摘要
目的探讨在全飞秒激光小切口角膜基质透镜取出术围术期进行护理健康教育的临床效果。方法方便选取自2019年4月—2020年3月在该院进行全飞秒激光小切口角膜基质透镜取出术的130例患者作为研究对象,按入院顺序分为参照组和研究组,各65例。对参照组实施常规围术期护理干预,对研究组在参照组基础上增加健康教育。对比两组的健康知识普及程度、心理状态及术后视力、屈光值的变化。结果研究组患者干预后手术相关知识(87.61±6.46)分、术前训练知识(89.23±5.14)分、术后用药知识(90.53±5.27)分及自我护理知识的评分(89.06±5.02)分均高于参照组,差异有统计学意义(t=15.043、17.562、12.458、15.615,P<0.05);研究组的SAS和SDS评分分别为(24.11±4.27)分、(22.87±3.11)分显著优于参照组,差异有统计学意义(t=13.088、14.042,P<0.05);研究组患者术后3个月视力值(0.99±0.17)高于参照组,屈光值(0.63±0.22)低于参照组,差异有统计学意义(t=5.871、5.398,P<0.05)。结论在对患者采取全飞秒激光小切口角膜基质透镜取出术的过程中,联合给予患者围术期护理措施及健康教育干预,有利于提升患者对相关疾病和健康医疗知识的了解,有利于改善患者的心理状态,帮助患者疏解不良情绪,增加战胜疾病的信心,有利于加快患者眼部功能的恢复,临床效果良好。
Objective To explore the clinical effects of nursing and health education in the perioperative period of the full femtosecond laser small incision corneal stromal lens extraction.Methods 130 patients who underwent full femtosecond laser small incision corneal stromal lens extraction in this hospital from April 2019 to March 2020 were conveniently select selected as the research objects.They were divided into a reference group and a study group according to the order of admission,with 65 in each group.Carry out routine perioperative nursing intervention for the reference group,and increase health education on the basis of the reference group for the research group.The two groups'health knowledge popularization degree,mental state,postoperative visual acuity and refractive value changes were compared.Results After intervention,the patients in the study group had surgery-related knowledge(87.61±6.46)points,preoperative training knowledge(89.23±5.14)points,postoperative medication knowledge(90.53±5.27)points,and self-care knowledge(89.06±5.02)points,higher than the reference group,the difference was statistically significant(t=15.043,17.562,12.458,15.615,P<0.05);the SAS and SDS scores of the study group were(24.11±4.27)points and(22.87±3.11)points,respectively better than the reference group,the difference was statistically significant(t=13.088,14.042,P<0.05);the visual acuity value(0.99±0.17)of patients in the study group was higher than that of the reference group at 3 months after operation,and the refractive value(0.63±0.22)lower than the reference group,the difference was statistically significant(t=5.871,5.398,P<0.05).Conclusion In the process of taking out the whole femtosecond laser small incision corneal stromal lens for patients,combined with perioperative nursing measures and health education interventions for patients will help improve patients'understanding of related diseases and health and medical knowledge,and help improve patient's mental state,help patients relieve their bad emotions,increase their confidence in overcoming the disease,and accelerate the recovery of the patient's eye function.The clinical effect is good.
作者
姜华敏
杨彦平
JIANG Huamin;YANG Yanping(Department of Femtosecond Excimers,Liaocheng Guangming Eye Hospital,Liaocheng,Shandong Province,252000 China;Department of Ophthalmology,Liaocheng Guangming Eye Hospital,Liaocheng,Shandong Province,252000 China)
出处
《中外医疗》
2021年第22期172-175,共4页
China & Foreign Medical Treatment
关键词
全飞秒激光
小切口
角膜基质透镜
围手术期
护理健康教育
Full femtosecond laser
Small incision
Corneal stromal lens
Perioperative period
Nursing and health education
