ERAS护理联合心理弹性支持对病理性近视后巩膜加固术围手术期患者的影响  

The Effect of ERAS Nursing Combined with Psychological Resilience Support on Patients with Pathological Myopia Undergoing Posterior Scleral Reinforcement during Perioperative Period

作　　者：骆蓉蓉 黄恩娥 LUO Rongrong;HUANG En’e(School of Nursing,Fujian Medical University,Fuzhou 350122,China;不详)

机构地区：[1]福建医科大学护理学院,福建福州350122 [2]福建省泉州市妇幼保健院儿童医院

出　　处：《中国医学创新》2023年第27期123-127,共5页Medical Innovation of China

摘　　要：目的:探讨加速康复外科(ERAS)护理结合心理弹性支持在病理性近视后巩膜加固术患者围手术期护理中的应用效果。方法:选择2021年1月—2023年1月泉州市妇幼保健院·儿童医院接受后巩膜加固术的86例病理性近视患者,按照随机数字表法分为观察组和对照组,各43例。对照组给予常规护理,观察组给予ERAS护理结合心理弹性支持。比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CD-RISC)评分,以及并发症发生率、护理总满意度。结果:护理7 d后,观察组患者SAS、SDS评分分别为(38.41±3.43)、(41.28±4.35)分,均明显低于对照组的(42.59±3.81)、(46.07±4.62)分,差异均有统计学意义(P<0.05)。观察组CD-RISC评分中乐观维度、自强维度、坚韧维度及总分分别为(15.32±2.12)、(30.45±3.12)、(35.03±3.15)、(80.82±6.17)分,均高于对照组的(12.14±1.71)、(25.61±2.63)、(26.72±2.85)、(64.47±5.96)分,差异均有统计学意义(P<0.05)。观察组眼胀眼痛、呕吐、一过性眼压升高、一过性复视的总发生率(9.30%)明显低于对照组(25.58%),差异有统计学意义(P<0.05)。观察组护理总满意度(93.02%)明显高于对照组(74.42%),差异有统计学意义(P<0.05)。结论:ERAS护理结合心理弹性支持在病理性近视后巩膜加固术患者围手术期的应用效果显著,可有效改善负面情绪、提高心理弹性,并减少并发症发生率。Objective:To investigate the application effect of enhanced recovery after surgery(ERAS)nursing combined with psychological resilience support in perioperative nursing of patients with pathological myopia after scleral reinforcement.Method:A total of 86 patients with pathological myopia who received posterior scleral reinforcement in Quanzhou Women's and Children's Hospital from January 2021 to January 2023 were selected and divided into observation group and control group according to the random number table method,with 43 cases in each group.The control group was given routine nursing,while the observation group was given ERAS nursing combined with psychological resilience support.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),CD-RISC scores,the incidence of complications and nursing satisfaction were compared between the two groups.Result:After 7 days of nursing,the SAS and SDS scores of observation group were(38.41±3.43)and(41.28±4.35)points,which were significantly lower than(42.59±3.81)and(46.07±4.62)points in control group,the differences were statistically significant(P<0.05).The optimism dimension,self-strengthening dimension,tenacity dimension and total score of CD-RISC scores in the observation group were(15.32±2.12),(30.45±3.12),(35.03±3.15),(80.82±6.17)points,which were significantly higher than(12.14±1.71),(25.61±2.63),(26.72±2.85),(64.47±5.96)points in control group,the differences were statistically significant(P<0.05).The total incidence of eye distension,eye pain,vomiting,transient elevated intraocular pressure and transient diplopia in the observation group(9.30%)was significantly lower than that of the control group(25.58%),the difference was statistically significant(P<0.05).The total satisfaction rate in the observation group patients(93.02%)was significantly higher than that of the control group(74.42%),the difference was statistically significant(P<0.05).Conclusion:ERAS nursing combined with psychological resilience support has significant effect

关 键 词：病理性近视 后巩膜加固术 加速康复外科 心理弹性 护理 并发症 

分 类 号：R473.77[医药卫生—护理学]