临床护理路径在原发性青光眼患者围术期的应用.docVIP

临床护理路径在原发性青光眼患者围术期的应用 　　[摘要] 目的 探讨临床护理路径在原发性青光眼患者围术期的应用效果。 方法 分析咸阳市第一人民医院2014年2月～2017年3月眼科收治的110例原发性青光眼患者临床资料，依据护理措施不同进行分组，常规组50例和临床护理路径组60例。观察两组原发性青光眼患者视力水平、眼压水平、视网膜中央动脉血流、认知评分、生活质量评分情况。 结果 两组护理后患者视力水平、舒张期血流速峰值、收缩期血流速峰值、认知评分和生活质量评分均高于护理前，眼压水平、阻力指数均低于护理前，差异有统计学意义（P 0.05）；其余各指标临床护理路径组均优于常规组，差异有统计学意义（P 0.05）。 结论 临床护理路径在原发性青光眼患者中的应用，可以改善患者视力，降低眼压，促进眼部血液循环，提高患者认知和生活质量，值得临床推广应用。 　　[关键词] 临床护理路径；围术期；原发性青光眼；视力；眼压；视网膜中央动脉血流；生活质量 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）08（a）-0178-04 　　[Abstract] Objective To analyze the application of clinical nursing pathway in the perioperative period of patients with primary glaucoma. Methods The clinical data of 110 patients with primary glaucoma in the the First People′s Hospital of Xianyang from February 2014 to March 2017 were analyzed by retrospective study. They were divided into routine nursing group （50 cases） and clinical nursing path group （60 cases）， according to different nursing intervention. The visual acuity level， IOP， the central retinal blood flow and the scores of cognitive and life quality were compared. Results After nursing， the visual acuity level， EDV， PSV， the scores of cognitive and life quality in the two groups were increased， while the intraocular pressure level and RI were decreased， with statistically significant difference （P 0.05）. Excepted the visual acuity level， other indicators of the clinical nursing path group were better than the routine nursing group after nursing， with statistically significant difference （P 0.05）. Conclusion The clinical nursing pathway applied in the perioperative period of patients with primary glaucoma can improve vision，decrease IOP，accelerate ocular blood vascular system and increase the scores of cognitive and life quality. So it is worthy of clinical application. 　　[Key words] Clinical nursing path； Primary glaucoma；Eyesight； IOP； Central retinal artery blood flow； Life quality 　　?R床护理路径概念是1985年美国波士顿新英格兰医疗中心提出的，起初临床护理路径应用于急救护理中，可以降低医疗费用[1-2]。目前，已从急性病的应用逐步向内