术后眼球按摩护理对青光眼患者术后眼压控制及疼痛的影响

Effect of postoperative eyeball massage nursing on the intraocular pressure control and the pain of glaucoma patients after operation

目的探讨术后眼球按摩护理在青光眼患者术后护理中的应用效果。方法将80例青光眼患者随机分为观察组和对照组,对照组围术期给予常规护理,观察组在对照组的基础上加强眼球按摩护理,比较2组术后遵医行为、眼压控制、疼痛、恢复情况及护理满意度。结果观察组术后在正确用药、监测眼压、眼球按摩方面的遵医行为好于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。2组患者术后并发症、住院时间以及术后3 d、2周时的眼压差异均无统计学意义(P>0.05)。观察组术后疼痛评分、术后3个月时的眼压低于对照组,功能型滤过泡形成率、手术成功率高于对照组,差异有统计学意义(P<0.05)。结论术后眼球按摩有利于降低青光眼患者术后眼压,并能减轻疼痛,提高手术疗效。

Objective To explore the application effect of eyeball massage nursing in postoperative nursing of glaucoma patients. Methods 80 glaucoma patients in our hospital were randomly divided into the observation group and the control group, the control group was received routine nursing in peri operation period, the observation group was strengthened eyeball massage based on the control group, and postoperative compliance behavior, intraocular pressure control, pain, rehabilitation and nursing satisfaction were compared. Results The compliance behavior in the correct medication, monitoring of intraocular pressure, eye massage in the observation group was better than that in the control group, nursing satisfaction was higher than that in the control group, the difference was statistically significant （P 〈 0.05）. Complications, hospitalization time, lOP of 3D, 2 weeks after operation were not statistically significant between the two groups （P 〉 0.05）. Postoperative pain score, postoperative IOP at 3 months in the observation group was lower than that in the control group, functional filtering bleb formation rate, operation success rate was higher than that in the control group （ P 〈 0.05）. Conclusion Postoperative eyeball massage helps to reduce intraocular pressure of the glaucoma patients, relieves pain, and improves the operation effect.