摘要
目的 研究脉络膜脱离型孔源性视网膜脱离患者行巩膜扣带术前玻璃体腔注液的临床护理观察情况。方法 将医院从2016年2月-2018年2月收治的42例脉络膜脱离型孔源性视网膜脱离患者纳入研究。将其以随机数表法分作研究组19例及对照组23例。对照组实施常规玻璃体手术治疗,研究组则予以巩膜扣带术前玻璃体腔注液。分析两组一次性视网膜复位率、眼压、视力,干预前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分变化情况,护理满意度的差异。结果 两组一次性视网膜复位率对比不明显(P>0.05);研究组术后眼压为(16.62±3.01)mmHg,低于对照组的(20.86±4.32),且术后视力为(0.41±0.13),高于对照组的(0.13±0.04),差异有统计学意义(均P <0.05)。研究组干预后HAMA、HAMD评分分别为(21.05±3.21)分、(33.47±4.15)分,均低于对照组的(28.20±4.39)分、(39.52±4.66)分,差异有统计学意义(均P <0.05)。研究组护理满意度为100.00%,高于对照组的78.26%,差异有统计学意义(P <0.05)。结论 脉络膜脱离型孔源性视网膜脱离患者行巩膜扣带术前玻璃体腔注液能有效改善患者的术后眼压及视力,同时可明显缓解焦虑、抑郁等不良情绪,提高护理满意度,值得推广。
Objective To study the clinical nursing observation and analysis of vitreous cavity fluid injection before scleral buckling in patients with choroidal detachment perforated retinal detachment. Methods A total of 42 patients with choroidal detachment perforated retinal detachment from February 2016 to February 2018 were included in the study. There were 19 cases in study group and 23 cases in control group by random number table method. The control group received routine vitreous surgery, while the study group received preoperative vitreous fluid injection before scleral buckling. Analyze the one-time retinal reposition rate, intraocular pressure, visual acuity, Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD) score changes before and after intervention,and the difference of nursing satisfaction between the two groups. Results There was no significant difference in one-time retinal reposition rate between the two groups(P > 0.05). The postoperative intraocular pressure of the study group was(16.62±3.01) mmHg, lower than that of the control group(20.86±4.32), and the postoperative visual acuity was(0.41±0.13), higher than that of the control group(0.13±0.04), the difference was statistically significant(all P <0.05). The HAMA and HAMD scores of the study group after intervention were(21.05±3.21) and(33.47±4.15) points respectively, both lower than those of the control group(28.20±4.39) and(39.52±4.66) points, with statistical significance(P <0.05). The nursing satisfaction of the study group was 100.00%, higher than that of the control group 78.26%, the difference was statistically significant(P <0.05). Conclusion Injecting fluid into vitreous cavity before scleral bucking can effectively improve postoperative intraocular pressure and visual acuity in patients with choroidal detachment perforated retinal detachment, significantly relieve anxiety, depression and other adverse emotions, and improve nursing satisfaction, which is worthy of promotion.
作者
林勤
唐丽兰
姚楚容
谭玉芳
LIN Qin;TANG Lilan;YAO Churong;TAN Yufang(Day-care Unit Zone 2,Shenzhen Eye Hospital,Shenzhen Key Laboratory of Ophthalmology,Shenzhen Eye Hospital Affiliated to Jinan University,Shenzhen,Guangdong 518000;Operation Room,Shenzhen Eye Hospital,Shenzhen Key Laboratory of Ophthalmology,Shenzhen Eye Hospital Affiliated to Jinan University,Shenzhen,Guangdong 518000)
出处
《智慧健康》
2022年第11期186-189,共4页
Smart Healthcare
关键词
脉络膜脱离型孔源性视网膜脱离
巩膜扣带术
玻璃体腔注液
护理满意度
心理状态
Choroidal detachment perforated retinal detachment
Scleral buckling
Vitreous cavity injection
Nursing satisfaction
State of mind
