Retinal detachment Perioperative nursing position.doc

 PAGE \* MERGEFORMAT 7 Retinal detachment Perioperative nursing position [Keywords:] retinal detachment surgery, nursing position Retinal detachment is the retinal pigment epithelium and retinal separation, the major blinding eye disease is one of poor prognosis, high recurrence rate, and relapse after treatment difficult. The disease is mainly treated by surgery eye surgery and preoperative and postoperative success is closely related to nursing. Therefore, the right to conduct a comprehensive patient care, in particular the position of perioperative care, to improve the compliance of the operation so as to reduce the discomfort of patients, health promotion . now the disease in our hospital perioperative nursing experience posture described below. 1 Clinical data Our department from August 2008 to February 2010 were treated 41 patients with retinal detachment, 28 males and 13 females, aged 19 to 62 years old, which put scleral outer bar + fluid + condensate 8 patients , three cases of vitrectomy, vitrectomy + retina + retinal photocoagulation + silicone oil tamponade in 21 cases, vitreous fluid exchange + retina + 7 cases, cataract extraction + silicone oil tamponade in 2 cases, have been developed for of care plan to strengthen the position of perioperative care, postoperative visual acuity of the patients improved in varying degrees. 2 Preoperative nursing position Zhu Huanzhe absolute bed rest after admission, in addition to the necessary checks, the reduction of the eye, and when necessary encapsulation eyes to brake. Early the right position is key to successful operation [1], the basic principles of lying is to make holes in the lowest [2], the specific areas or retinal detachment according to the location of holes to take a different position, such as the hole in the temporal side of the lateral side of affected eye immediately, as the top of the head position should be low, such as semi-recumbent position should be at the bottom [3 ]