延续性护理在葡萄膜炎合并白内障患者超声乳化人工晶状体植入术后的应用效果

Application effect of continuity care in uveitis complicated cataract patients after phacoemulsification with intraocular lens

目的：探讨延续性护理在葡萄膜炎合并白内障患者超声乳化人工晶状体植入术后的应用效果。方法对2011年3月—2014年10月收治的107例（150眼）行超声乳化人工晶状体植入术的葡萄膜炎合并白内障的患者进行回顾性队列研究。依据是否实施延续性护理将患者分为两组。观察组（54例，80眼）在超声乳化人工晶状体植入术后接受延续性护理干预，对照组（53例，70眼）则在术后接受常规眼科护理。患者出院后继续随访定期复查，记录两组患者的视力、瞳孔变化、术后长期并发症等情况，并进行对比分析。结果术后患者瞳孔均保持圆形，恢复原状，直径为2～4 mm，未发生粘连或瞳孔括约肌损伤。两组患者的视力均较术前有不同程度的提高，且观察组术后平均视力高于对照组，差异有统计学意义（P＜0．05）；观察组患者术后均未发生长期并发症，对照组患者术后长期并发症发生率11．43％，差异有统计学意义（ P＜0．05）；观察组与对照组的治疗有效率分别为96．25％，87．14％，差异有统计学意义（P＜0．05）；观察组与对照组遵医行为比例分别为93．8％，60．0％，差异有统计学意义（P＜0．05）；观察组与对照组护理满意度分别为98．8％，71．4％，差异有统计学意义（P＜0．05）。结论延续性护理对葡萄膜炎合并白内障患者超声乳化人工晶状体植入术的预后有较好的改善作用，能够降低炎症反应，帮助视力恢复。

Objective To observe the clinical effects of continuity care in uveitis complicated cataract patients after phacoemulsification with intraocular lens .Methods From March 2011 to October 2014 , 107 cases （150 eyes） uveitis complicated cataract patients after phacoemulsification with intraocular lens were in the study.All cases were divided into two groups randomly .Continuity care were used in observation group （54 cases, 80 eyes） after phacoemulsification with intraocular lens and control group （53 cases, 70 eyes） accepted routine nursing . After discharging for 1 month, the dates including vision , change of pupil , complication and cured rate were collected by assigned person , compared and analyzed .Results Vision in two groups all improved after treatment , and dates in observation group were better than control group （P〈0.05）. All pupil were normal and the diameter were 2 -4 mm.Complication rate in control group was higher than observation group （11.43% vs 0.00%）, cured rate was opposite （87.14% vs 96.25%）.The compliance behavior rates of the control group and observation group were 60.0%, 93.8%, the difference was statistically significant （P〈0.05）.The care satisfaction of the control group and the observation group were 71.4%, 98. 8%, the difference was statistically significant （P〈0.05）.Conclusions Continuity care shows a significant effect in promoting prognosis in uveitis complicated cataract patients after phacoemulsification with intraocular lens.