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程序化护理在高度近视白内障患者围术期的应用观察

作者:于静芬

所属单位:河南省漯河市第三人民医院眼科 (河南 漯河 462000)

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摘要

目的 研究程序化护理在高度近视白内障患者围术期的应用。方法 选择医院2016年9月到2017年9月高度近视白内障 患者120例,按随机数表法分为两组。对照组进行常规护理,观察组在对照组基础上采用程序化护理。测量手术后 两组患者裸眼视力水平,统计两组患者术后并发症发生情况,统计两组患者对护理满意程度。结果 术后,观察组 裸眼视力改善优于对照组,差异有统计学意义(Z=2.120,P=0.034);术后,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);与对照组比较,观察组对护理满意度更高,差异有统计学意义(P<0.05)。结论 在高度 近视白内障患者围术期应用程序化护理可提升术后裸眼视力并减少术后并发症。

Objective To study the application of programmed nursing in the perioperative period of patients with high myopia cataract. Methods 120 patients with high myopia cataract in the hospital from September 2016 to September 2017 were selected and divided into two groups according to the random number table method. Control group was given routine nursing, and observation group was treated with programmed nursing on the basis of control group. The level of uncorrected visual acuity was measured in the two groups after operation, and the occurrence of postoperative complications was counted in the two groups. And the nursing satisfaction was counted in the two groups. Results After operation, the improvement of uncorrected visual acuity in observation group was better than that in control group (Z=2.120, P=0.034). After operation, the incidence rate of complications in observation group was lower than that in control group (P<0.05). Compared with control group, the nursing satisfaction was higher in observation group (P<0.05). Conclusion Perioperative application of programmed nursing for patients with high myopia cataract can improve postoperative uncorrected visual acuity and reduce postoperative complications.

【关键词】程序化护理;高度近视白内障;围手术期

【中图分类号】R473.77;R776.1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.01.008

前言

高度近视指近视度数超过600度,该类近视通常 伴有眼部病理变化,因此可等同于病理性近视[1]。白 内障则是由于各种因素破坏人体眼部晶状体组织结构 或正常代谢,导致其发生浑浊,发生视力障碍的疾 病[2]。高度近视是造成白内障因素之一,高度近视并 发白内障通常为核性浑浊或后囊下浑浊,对视力影响 较大[3]。目前,临床上治疗白内障唯一根治手段是手 术治疗,其中超声乳化术配合人工晶体植入已广泛应 用于治疗高度近视白内障[4]。   程序化护理是明确规定护理内容,使护理人员按 相应系统方法进行计划性护理方式。基于此,本文通 过研究程序化护理在高度近视白内障患者围术期的应用效果,以期在高度近视白内障围术期护理上作出指 导,现报告如下。