目的探讨流程分散策略分诊模式对眼底黄斑病变门诊护理质量的影响。方法选取2021年4月至2023年4月于济南市第二人民医院收治眼底黄斑病变患者100例,根据随机数字法分为观察组(实施流程分散策略分诊模式)和对照组(实施常规护理干预)各50...目的探讨流程分散策略分诊模式对眼底黄斑病变门诊护理质量的影响。方法选取2021年4月至2023年4月于济南市第二人民医院收治眼底黄斑病变患者100例,根据随机数字法分为观察组(实施流程分散策略分诊模式)和对照组(实施常规护理干预)各50例。对比两组患者的并发症发生率和视力恢复情况,并使用纽卡斯尔护理满意度(Newcastle Satisfaction with Nursing Scale,NSNS)测评两组患者首诊、复诊的护理满意度。结果首诊,两组视力恢复情况对比差异无统计学意义(P>0.05)。复诊,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组视力恢复情况和NSNS量表评分均高于对照组,差异均有统计学意义(均P<0.05)。结论实施流程分散策略分诊模式可显著改善眼底黄斑病变门诊护理满意度,降低其并发症的发生,从而间接性提升视力恢复情况。展开更多
Purpose: To evaluate the efficacy of vitrectomy for posterior retinoschisis (RS) or foveal detachment (FD) associated with posterior staphyloma in myopic eyes. Methods: We reviewed the records of 14 consecutive patien...Purpose: To evaluate the efficacy of vitrectomy for posterior retinoschisis (RS) or foveal detachment (FD) associated with posterior staphyloma in myopic eyes. Methods: We reviewed the records of 14 consecutive patients (53- 77 years of age; 16 eyes) with progressive visual impairment as a result of myopic RS or FD. Optical coherence tomography demonstrated the presence of a variety of RS and FD characteristics. Five eyes had RS alone, and 11 eyes had RS and FD. Two eyes with RS and severe FD developed retinal detachment in conjunction with a tiny macular hole. Vitrectomy, including posterior vitreous separation in all eyes and internal limiting membrane (ILM) peeling in six eyes, had been performed. The patients were followed postoperatively for 6 to 66 months (mean, 24 months). The anatomical outcome and visual acuity were retrospectively analyzed in this study. Results: Although the two eyes with RS and severe FD developed retinal detachment with a macular hole after an initial vitrectomy, final retinal reattachment was achieved in all 16 eyes. Visual acuity improved in nine eyes and remained unchanged in seven eyes. Conclusions: Vitrectomy with posterior vitreous separation is effective for reattaching the macula and preventing a deterioration of vision, although eyes with RS and severe FD may be at risk for the development of a macular hole after the initial vitrectomy.展开更多
文摘目的探讨流程分散策略分诊模式对眼底黄斑病变门诊护理质量的影响。方法选取2021年4月至2023年4月于济南市第二人民医院收治眼底黄斑病变患者100例,根据随机数字法分为观察组(实施流程分散策略分诊模式)和对照组(实施常规护理干预)各50例。对比两组患者的并发症发生率和视力恢复情况,并使用纽卡斯尔护理满意度(Newcastle Satisfaction with Nursing Scale,NSNS)测评两组患者首诊、复诊的护理满意度。结果首诊,两组视力恢复情况对比差异无统计学意义(P>0.05)。复诊,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组视力恢复情况和NSNS量表评分均高于对照组,差异均有统计学意义(均P<0.05)。结论实施流程分散策略分诊模式可显著改善眼底黄斑病变门诊护理满意度,降低其并发症的发生,从而间接性提升视力恢复情况。
文摘Purpose: To evaluate the efficacy of vitrectomy for posterior retinoschisis (RS) or foveal detachment (FD) associated with posterior staphyloma in myopic eyes. Methods: We reviewed the records of 14 consecutive patients (53- 77 years of age; 16 eyes) with progressive visual impairment as a result of myopic RS or FD. Optical coherence tomography demonstrated the presence of a variety of RS and FD characteristics. Five eyes had RS alone, and 11 eyes had RS and FD. Two eyes with RS and severe FD developed retinal detachment in conjunction with a tiny macular hole. Vitrectomy, including posterior vitreous separation in all eyes and internal limiting membrane (ILM) peeling in six eyes, had been performed. The patients were followed postoperatively for 6 to 66 months (mean, 24 months). The anatomical outcome and visual acuity were retrospectively analyzed in this study. Results: Although the two eyes with RS and severe FD developed retinal detachment with a macular hole after an initial vitrectomy, final retinal reattachment was achieved in all 16 eyes. Visual acuity improved in nine eyes and remained unchanged in seven eyes. Conclusions: Vitrectomy with posterior vitreous separation is effective for reattaching the macula and preventing a deterioration of vision, although eyes with RS and severe FD may be at risk for the development of a macular hole after the initial vitrectomy.
