青光眼术后行白内障微切口超声乳化吸出术的护理

Nursing of cataract microsurgical phacoemulsification after glaucoma surgery

目的对青光眼术后行白内障微切口超声乳化吸出术的护理进行探究分析。方法选取在本院行白内障微切口超声乳化吸出术的青光眼术后患者100例作为观察对象,收治时间为2015年12月~2016年12月,在患者及其家属知情并且允许的情况下采用信封式随机分组分为两组,即对照组、观察组。对照组患者接受常规护理,观察组则给予患者综合护理干预,对两组患者的术后眼压变化情况、护理满意度、心理状况、发生并发症的概率以及视力恢复情况进行比较。结果观察组患者术后12、24及48h眼压与对照组比较,差异无统计学意义(P>0.05);观察组患者的护理满意度评分明显高于对照组,其SAS评分与SDS评分均较对照组低,术后视力>0.9占比明显较对照组高,两组患者发生并发症的概率比较差异有统计学意义(P<0.05)。结论给予青光眼术后行白内障微切口超声乳化吸出术患者实施综合护理干预的效果显著。

Objective To explore the nursing of cataract microsurgical phacoemulsification after glaucoma surgery. Methods A total of 100 patients with glaucoma after microsurgical phacoemulsifieation from December 2015 to December 2016 were enrolled in this study.The patients were treated with an envelope in the case of the patients and their family members,and they were randomly divided into the control group and the observation group.The patients in the control group were treated with routine care.Patients in observation group were treated with comprehensive nursing intervention.The changes of intraocular pressure,nursing satisfaction, psychological status,the probability of occurrence of complications and the recovery of visual acuity between the two groups were compared. Results There was no significant difference in intraocular pressure（IOP） between 12 hours,24 hours and 48 hours after operation in the observation group（P〉 0.05）.And the score of nursing satisfaction was significantly higher in the observation group than that in the control group.The scores were lower than the control group,the postoperative visual acuity 〉 0.9 was significantly higher than the control group,the probability of occurrence of complications in the two groups were also different（P ~ 0.05）. Conclusion The effect of comprehensive nursing intervention is obvious in patients with cataract microsurgieal phacoemulsification after glaucoma surgery.