团队管理式延续性护理在视网膜脱离手术患者中的应用

Application of team management continuous nursing in retinal detachment patients with surgery

目的探讨团队管理式延续性护理在视网膜脱离手术患者中的应用效果。方法采用便利抽样法,选取2016年1月-2018年1月于无锡市第二人民医院眼科手术治疗的视网膜脱离患者为研究对象。对照组采取常规延续性护理,观察组采取团队管理式延续性护理。比较两组患者治疗依从性、视网膜复位率和健康知识掌握程度。结果观察组患者用药依从性94.4%、体位依从性90.3%、饮食依从性97.2%、复诊依从性91.7%,均优于对照组,差异有统计学意义(χ^2值分别为4.265、5.607、4.338、5.113;P<0.05)。观察组患者视网膜复位率94.4%、健康知识掌握率88.9%,均优于对照组,差异有统计学意义(χ^2值分别为4.265、11.856;P<0.05)。结论团队管理式延续性护理能够提高视网膜脱离手术患者治疗依从性和对健康知识的掌握程度,有利于患者视网膜复位,具有良好的临床意义。

Objective To explore the effects of the team management continuous nursing in retinal detachment patients with surgery. Methods From January 2016 to January 2018, we selected retinal detachment patients with surgery in Department of Ophthalmology of Wuxi Second People's Hospital by convenience sampling. Control group carried out routine continuous nursing. Observation group received the team management continuous nursing. We compared the treatment compliance, the rate of retinal reattachment and mastery of health knowledge of patients between two groups. Results The medication compliance, position compliance, diet compliance and further consultation compliance of patients in observation group were 94.4%, 90.3%, 97.2%, and 91.7% respectively better than those in control group with statistical differences(χ^2=4.265, 5.607, 4.338, 5.113;P< 0.05). The rate of retinal reattachment and mastery of health knowledge of patients in observation group were 94.4% and 88.9% respectively higher than those in control group with statistical differences(χ^2=4.265, 11.856;P< 0.05). Conclusions Team management continuous nursing can improve the treatment compliance and mastery of health knowledge of retinal detachment patients with surgery which helps retinal reattachment with important clinical significance.