摘要
目的探讨强化体位知识教育对玻璃体切割术后特殊体位患者舒适度的影响。方法将60例玻璃体切割术后要求特殊体位的患者随机分为对照组和观察组各30例。两组患者均在术前1d行常规术前指导,观察组在此基础上行强化特殊体位知识教育,包括健康教育,示范正确的特殊体位姿势,在不影响病情的前提下,术前每天练习头面部向下的特殊体位30min;帮助患者选择适宜的辅助器具等。结果两组术后24h舒适度差异主要体现在面部表情上(P<0.01);两组颈痛、肩痛、腰痛、眼睑肿胀及球结膜水肿发生率,睡眠状态及时间,健康教育满意度等项目比较,差异有统计学意义(P<0.05,P<0.01)。结论玻璃体切割手术后患者舒适度与健康知识教育有较大关系,强化体位知识教育可以提高玻璃体切割术后患者的舒适度。
Objective To explore the effect of intensive health education on posture on comfort of patients after vitrectomy. Methods Totally, 60 patients who were underwent vitrectomy and required to maintain special body posture were equally randomized into an observation group and a control group. Patients in the control group were given conventional health education on the day before operation, while their counterparts in the observation group were adopted intensive health education on posture additionally, inclu- ding health education, demonstrating correct body posture, training patients to maintain face-down positioning for 30 minutes every day, helping patients choose proper assistant equipment. Results There was significant difference in facial expression of comfort between the two groups（P〈0. 01）. The rates of neck, shoulder and waist ache, eyelid swelling, bulbar eonjunctiva edema, the sleeping state and lasting time, and patients＇ satisfaction of health education showed significant differences between the two groups （P〈0.05, P〈0. 01）. Conclusion Comfort of patient after vitrectomy is strongly related with health education, and intensive health education on body posture could improve patients＇ comfort.
