专案创优护理在低视力患者静脉采血中的应用分析  

Application Analysis of Specialized Nursing in Venipuncture for Low Vision Patients

作　　者：刘慧娴 杨剑英[1] 张然星 李鹏斐[1] LIU Huixian;YANG Jianying;ZHANG Ranxing;LI Pengfei(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2023年第10期997-1000,共4页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院科技创新工程项目(C12021A03219)。

摘　　要：目的探讨眼科低视力患者在门诊静脉采血中的专案创优护理效果。方法纳入2021年10月—2022年9月在中国中医科学院眼科医院门诊收集400例静脉采血患者,其中正常视力的患者200例,低视力的患者200例。低视力患者随机分为对照组和观察组,每组各100例。对照组只给予常规护理方式;观察组在对照组的基础上,加入相应的专案创优护理。首先初步评估低视力和正常视力患者基本情况,再次通过对低视力2组患者的护理满意度(包括健康指导、心理指导、采血技术和服务态度)、不良事件发生、护理前后的焦虑自评量表进行护理效果评价。结果(1)不良事件发生率:低视力患者不良事件发生率高于正常视力患者,差异有统计学意义(χ^(2)=41.334,P=0.000);干预后,低视力观察组不良事件概率低于对照组,差异有统计学意义(χ^(2)=23.276,P=0.001)。(2)患者满意度:观察组的满意度均高于对照组,差异有统计学意义(χ^(2)_(健康指导)=11.971,χ^(2)_(心理指导)=10.889,均P=0.001;χ^(2)_(采血技术)=4.711,P=0.030;χ^(2)_(服务态度)=5.674,P=0.017)。(3)SAS评分:干预前,低视力患者2组SAS评分差异无统计学意义(P>0.05)。干预后,观察组SAS评分低于对照组,差异有统计学意义(t=7.950,P=0.000)。结论通过对门诊低视力静脉采血患者进行专案创优护理,患者能更好地配合治疗,提高安全性,减少不良事件和医疗纠纷的发生,提高满意度。OBJECTIVE To investigate the effect of specialized nursing in venipuncture for low vision patients in ophthalmology outpatient clinics.METHODS We collected data from 400 venipuncture patients from October 2021 to September 2022 at the Eye Hospital,China Academy of Chinese Medical Sciences,including 200 patients with normal vision and 200 patients with low vision.The low vision patients were randomly divided into control group and observation group,with 100 patients in each group.The control group received routine nursing care,while the observation group received specialized nursing in addition to routine care.Initially,we assessed the basic characteristics of low vision and normal vision patients.Subsequently,we evaluated the nursing outcomes by measuring patient satisfaction,including health guidance(HG),psychological counseling(PC),venipuncture technique(VT),and service attitude(SA),the occurrence of adverse events,and anxiety self-assessment scales before and after nursing care.RESULTS(1)Adverse event rate:The adverse event rate in low vision patients was significantly higher than that in normal vision patients,with a statistically significant difference(χ^(2)=41.334,P=0.000).After intervention,the probability of adverse events in the low vision observation group significantly decreased,and it was lower than that in the control group,with a statistically significant difference(χ^(2)=23.276,P=0.001).(2)Patient satisfaction:The satisfaction levels in the observation group were higher than those in the control group,with statistically significant differences(tHG=11.971,tPC=10.889,both P=0.001;tVT=4.711,P=0.030;tSA=5.674,P=0.017).(3)SAS scores:Before intervention,there was no statistically significant difference in SAS scores between the two groups of low vision patients(P>0.05).After intervention,the SAS scores in the observation group were lower than those in the control group,with a statistically significant difference(t=7.950,P=0.000).CONCLUSIONS Specialized nursing in venipuncture for low vision patients in

关 键 词：专案创优护理 低视力 门诊静脉采血 

分 类 号：R473.77[医药卫生—护理学]