手术风险自查护理在青光眼小梁切除术患者中的临床效果  

Effect of surgical risk self-examination nursing for patients taking trabeculectomy for glaucoma

作　　者：辛田 杜婷婷[1] 武鹏[1] 李宁 Xin Tian;Du Tingting;Wu Peng;Li Ning(Operation Room,Jinan Second People's Hospital,Jinan 250000,China;Third Department of Ophthalmology,Jinan Second People's Hospital,Jinan 250000,China)

机构地区：[1]济南市第二人民医院手术室,济南250000 [2]济南市第二人民医院眼三科,济南250000

出　　处：《国际医药卫生导报》2024年第5期862-866,共5页International Medicine and Health Guidance News

基　　金：山东省自然科学基金(ZR2020MH042)。

摘　　要：目的探究手术风险自查护理在青光眼小梁切除术患者中的临床效果。方法选取济南市第二人民医院2022年11月至2023年2月期间收治的126例青光眼小梁切除术患者作为本次护理研究对象。依据护理方法的不同将其分为对照组(常规护理)和观察组(常规护理联合手术风险自查护理),各63例。对照组男38例,女25例,年龄(66.48±3.44)岁;核硬度分级:Ⅱ级36例、Ⅲ级27例。观察组男36例,女27例,年龄(66.51±3.58)岁;核硬度分级:Ⅱ级33例、Ⅲ级30例。对两组患者手术相关指标、心境状态、并发症等情况进行对比分析,统计学方法采用t检验和χ^(2)检验。结果观察组患者术中收缩压、术中舒张压、心率、手术时间、平均住院时间等手术相关指标情况均优于对照组[(119.56±9.38)mmHg(1 mmHg=0.133 kPa)比(126.36±12.41)mmHg、(70.57±5.44)mmHg比(68.39±3.34)mmHg、(74.53±13.38)次/min比(80.39±9.44)次/min、(48.61±8.49)min比(54.47±11.35)min、(2.44±0.33)d比(3.32±1.45)d],差异均有统计学意义(t=3.47、2.71、2.84、3.28、4.70,均P<0.05)。观察组患者抑郁、紧张、愤怒、慌乱、疲乏评分均低于对照组[(11.57±2.49)分比(13.33±4.43)分、(12.61±3.42)分比(14.36±5.28)分、(13.55±5.27)分比(15.38±4.40)分、(11.66±2.29)分比(13.37±3.35)分、(8.54±3.53)分比(10.41±1.42)分],精力和与自我有关的情绪评分均高于对照组[(18.56±4.27)分比(16.39±3.55)分、(15.58±3.22)分比(13.44±2.45)分],差异均有统计学意义(t=2.75、2.21、2.12、3.35、3.90、3.10、4.20,均P<0.05)。观察组患者并发症发生率低于对照组[1.59%(1/63)比11.11%(7/63)],差异有统计学意义(χ^(2)=4.81,P<0.05)。结论手术风险自查护理有助于改善青光眼小梁切除术患者手术相关指标,缓解患者术中恐慌与抗拒感,降低并发症发生率。Objective To explore the clinical effect of surgical risk self-examination nursing for patients taking trabeculectomy for glaucoma.Methods One hundred and twenty-six patients taking trabeculectomy for glaucoma at Jinan Second People's Hospital from November 2022 to February 2023 were selected as the nursing study objects.According to the different nursing methods,they were divided into a control group,taking routine nursing,and an observation group,taking surgical risk self-examination nursing,with 63 cases in each group.The control group included 38 males and 25 females who were(66.48±3.44)years old;according to the core hardness,there were 36 cases of gradeⅡand 27 cases of gradeⅢ.The observation group had 36 males and 27 females who were(66.51±3.58)years old;according to the core hardness,there were 33 cases of gradeⅡand 30 cases of gradeⅢ.The surgery related indicators,mood status,and complications in both groups were analyzed.t andχ^(2) tests were applied.Results The intraoperative systolic and diastolic blood pressures,heart rate,operation time,and length of hospital stay in the observation group were better than those in the control group[(119.56±9.38)mmHg(1 mmHg=0.133 kPa)vs.(126.36±12.41)mmHg,(70.57±5.44)mmHg vs.(68.39±3.34)mmHg,(74.53±13.38)beats/min vs.(80.39±9.44)beats/min,(48.61±8.49)min vs.(54.47±11.35)min,and(2.44±0.33)d vs.(3.32±1.45)d],with statistical differences(t=3.47,2.71,2.84,3.28,and 4.70;all P<0.05).The scores of depression,tension,anger,panic,fatigue,energy,and self-related emotion in the observation group were better than those in the control group[(11.57±2.49)vs.(13.33±4.43),(12.61±3.42)vs.(14.36±5.28),(13.55±5.27)vs.(15.38±4.40),(11.66±2.29)vs.(13.37±3.35),(8.54±3.53)vs.(10.41±1.42),(18.56±4.27)vs.(16.39±3.55),and(15.58±3.22)vs.(13.44±2.45)],with statistical differences(t=2.75,2.21,2.12,3.35,3.90,3.10,and 4.20;all P<0.05).The incidence of complications in the observation group was lower than that in the control group[1.59%(1/63)vs.11.11%(7/63)],with a

关 键 词：青光眼 小梁切除术 手术风险自查 手术相关指标 心境状态 并发症 

分 类 号：R473.77[医药卫生—护理学]