临床护理干预对玻璃体切割联合玻璃体腔注药在眼内炎患者术后治疗效果及预后的影响

Effect of Clinical Nursing Intervention on the Therapeutic Effect and Prognosis of Patients with Endophthalmitis after Vitrectomy Combined with Vitreous Cavity Injection

目的探讨临床护理干预对玻璃体切割联合玻璃体腔注药在眼内炎患者术后治疗效果及预后的影响。方法方便选择2014年12月—2016年12月在该院进行治疗的眼内炎患者40例(40眼)作为研究对象,采用简单随机化方法分为对照组(n=20例20眼)和观察组(n=20例20眼)。两组患者均采用玻璃体切割联合玻璃体腔注药治疗,对照组患者围手术期给予常规护理,观察组患者围手术期在常规护理基础上给予临床护理干预,比较两组治疗效果、并发症发生情况及健康知识知晓率、满意率和依从率。结果观察组患者护理3个月后视力改善率显著高于对照组,眼球萎缩率和摘除率均显著低于对照组患者(χ2=6.372、3.468、5.163,P=0.032、0.019、0.044);观察组护理3个月后高眼压、前房积血、感染等并发症发生率显著低于对照组患者(χ2=6.527、P=0.021);观察组患者健康知识知晓率为90.00%、护理满意率为95.00%和遵医依从率为90.00%,均显著高于对照组健康知识知晓率为65.00%、护理满意率为60.00%和遵医依从率为70.00%(χ2=7.263、7.856、6.435,P=0.036、0.029、0.041)。结论眼内炎患者采用玻璃体切割联合玻璃体腔注药治疗后实施临床护理干预,可有效降低并发症发生率,提升健康知识知晓率、护理满意率和遵医依从性,有助于提升治疗效果、改善预后,值得推广应用。

Objective To explore the effect of clinical nursing intervention on the therapeutic effect and prognosis of vitrectomy combined with vitreous cavity injection in patients with endophthalmitis. Methods 40 patients（40 eyes） with endophthalmitis who were treated in the hospital from December 2014 to December 2016 were convenient selected as study subjects. They were divided into control group（n=20 cases, 20 eyes） and observation group（n=20 cases, 20 eyes） by simple randomization method. Both groups of patients were treated with vitrectomy and vitreous cavity injection. Patients in the control group were given routine nursing during the perioperative period. Patients in the observation group were given clinical nursing intervention on the basis of routine nursing during the perioperative period. Treatment effects and complications of the two groups were compared. And knowledge of health knowledge, satisfaction rate, and compliance rate. Results The visual acuity improvement rate of the observation group was significantly higher than that of the control group after 3 months of nursing. The rate of atrophy and the removal rate of the eyeball were significantly lower than those of the control group（χ^2=6.372, 3.468, 5.163, P=0.032, 0.019, 0.044）; The incidence of complications such as ocular hypertension, anterior chamber hemorrhage and infection was significantly lower in the group after 3 months of care than in the control group（χ^2=6.527, P=0.021）; the awareness rate of the health knowledge in the observation group was 90.00%, and the satisfaction of care rate was 95.00% and compliance rate was 90.00%, which was significantly higher than that of the control group. The awareness rate of health knowledge was 65.00%, the care satisfaction rate was 60.00%, and the compliance rate was 70.00%（χ^2=7.263,7.856, 6.435, P=0.036, 0.029, 0.041）. Conclusion Clinical nursing intervention after vitrectomy and vitreous cavity injection in patients with endophthalmitis can effectively reduce the incidence of complications, improve the awareness rate of health knowledge, care satisfaction and adherence to compliance, which will help improve the treatment effect, improve the prognosis, it is worth promoting.