循证护理应用于原发性闭角型青光眼患者的效果观察

Clinical Observation on Evidence-based Nursing Applied to the Patients Suffering from Primary Angle-closure Glaucoma

目的:探讨循证护理在原发性闭角型青光眼手术患者中的应用效果。方法:将50例球后麻醉下行小梁切除术的原发性闭角型青光眼手术患者随机分为研究组和对照组各25例。比较2组Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)、改良睡眠状况自评量表(SRSS)和社会支持评定量表(SSRS)评分变化。结果:SAS、SDS和SRSS评分护理后研究组明显低于对照组(P<0.05),而SSRS各维度评分研究组显著高于对照组(P<0.05)。结论:循证护理可改善原发性闭角型青光眼手术患者的负性情绪,提高睡眠质量和社会支持。

Objective： To explore the effects of evidence-based nursing（EBN） administered to the patients undergoing the surgery of primary angle-closure glaucoma. Methods： Fifty patients who underwent trabeculectomy under retrobulbar anaesthesia were randomized into the experiment group and the control group equally. Zung self-rating anxiety scale（SAS）, Zung self-rating depression scale（SDS）, self-rating scale of sleep（SRSS） and social support revalued scale（SSRS） of both groups were compared. Results： The experiment group was lower than the control group remarkably in SAS, SDS and SRSS after nursing（P 0.05）, while higher than the control group remarkably in SSRS（P〈0.05）.Conclusion：EBNcouldimprovenegativeemotion ofthe patientsundergoingthe surgeryof primary angle-closure glaucoma, raise sleep quality and social support.