复杂性视网膜脱离患者的舒适干预

Postoperative Comfort Intervention for Patients with Complicated Retinal Detachment

目的探讨复杂性视网膜脱离患者手术前后行舒适干预的效果。方法将84例行玻璃体注气和硅油填充手术的复杂性视网膜脱离患者按入院先后顺序分为对照组33例和干预组51例,对照组患者进行心理护理、特殊体位指导,干预组患者在此基础上,专人为患者实施术前特殊体位的指导和示范,实施综合舒适护理干预。两组患者均于术后第5天使用舒适评定表和复杂性视网膜脱离患者术后不舒适程度及症状的调查问卷进行评价,比较两组舒适程度。结果干预组患者的舒适度明显优于对照组患者,患者手术后不舒适的主要表现为肩背部酸胀痛、恶心、呕吐、颜面部浮肿,两组差异有统计学意义(P<0.01)。结论采取舒适干预措施能够显著提高复杂性视网膜脱离患者术后的舒适度,减轻各种不适症状。

Objective To explore the effect of comfort intervention for patients with complicated retinal detachment. Methods 84 cases of complicated retinal detaehment undergone vitrectomy combined with adjunct of C3F8 or silicone oil were divided into the intervention group （n=51） and the control group （n=33） according to their admission time. The control group were offered psychological nursing and guidance on special body positions and the intervention group were, on this basis, were offered the comfort intervention, which was conducted through explanation and demonstration of adopting special body positions before the operation. Then on the 5th day after the operation, an assessment was made of the two groups, by means of the Conffort Scale and the Questionnaire on Postoperative Discomforts and Symptoms of Complicated Retinal Detachment Patients, and a comparison was made. Results The comfort degree of the intervention group was markedly superior to that of the control group. The differences in the major discomforts including neck-shoulder-back pain, nausea and vomiting and facial edema were statistically significant （P〈0.01）. Conclusion Comfort intervention can enhance the comfort degree among patients with complicated retinal detachment undergone vitrectomy combined with adjunct of C3F8 or silicone oil.