摘要
目的观察优质护理对硅油填充联合玻璃体切除治疗视网膜脱离患者的影响。方法选择沈阳爱尔眼视光医院收治的视网膜脱离患者90例为研究对象,时间为2017年3月至2019年5月,利用编号法将患者随机分成两组。观察组45例患者采取优质护理措施,患者年龄42~73岁,平均年龄(58.10±6.40)岁,男性22例,女性23例,体质量47~86 kg,平均(61.30±7.20)kg,39例视力在0.1~0.2,6例视力<0.1;对照组45例患者采取常规护理措施,患者年龄41~71岁,平均年龄(56.70±6.20)岁,男性21例,女性24例,体质量45~81 kg,平均(60.20±6.90)kg,37例视力在0.1~0.2,8例视力<0.1。两组患者症状、体征、眼视光专科检查结果符合视网膜脱离诊断标准,具有手术指征;合并有严重心、脑、肺等器官疾病的患者不在本研究范围内。两组患者在年龄、性别、体质量、视力水平、手术方法等方面比较差异无统计学意义(P>0.05)。结果两组患者视力恢复情况无明显差异。观察组患者焦虑评分、疼痛评分、恶心呕吐发生率明显低于对照组,观察组患者住院时间短于对照组(P<0.05)。观察组患者护理满意度为95.56%,显著高于对照组的88.89%(P<0.05)。结论视网膜脱离是眼科常见疾病,手术难度较大,优质的护理是巩固临床疗效的重要措施。在本研究中,重视对患者心理护理、环境护理、并发症护理、饮食护理等,有利于缓解患者焦虑情绪,降低术后并发症的发生率,缩短住院时间,提高护理满意度。
Objective To observe the effect of high-quality nursing on silicone oil filling combined with vitrectomy for patients with retinal detachment.Methods Ninety patients with retinal detachment admitted to Shenyang Aier Optometry Hospital from March 2017 to May 2019 were randomly divided into two groups by numbering.Forty-five patients in the observation group underwent quality nursing measures.The patients were aged 42-73 years,mean age(58.10±6.40)years old,22 males,23 females,weighing 47-86 kg,average(61.30±7.20)kg,39 visual acuity in 0.1-0.2,6 cases had visual acuity less than 0.1;45 patients in the control group underwent routine nursing measures,aged 41-71 years,mean age(56.70±6.20)years old,21 males,24 females,weighing 45-81 kg,The average(60.20±6.90)kg,37 cases of visual acuity was 0.1-0.2,and 8 cases of visual acuity was less than 0.1.Symptoms,signs,and optometry findings of the two groups were consistent with the diagnostic criteria for retinal detachment and had surgical indications;patients with severe heart,brain,lung and other organ diseases were not included in the study.The differences between the two groups in terms of age,gender,weight,visual acuity,and surgical methods were not statistically significant(P>0.05).Results There was no significant difference in visual acuity recovery between the two groups.The anxiety score,pain score,and incidence of nausea and vomiting in the observation group were significantly lower than those in the control group.The hospitalization time of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.56%,which was significantly higher than 88.89%of the control group(P<0.05).Conclusion Retinal detachment is a common disease in ophthalmology.It is difficult to operate,and high-quality care is an important measure to consolidate clinical efficacy.In this study,emphasis on patient psychological care,environmental care,complications care,diet care,etc.,
作者
林森
LIN Sen(Shenyang Aier Optometry Hospital,Shenyang 110003,China)
出处
《中国医药指南》
2022年第4期129-131,共3页
Guide of China Medicine
关键词
视网膜脱离
硅油填充
玻璃体切割
优质护理
Retinal detachment
Silicone oil filling
Vitreous cutting
Quality care
