基于循证依据的风险护理在飞秒激光小切口基质透镜取出术患者中的应用  

Application of evidence-based risk nursing in patients undergoing femtosecond laser small incision lenticule extraction

作　　者：王璐 张婉婷 WANG Lu;ZHANG Wan-ting(Department of Ophthalmology,Kaifeng Central Hospital,Kaifeng 457000,Henan,CHINA)

机构地区：[1]开封市中心医院眼科,河南开封457000

出　　处：《海南医学》2025年第5期741-745,共5页Hainan Medical Journal

基　　金：河南省医学科技攻关项目(编号:LHGJ20191181)。

摘　　要：目的探讨基于循证依据的风险护理在飞秒激光小切口基质透镜取出术患者中的应用效果。方法选择2022年5月至2023年5月于开封市中心医院行飞秒激光小切口基质透镜取出术的74例患者作为研究对象,按随机数表法分为观察组和对照组各37例。对照组患者给予常规护理干预,观察组患者在对照组的基础上给予基于循证依据的风险护理干预,两组患者均护理干预至出院并随访3个月。随访3个月回院复查时比较两组患者的健康知识普及评分,以及干预前、随访3个月后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理韧性评估评分(CD-RISC)和屈光度、视力状况。结果观察组患者的健康知识普及评分中术前训练、手术知识、术后用药、自我护理得分分别为(85.32±5.21)分、(86.28±6.32)分、(91.25±5.22)分、(88.42±5.38)分,明显高于对照组的(75.77±5.05)分、(70.14±5.14)分、(77.36±6.28)分、(72.17±5.75)分,差异均有统计学意义(P<0.05);随访3个月后,观察组患者的SAS、SDS评分分别为(25.23±3.57)分、(23.16±3.14)分,明显低于对照组的(36.28±5.04)分、(32.44±4.76)分,心理韧性评分中乐观、自强、坚韧及总分分别为(11.69±2.45)分、(23.12±3.15)分、(36.54±3.52)分、(71.15±7.85)分,明显高于对照组的(8.46±1.87)分、(16.23±3.04)分、(29.16±3.77)分、(54.25±8.13)分,差异均有统计学意义(P<0.05);随访3个月后,观察组患者的屈光度为(0.58±0.15)D,明显低于对照组的(0.84±0.18)D,视力为0.94±0.13,明显高于对照组的0.83±0.15,差异均有统计学意义(P<0.05)。结论基于循证依据的风险护理在飞秒激光小切口基质透镜取出术患者中的应用可有效调节患者负性情绪,改善预后,临床应用效果显著。Objective To investigate the effect of evidence-based risk nursing in patients undergoing femtosecond laser small incision lenticule extraction.Methods A total of 74 patients who underwent femtosecond laser small incision lenticule extraction in Kaifeng Central Hospital from May 2022 to May 2023 were selected as the study subjects.According to the random number table method,the patients were randomly divided into an observation group and a control group,with 37 patients in each group.Patients in the control group received routine nursing interventions,while those in the observation group received evidence-based risk nursing on the basis of the interventions in the control group.The nursing interventions lasted until discharge,and the patients were followed up for 3 months.The health knowledge popularization scores at 3 months after intervention were compared between the two groups of patients,as well as Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Connor-Davidson Resilience Scale(CD-RISC),diopter,and visual acuity of the two groups before intervention and at 3 months after intervention.Results The scores for preoperative training,surgical knowledge,postoperative medication,and self-care in health knowledge popularization in the observation group were(85.32±5.21)points,(86.28±6.32)points,(91.25±5.22)points,and(88.42±5.38)points,which were significantly higher than(75.77±5.05)points,(70.14±5.14)points,(77.36±6.28)points,and(72.17±5.75)points in the control group(P<0.05).At 3 months after intervention,the SAS and SDS scores of the observation group were(25.23±3.57)points and(23.16±3.14)points,which were significantly lower than(36.28±5.04)points and(32.44±4.76)points in the control group(P<0.05).In the psychological resilience score,the scores of optimism,self-improvement,resilience,and total score in the observation group were(11.69±2.45)points,(23.12±3.15)points,(36.54±3.52)points,and(71.15±7.85)points,respectively,which were significantly higher than(8.46±1.87)points,(16.23±3

关 键 词：循证护理 风险护理 飞秒激光 小切口基质透镜取出术 心理韧性 

分 类 号：R473.77[医药卫生—护理学]