循证护理在LASEK手术中的应用

Application of evidence-based nursing in LASEK surgery

目的：分析循证护理在LASEK手术中的应用效果。方法选取2013年12月—2015年12月收治的行LASEK手术患者120例，按照抽签法分成观察组与对照组，观察组予以循证护理，对照组予以常规护理，观察两组患者术前收缩压、舒张压、心率及SAS评分，术后1周并发症情况，术后4周裸眼视力、屈光度及眼压变化，HAZE分级。结果术前观察组收缩压低于对照组，舒张压低于对照组，心率低于对照组，SAS评分低于对照组，差异均有统计学意义（P〈0.05）；术后1周观察组并发症发生率为1.67％，低于对照组的8.67％，差异具有统计学意义（χ2＝5.886，P〈0.05）；术后4周观察组裸眼视力高于对照组，屈光度低于对照组，眼压低于对照组，差异具有统计学意义（P〈0.05）；术后4周观察组有1.67％患者为HAZE 1级，低于对照组的11.67％，差异具有统计学意义（ P〈0.05）。结论 LASEK手术中运用循证护理能够有效缓解患者的不良情绪，降低并发症几率，提高手术疗效。

Objective To analyze the application value of evidence-based nursing（EBN） in LASEK surgery.Methods Totals of 120 cases of LASIK surgery patients from December 2013 to December 2015 were selected, and divided into observation group and control group by sortition. Patients in observation group received EBN, while patients in control group received routine nursing. Systolic blood pressure（SBP）, diastolic blood pressure（ DBP ） , heart rate, and SAS score before surgery, postoperative complications after 1 week, visual acuity, diopter and intraocular pressure after 4 weeks, and Haze grading are observed in two groups. Results The preoperative SBP, DBP and heart rate in observation group were lower than in the control group,＆amp;nbsp;SAS score in observation group was lower than the control group, differences were statistically significant （ P〈0.05）;complication rate 1. 67% in observation group was lower than 8. 67% in control group 1 week after surgery. The difference was statistically significant （χ2=5. 886, P〈0. 05 ）; 4 weeks after surgery, visual acuity in observation group was higher than that in control group, diopter was lower than in control group, and intraocular pressure was lower than in control group, The difference was statistically significant （ P〈0.05）;4 weeks after surgery, 1.67% patients in observation group were Haze 1 and was lower than that 11.67% in control group （P〈0.05）.Conclusions The application of EBN in LASEK surgery can effectively relieve patients′negative emotions, reduce the complication rate, and improve the surgical curative effect.