不同眼球按摩护理方式对青光眼小梁切除术后患者眼压及手术成功率的影响

Effect of different eye massage nursing methods on intraocular pressure and success rate of glaucoma after trabeculectomy

目的探究不同眼球按摩护理方式对青光眼小梁切除术后患者眼压以及手术成功率的影响。方法选取2017年1月~2018年12月北京朝阳医院收治的进行小梁切除术治疗青光眼患者50例作为研究对象,按照随机分配法将其分为研究组与对照组,每组25例(25眼)。研究组自行眼球按摩,对照组家属参与协助眼球按摩。经干预后对两组患者眼压情况与功能性滤过泡形成情况进行比较。同时术后90 d时采用调查量表形式随访调查两组患者对护理行为的依从性。结果研究组术后90 d眼压与出院时比较显著降低(P<0.05);对照组术后90 d眼压与出院时比较显著升高(P<0.05);研究组术后90 d眼压显著低于对照组(P<0.05);研究组术后90 d护理依从性高于对照组(P<0.05);研究组术后90 d功能性过滤泡形成情况显著高于对照组,且手术成功率高于对照组(P<0.05)。结论在小梁切除术治疗青光眼患者术后的眼球按摩护理工作中,患者本人进行眼球按摩的护理方式依从性更高,且采用该方法的患者手术成功率更高。

Objective To explore the influence of different eye massage nursing methods on intraocular pressure and success rate of glaucoma patients after trabeculectomy.Methods A total of 50 cases of glaucoma patients treated with trabeculectomy in Beijing Chaoyang Hospital,Capital Medical University from January 2017 to December 2018 were selected as the subjects,they were divided into study group and control group by random allocation method,with 25 cases(25 eyes)in each group.The study group self-received eye massage and the control group family members participated in assisting eye massage.After the intervention,the intraocular pressure and functional follicular formation of the two groups were compared.At 90 days after the operation,the compliance of patients of the two groups to the nursing behavior were followed up in the form of investigation scale.Results The intraocular pressure of the study group was significantly reduced on 90 days after operation compared with that at discharge(P<0.05).The intraocular pressure of the control group was significantly higher on 90 days after the operation(P<0.05).The intraocular pressure of the study group was significantly lower than that of the control group at 90 days after surgery(P<0.05).The nursing compliance of the study group was higher than that of the control group at 90 days after operation(P<0.05).The formation of functional filtration vesicles at 90 days after operation in the study group was significantly higher than that in the control group,and the success rate of operation was higher than that in the control group(P<0.05).Conclusion In the nursing work of eye massage after trabeculectomy for glaucoma patients,the patients′own eye massage treatment method compliance is higher,and the postoperative success rate of the patients using this method is higher.