多学科团队协助下开展快速康复护理对老年白内障术后患者应激反应及生活质量的影响

Effect of Rapid Rehabilitation Nursing with the Assistance of Multidisciplinary Team on Stress Response and Quality of Life in Elderly Patients after Cataract Surgery

【目的】 探讨多学科团队(MDT)协助下开展快速康复护理对老年白内障术后患者应激反应及生活质量的影响。【方法】 选取2016年1月至2017年9月本院诊治的154例老年白内障术后患者,按照护理方式不同分为观察组和对照组,每组77例。对照组采用常规护理干预,观察组采用MDT协助下开展快速康复护理。比较两组患者应激反应、心理状态、并发症发生情况和生活质量。【结果】 观察组应激反应指标明显优于对照组(P<0.05);两组患者护理前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较差异均无显著性(P>0.05),护理后SAS和SDS评分均明显低于护理前(P<0.05),且观察组显著低于对照组(P<0.05);观察组并发症发生率为6.49%,显著低于对照组的19.48%(P<0.05);观察组生活质量评分显著高于对照组(P<0.05)。【结论】 在MDT协助下将快速康复护理应用于老年白内障术后患者中,能有效改善患者焦虑抑郁情绪,缓解应激反应,减少并发症发生情况,提高生活质量,值得临床推广应用。

【Objective】 To explore the effect of rapid rehabilitation nursing assisted by multidisciplinary team (MDT) on stress response and quality of life in elderly patients after cataract surgery. 【Methods】 A total of 154 cases of elderly patients who received cataract surgery in our hospital from January 2016 to September 2017 were divided into the observation group and the control group according to different nursing methods, with 77 cases in each group. The control group was given routine nursing intervention, while the observation group was given rapid rehabilitation nursing with the help of MDT. Stress response, mental state, complications and quality of life were compared between the two groups. 【Results】 The stress response index of the observation group was significantly better than that of the control group (P<0.05). There were no significant differences in self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores between the two groups before nursing (P>0.05), while the scores of SAS and SDS after nursing were significantly lower than those before nursing (P<0.05), and the observation group scores were significantly lower than those of the control group (P<0.05). The incidence of complications in the observation group was 6.49%, which was significantly lower than that in the control group 19.48% (P<0.05);the quality of life score in the observation group was significantly higher than that in the control group (P<0.05). 【Conclusion】 With the help of MDT, the application of rapid rehabilitation nursing in elderly patients after cataract surgery can effectively improve the status of anxiety and depression, alleviate stress response, reduce complications and improve the quality of life, which is worthy of clinical application.