个性化舒适护理在视网膜手术术后被动体位中的应用

Application of Personalized Comfortable Nursing in Passive Position after Retinal Surgery

目的探讨医护制定的个性化舒适护理在视网膜脱离手术后对病人被动体位舒适度的影响。方法收集60例(60眼)视网膜脱离行玻璃体切割手术的病人,按入院顺序随机将其分为常规组(予常规眼科临床护理)和舒适组(在常规组基础上予个性化舒适护理),每组30例。比较2组术后24、48 h被动体位持续时间和睡眠时间,术后48 h疼痛程度和舒适程度。结果常规组、舒适组术后24 h俯卧位持续时间分别为(12.53±3.22)、(16.63±2.77)h,俯卧位睡眠时间分别为(4.76±1.54)、(5.93±1.55)h,2组比较差异有统计学意义(P<0.01)。术后48 h保持被动体位时间分别为(12.56±3.18)、(19.46±2.41)h,被动体位睡眠时间(5.30±1.39)、(6.30±1.26)h,2组比较差异有统计学意义(P<0.01);疼痛程度评分分别为(2.83±0.83)、(2.76±1.13)分,2组比较差异无统计学意义(P=0.79);舒适度评分分别为(5.60±1.22)、(4.46±1.13)分,2组比较差异有统计学意义(P<0.01)。结论医护制定的个性化舒适护理有利于提高视网膜脱离玻璃体切割术后被动体位的舒适度。

Objective To explore the effect of individualized comfortable nursing on patient comfort in passive position after retinal detachment surgery.Methods According to the order of admission,60 patients(60 eyes)undergoing vitrectomy for retinal detachment were randomly given routine clinical nursing alone(routine group,n=30)or in combination with personalized comfortable nursing(comfortable group,n=30).The duration of passive posture and sleep time were compared between the two groups 24 and 48 hours after operation.In addition,the pain and comfort were determined 48 hours after operation.Results Prone position duration and sleep time in routine group((12.53±3.22)hours and(4.76±1.54)hours,respectively)were shorter than those in comfortable group((16.63±2.77)hours and(5.93±1.55)hours,respectively)24 hours after operation(P<0.01).Furthermore,passive position duration and sleep time in routine group((12.56±3.18)hours and(5.30±1.39)hours,respectively)were shorter than those in comfortable group((19.46±2.41)hours and(6.30±1.26)hours,respectively)48 hours after operation(P<0.01).There was no obviou difference in the score of pain degree between the two groups((2.83±0.83)vs(2.76±1.13),P=0.79).However,the score of comfort degree was significantly different between the two groups((5.60±1.22)vs(4.46±1.13),P<0.01).Conclusion Personalized comfortable nursing is helpful to improve the comfort of passive position after vitrectomy for retinal detachment.