视网膜脱离患者术后舒适度水平调查及其影响因素分析  

Investigation of Postoperative Comfort Level of Patients with Retinal Detachment and Analysis of Influencing Factors

作　　者：王冰 韩英[1] Wang Bing;Han Ying(Department of Ophthalmology,The Second People’s Hospital of Zhengzhou City,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第二人民医院眼科,河南郑州450000

出　　处：《黑龙江医学》2025年第4期479-481,485,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨视网膜脱离患者术后舒适度水平及其影响因素。方法:回顾性分析2023年1-12月郑州市第二人民医院眼科收治的92例视网膜脱离患者临床资料,所有入选者均进行基础资料与术后舒适度量表调查。根据患者术后舒适度调查量表评分将92例患者分为舒适度良好组与舒适度较差组,比较两组患者一般资料,包括性别、年龄、职业、文化程度、视网膜脱离时间、婚姻状况、手术方式、月收入、视网膜脱离类型、健侧眼睛视力、术后视力、术后疼痛程度、术后并发症、术后体位,分析影响视网膜脱离患者术后舒适度水平的危险因素。结果:92例患者经调查发现舒适度总评分为(129.64±14.39)分,其中36例总分≥150分,56例总分<150分。单因素分析结果显示,舒适度较差组年龄<50岁、术后伴有中重度疼痛、术后发生并发症、术后单一使用俯卧位占比均高于舒适度良好组,差异有统计学意义(P<0.05);两组性别、职业、文化程度、视网膜脱离时间、婚姻状况、手术方式、月收入、视网膜脱离类型、健侧眼睛视力、术眼视力等比较,差异无统计学意义(P>0.05)。logistic回归分析结果显示,年龄<50岁、术后伴有中重度疼痛、术后发生并发症、术后单一使用俯卧位是影响视网膜脱离患者术后舒适度水平的独立危险因素(P<0.05且OR≥1)。结论:视网膜脱离患者术后舒适度水平有待提高,年龄<50岁、术后伴有中重度疼痛、术后发生并发症、术后单一使用俯卧位是其独立影响因素,临床需拟定应对措施,使患者术后舒适度得到提升。Objective:To investigate the postoperative comfort level of patients with retinal detachment and its influencing factors.Methods:The clinical data of 92 patients with retinal detachment admitted to the hospital from January 2023 to December 2023 were retrospectively analyzed.All the patients were investigated by basic data and postoperative comfort scale.92 patients were divided into good comfort group and poor comfort group according to the score of postoperative comfort survey scale.The basic data of the two groups were compared.Gender,age,occupation,educational level,time of retinal detachment,marital status,surgical method,monthly income,type of retinal detachment,visual acuity of healthy side eye,visual acuity of operative eye,postoperative pain degree postoperative complications and postoperative position were included to analyze the risk factors affecting the postoperative comfort level of patients with retinal detachment.Results:The total comfort score of 92 patients was(129.64±14.39)points,of which 36 patients had a total score of≥150 and 56 patients had a total score of<150.Univariate analysis showed that the poor comfort group was<50 years old,accompanied by moderate to severe pain after surgery,complications occurred after surgery and the proportion of prone position used after surgery was good,and the difference was statistically significant(P<0.05).There was no significant difference in gender,occupation,educational level,time of retinal detachment,marital status,surgical method,monthly income,type of retinal detachment,visual acuity of healthy side eye,and visual acuity of operative eye between the two groups(P>0.05).Logistic regression analysis:age<50 years old,postoperative moderate to severe pain,postoperative complications,and single use of prone position after surgery were independent risk factors for postoperative comfort level of patients with retinal detachment(P<0.05 and OR≥1).Conclusion:Postoperative comfort level of patients with retinal detachment needs to be improved.Age<50 years

关 键 词：视网膜脱离 术后舒适度 影响因素 

分 类 号：R779.6[医药卫生—眼科]