护理程序在准分子激光原位角膜磨镶术中的应用

Application of Nursing Process in LASIK

目的:通过应用护理程序于准分子激光原位角膜磨镶术,使护理行为标准化,程序化,系统化,减少由于护理问题引发的手术并发症。方法:将100例患者随机分为常规组和程序组,分别对其实施单纯性健康宣教法和模拟训练,实地参观为一体的护理程序法,从评估,诊断,计划,实施,评价,五个方面科学实施,最终从焦虑指数,术中配合,术后满意率三个方面对两组效果进行评估。结果:常规组焦虑指数的SAS评分为42.49±1.63,程序组为32.78±1.56,两者之间有显著差异(t=9.89,P<0.01);术中常规组头位改变率13.27%(13/98),眼位变化率16.33%(16/98),程序组分别为3.06%(3/98)、2.04%(2/98),两者之间有显著差异(χ2=15.18,P<0.01);常规组术后7天裸眼视力大于或等于最佳矫正视力的常规组75眼(76.53%),程序组95眼(96.94%),两者之间有显著差异(X2=14.65,P<0.01)。结论:护理程序的实施规范了护士对准分子激光原位角膜磨镶术的全程护理,取得了较好的临床效果。

Objective： To make nursing standardized,programmed and systematized,and reduce operation complications caused by nursing problems,we try to design and apply a nursing process in LASIK.Methods： One hundred patients were divided into normal group and program group randomly.Nursing process was carried out in the program group,which including simulating training and on-the-spot observation.And simplex health education was carried out in the normal group as control.Two methods were practiced scientifically from evaluation,diagnosis,planning,implementing and evaluation five aspects.The effect was evaluated based on anxiety index,intraoperative cooperation and postoperative satisfaction rate.Results： SAS score was 42.49±1.63 and 32.78±1.56 in normal and program group respectively（t=9.89,P〈0.01）.The rate of intraoperative head-position changing and the rate of eye-position changing were 13.27% and 16.33% respectively in normal group,which were 3.06%（3/98） and 2.04%（2/98） in program group.There was significant difference between them（χ2=15.18,P〈0.01）.There were 75 and 95 eyes,whose visual acuity of naked eye was no less than the best corrected visual acuity 7 days after surgery,in normal and program groups respectively（χ2=14.65,P〈0.01）.Conclusion： The execution of nursing process has standardized the whole nursing of LASIK and can achive better clinical outcome.