综合护理对眼底荧光造影不良反应及心理状态的影响

Effect of comprehensive nursing on adverse reaction and psychological status of fundus fluorescein angiography

目的评价综合护理对眼底荧光造影不良反应及心理状态的影响。方法研究对象选自2016年10月~2017年10月间本院收治的行眼底荧光造影患者96例。根据单双号分组法分为两组,其中单号48例患者实施眼底荧光造影检查常规护理作为常规组;双号48例患者在常规护理基础上,加用综合护理干预作为干预组。对比分析护理前后两组患者的心理状态(SAS、SDS)评分、不良反应发生率及对护理满意度的情况。结果护理后,干预组患者的SAS、SDS评分均明显低于护理前及常规组,差异有统计学意义(P<0.05);干预组患者的胃肠道反应、过敏反应及神经系统反应等不良反应发生率为8.33%,明显低于常规组,差异有统计学意义(P<0.05);干预组患者对护理服务满意度为95.83%,明显高于常规组(P<0.05)。结论在常规护理基础上,采用综合护理干预,可降低眼底荧光造影不良反应发生率,缓解患者的心理状态,促进检查顺利完成,值得在今后的临床中大力推荐应用。

Objective To evaluate the effect of comprehensive nursing on adverse reaction and psychological status of fundus fluorescein angiography. Methods A total of 96 patients were all underwent fundus fluorescein angiography in our hospital from October 2016 to October 2017 were selected. The patients were divided into two groups according to the single and double number grouping method. Among them, 48 patients in the single group underwent routine fundus fluorescein angiography（RCC） routine nursing as the conventional group. 48 patients with double number underwent routine nursing combined with comprehensive nursing intervention as the intervention group. The scores of psychological status（SAS, SDS）, incidence of adverse reactions and satisfaction with nursing were compared between the two groups before and after nursing care. Results After nursing, the scores of SAS and SDS in the intervention group were significantly lower than those in the nursing group and the routine group. There was significant difference between the two groups（P〈0.05）. In the aspect of adverse reactions, the incidence of adverse reactions such as intestinal reaction, anaphylactic reaction and nervous system reaction was 8.33%, which was significantly lower than that of the conventional group（P〈0.05）. In the aspect of nursing satisfaction, satisfaction in the intervention group was 95.83%, which was sig nificantly higher than the conventional group（P〈0.05）. Conclusion On the basis of routine nursing, using integrated nursing intervention can reduce the incidence of adverse reactions of fundus fluorescein angiography, relieve the psychological state of patients and promote the successful completion of the examination, which is worth recommending in the future clinical application.