价延伸护理干预措施在此类患者中的应用效果。结果最终纳入患者106例,发放问卷106份,回收106份,回收率100.0%。对照组和试验组均为53例。两组患者的性别、年龄、受教育水平方面差异无统计学意义(P>0.05)。试验组停台率低于对照组(0.0%vs.11.3%),试验组患者术前、术后焦虑评分均低于对照组[术前为(50.06±5.27)vs.(58.25±5.21)分,术后为(49.43±5.45)vs.(58.53±5.55)分],试验组患者健康知识知晓情况问卷评分高于对照组[(89.96±2.88)vs.(75.00±3.16)分]。试验组满意程度优于对照组,其中试验组非常满意38例,满意14例,不满意1例;对照组非常满意19例,满意27例,不满意7例。上述差异有统计学意义(P<0.05)。结论对接受眼球摘除日间手术的患者实施“前移与后延”护理干预,可以有效缓解患者术前术后焦虑情绪,提升健康知识知晓情况及护理满意度,降低手术停台率。Objective To explore the effect of extended nursing intervention on patients with enucleation day surgery.Methods Patients who underwent monocular enucleation in the day ward of the Ophthalmology Center,Beijing Tongren Hospital,Capital Medical University between July 2020 and June 2021 were selected.They were randomly divided into control group and trial group by random number table method.The control group was given routine day-to-day nursing care,while the trial group added the extended nursing intervention measures of“forward and extended”on the basis of routine day-to-day overall nursing.The preoperative and postoperative anxiety levels,health knowledge awareness,operation shutdown rate,and nursing satisfaction were compared between the two groups of patients,and the application effect of extended nursing interventions in such patients was evaluated.Results Finally,106 patients were included,106 questionnaires were distributed,106 were recovered,and the recovery rate was 100.0%.There were 53 cases in both the control group and the trial group.There was no significant difference in gender,age and education level between the two groups(P>0.05).The operation shutdown rate in the trial group was lower than that in the control group(0.0%vs.11.3%).The preoperative and postoperative anxiety scores of the trial group were lower than those of the control group(preoperative:50.06±5.27 vs.58.25±5.21,postoperatively:49.43±5.45 vs.58.53±5.55).The score of the health knowledge awareness questionnaire in the trial group was higher than that in the control group(89.96±2.88 vs.75.00±3.16).The degree of satisfaction in the trial group was better than that in the control group.In the trial group,38 cases were very satisfied,14 cases were satisfied,and 1 case was dissatisfied.In the control group,19 cases were very satisfied,27 cases were satisfied,and 7 cases were dissatisfied.The above differences were statistically significant(P<0.05).Conclusions Nursing intervention of“forward and extended”for patients with enu

关 键 词：日间手术 眼球摘除 延伸护理 

分 类 号：R473.77[医药卫生—护理学]