舒适护理在白内障超声乳化吸除加人工晶体植入手术患者中应用分析.docVIP

舒适护理在白内障超声乳化吸除加人工晶体植入手术患者中应用分析 　　[摘要] 目的 分析舒?m护理在白内障超声乳化吸除术（Phaco）+人工晶体植入手术（IOL）患者临床护理中的应用价值。方法 方便收集2013年3月―2016年12月该院收治的白内障患者89例（患眼102只），所有患者均接受Phaco+IOL治疗，采用随机数表法将其分为两组，观察组45例（患眼52只）接受舒适护理，对照组44例（患眼50只）接受眼科常规护理；对比两组患者术后视力改善情况、护理工作满意度及围术期并发症发生情况。 结果 手术前，两组患者的患眼裸眼LogMAR视力评分对比，差异无统计学意义（P0.05）；手术3个月后，观察组患眼LogMAR视力评分明显高于对照组（P0.05）。在围手术期内，两组患者均未出现严重并发症事件，仅有部分患者出现眼压升高、角膜水肿及眼红痛等不良反应，观察组并发症发生率为4.44%，明显低于对照组22.73%（P0.05）。观察组护理满意度为97.78%，也显著高于对照组81.82%（P0.05）。结论 对接受Phaco+IOL手术治疗的白内障患者施行舒适护理，有助于提高疗效，改善预后，促进康复，提高护理满意度，值得临床借鉴。 　　[关键词] 舒适护理；白内障超声乳化吸除术；人工晶体植入术；护理满意度 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0165-03 　　Application of Comfort Nursing in Patients with Cataract Phacoemulsification and Artificial Crystal Implantation 　　JI Hong-xia 　　Operating Room， Sheyang County Traditional Chinese Medicine Hospital， Yancheng， Jiangsu Province， 224300 China 　　[Abstract] Objective This paper tries to evaluate the value of comfort nursing in clinical nursing of cataract phacoemulsification （Phaco） and intraocular lens implantation （IOL）. Methods 89 patients （102 eyes） with cataract enrolled in this hospital from March 2013 to December 2016 were convenient selected. All patients were treated with Phaco + IOL and divided into two groups by random number table. 45 cases （52 eyes） received comfortable care in the observation group， the control group of 44 cases （50 eyes） received routine nursing care； the postoperative visual acuity improvement， nursing job satisfaction and perioperative complications of the two groups were compared. Results Before the operation， there was no significant difference between the two groups in the logMAR visual acuity score of the two groups （P0.05）. Three months after the operation， the logMAR visual acuity score in the observation group was significantly higher than that of the control group （P 　　[Key words] Comfort nursing； Cataract phacoemulsification； Intraocular lens implantation； Nursing satisfaction 　　白内障为临床常见眼疾，多发生于中老年人群，其病理表现为眼内澄清