| 超声乳化白内障吸除术后优质护理与常规护理效果对比分析 |
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| 引用本文： | 张佳慧,王林.超声乳化白内障吸除术后优质护理与常规护理效果对比分析[J].中华全科医学,2018,16(2):323-325. |
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| 作者姓名： | 张佳慧 王林 |
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| 作者单位： | 哈尔滨医科大学附属第一医院眼科, 黑龙江 哈尔滨 150081 |
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| 基金项目： | 黑龙江省博士后科研项目(LBH-Q15105) |
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| 摘 要： | 目的 对比超声乳化白内障吸除术后优质护理与常规护理的效果。 方法 采用前瞻性研究方法,选择2013年8月-2016年2月在哈尔滨医科大学附属第一医院诊治的超声乳化白内障吸除术后患者150例,根据信封随机抽签原则分为观察组与对照组各75例,对照组在术后给予常规护理,观察组在术后给予优质护理,2组护理观察时间为1个月,记录2组的依从性、满意度、视力变化与并发症发生情况。 结果 在护理期间,对照组的依从率为89.3%,观察组的依从率98.7%,观察组比对照组高(P<0.05)。观察组与对照组术后1个月的最佳矫正视力分别为0.87±0.08和0.67±0.13,明显高于术后1 d的0.14±0.09和0.15±0.11(P<0.05),观察组术后1个月的最佳矫正视力明显高于对照组(P<0.05)。观察组护理期间的角膜内皮水肿、继发性青光眼、眼前房渗出、眼内感染等并发症发生率为8.0%,对照组为30.7%,观察组明显低于对照组(P<0.05)。观察组与对照组的护理满意度评分分别为(92.25±5.66)分和(84.69±5.96)分,观察组的护理满意度评分明显高于对照组(t=7.966,P<0.05)。 结论 相对于常规护理,超声乳化白内障吸除术后优质护理的应用能提高患者的依从性,减少并发症的发生,改善最佳矫正视力,从而有利于改善护患关系。
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| 关 键 词： | 常规护理 白内障 超声乳化白内障吸除术 优质护理 依从性 |
| 收稿时间： | 2017-01-17 |
Comparative analysis of the effects of high quality nursing and routine nursing for cataract patients after phacoemulsification |
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| Affiliation: | Department of Ophthalmology, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150081, China |
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| Abstract: | Objective To compare the effects of high quality nursing and routine nursing for cataract patients after phacoemulsification. Methods Used a prospective study, From August, 2013 to February, 2016, 150 cataract patients undergoing phacoemulsification in our hospital were selected and randomly equally divided into observation group and control group with 75 patients in each group accorded to the envelope principles. The control group was given routine nursing, while the observation group was given high quality nursing. The nursing observation was conducted in the two groups for 1 month, and the compliance, satisfaction, changes in visual acuity and complications were recorded. Results During the period of nursing, the compliance of the observation group was better than that of the control group(P<0.05). The postoperative 1 month best corrected visual acuity in the observation group and the control group were 0.87±0.08 and 0.67±0.13 that were significantly higher than that of postoperative 1d of 0.14±0.09 and 0.15±0.11(P<0.05), the postoperative 1 month best corrected visual acuity in the observation group was also significantly better than the control group(P<0.05). The corneal edema, secondary glaucoma anterior chamber exudation, intraocular infection and complication rate in observation group during the nursing was 8.0%, so that was 30.7% in the control group, the observation group was significantly less than the control group(P<0.05). The nursing satisfaction scores in the observation group and control group were (92.25±5.66) points and (84.69±5.96) points, the observation group of nursing satisfaction was significantly higher than that of the control group(t=7.966, P<0.05). Conclusion Compares with routine nursing, phacoemulsification after application of high quality nursing care can improve patient compliance, reduce complications, improve the best corrected visual acuity, which will be helpful to improve the relationship between nurses and patients. |
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