整体护理对玻璃体切除联合硅油填充术治疗视网膜脱落患者术后视力及生活质量的影响

Effects of Holistic Nursing on Postoperative Eyesight and Quality of Life of Patients with Retinal Exfoliation Treated by Vitrectomy Combined with Silicone Oil Filling

目的:探讨整体护理对玻璃体切除联合硅油填充术治疗视网膜脱落患者术后视力、生活质量的影响。方法:选取2016年1月-2018年6月笔者所在科室收治的视网膜脱落患者100例,均行玻璃体切除联合硅油填充术。按随机数字表法分为对照组(常规护理)与观察组(在常规护理基础上行整体护理),每组50例。比较两组视网膜复位情况、视力改善情况、生活质量(SF-36)评分及并发症发生率。结果:护理6个月后,观察组视网膜复位成功率高于对照组(P<0.05);观察组视力改善情况优于对照组(P<0.05);观察组术后高眼压、新生血管、再脱落、感染总发生率低于对照组(P<0.05);观察组SF-36各项评分均高于对照组(P<0.05)。结论:对于行玻璃体切除联合硅油填充术治疗的视网膜脱落患者实施整体护理可提高视网膜复位成功率及视力,降低并发症发生率,改善生活质量。

Objective:To investigate the effects of holistic nursing on postoperative eyesight and quality of life of patients with retinal exfoliation treated by vitrectomy combined with silicone oil filling.Method:A total of 100 patients with retinal exfoliation admitted to our department from January 2016 to June 2018 were selected and all treated with vitrectomy and silicone oil filling.According to the random number table method,they were divided into the control group (routine nursing) and the observation group (holistic nursing on the basis of routine nursing),50 cases in each group.Retinal reattachment,improvement of eyesight,quality of life (SF-36) scores and the incidence of complications were compared between the two groups.Result:After 6 months of nursing,the success rate of retinal reattachment in the observation group was higher than that of the control group (P<0.05).The improvement of eyesight in the observation group was better than that of the control group (P<0.05).The total incidence of high intraocular pressure,neovascularization,re-shedding and infection in the observation group was lower than that of the control group (P<0.05).The quality of life scores in the observation group were higher than those of the control group (P<0.05).Conclusion:For patients with retinal exfoliation treated by vitrectomy combined with silicone oil filling,the implementation of holistic nursing can improve the success rate of retinal reattachment and eyesight,reduce the incidence of complications and improve the quality of life.