摘要
目的探讨角膜内皮移植前房注气手术后患者持续仰卧体位使用中药舒缓固定枕的效果。方法采用便利抽样法,选取2020年10月—2022年5月在北京同仁医院眼科病房接受角膜内皮移植术的60例患者为研究对象,采用随机数字表法将患者分为干预组和对照组,各30例。对照组给予围手术期常规护理,干预组在对照组护理的基础上给予中药舒缓固定枕的使用。采用一般资料调查表、简化舒适状况量表(GCQ)、体位依从性调查问卷对患者进行测评。结果干预组患者术后GCQ总分及各维度得分均高于对照组,术后当天、术后第1、2天每天累计仰卧时间均长于对照组,差异有统计学意义(P<0.01)。结论中药舒缓固定枕可改善角膜内皮移植患者术后持续仰卧体位的舒适度,延长术后仰卧时间,提高患者术后体位的依从性。
Objective To explore the effect of traditional Chinese medicine soothing and fixed pillow in patients after endothelial keratoplasty with anterior chamber gas injection.Methods From October 2020 to May 2022,convenience sampling was used to select 60 patients who underwent endothelial keratoplasty in the Ophthalmology Ward of Beijing Tongren Hospital as the research object.The patients were divided into the intervention group and the control group by random number table method,30 cases in each group.The control group was given routine perioperative nursing,while the intervention group was given the traditional Chinese medicine soothing and fixed pillow on the basis of the nursing of the control group.The General Information Questionnaire,General Comfort Questionnaire(GCQ)and Postural Compliance Questionnaire were used to evaluate the patients.Results The total score and the scores of each dimension of GCQ in the intervention group were higher than those in the control group,on the day after operation,the first day after operation,and the second day after operation,the accumulative daily supine time were longer than those in the control group,and all the differences were statistically significant(P<0.05).Conclusions The traditional Chinese medicine soothing and fixed pillow can improve the comfort of patients with endothelial keratoplasty in continuous supine position after operation,prolong the supine time after operation,and improve the compliance of postoperative position of patients with endothelial keratoplasty.
作者
马小青
张宛侠
肖瑶
马小丽
李飞
金颖
李丽
李倩
Ma Xiaoqing;Zhang Wanxia;Xiao Yao;Ma Xiaoli;Li Fei;Jin Ying;Li Li;Li Qian(Ophthalmology Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Department of Traditional Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China)
出处
《中华现代护理杂志》
2022年第24期3331-3333,共3页
Chinese Journal of Modern Nursing
基金
首都医科大学附属北京同仁医院院内护理专项基金(2020-YJJ-HLL-005)。
关键词
角膜内皮移植
仰卧体位
中药舒缓固定枕
体位依从性
Endothelial keratoplasty
Supine position
Traditional Chinese medicine soothing and fixed pillow
Postural compliance
