玻璃体腔注射雷珠单抗治疗湿性年龄相关性黄斑变性的临床护理

Clinical nursing of wet age-related macular degeneration treated by vitreous cavity injection of monoclonal antibody

目的探讨玻璃体腔注射雷珠单抗治疗湿性年龄相关性黄斑变性的临床护理方法。方法选取湿性年龄相关性黄斑变性行玻璃体腔注射雷珠单抗进行治疗的患者96例,其中对照组48例行常规护理,观察组48例行循证护理。结果2组患者治疗后CMT均较治疗前显著降低(P<0.05),但是2组治疗后比较,差异无统计学意义(P>0.05)。2组患者各时间IOP差异无统计学意义(P>0.05)。观察组并发症发生率显著低于对照组(P<0.05)。观察组治疗后1 d和6个月时SAS得分、SDS得分均显著低于对照组(P<0.05)。结论循证护理可以有效降低患者并发症发生率,改善患者心理状况。

Objective To investigate clinical nursing methods of wet age-related macular degeneration treated by vitreous cavity injection of monoclonal antibody. Methods A total of 96 patients with wet age-related macular degeneration treated by vitreous cavity injection of monoclonal antibody were recruited,the control group with 48 cases was given routine care and observation group with 48 cases was given evidence-based care. Results The CMT was significantly decreased in two groups after treatment（ P〈0. 05）,but there was no significant difference after treatment in the two groups（ P〈0. 05）. No significant difference was found in IOP at different times between the two groups（ P〈0. 05）. The complication rate in observation group was significantly lower than that in the control group（ P〈0. 05）. After treatment,SAS score and SDS score after 1 d and 6 months in the observation group were significantly lower than that in the control group（ P〈0. 05）. Conclusion Evidence-based nursing can reduce the incidence of complications,and improve the psychological condition of the patients.