老年性白内障围手术期患者护理中优质护理的应用

Application of High-quality Nursing in the Perioperative Nursing of Senile Cataract Patients

目的分析优质护理在老年性白内障患者围手术期中的应用效果。方法从我院2017年9月至2018年9月接诊的白内障老年患者中选84例。研究活动展开期间依照双盲分组方法将患者分为两组,对照组和观察组各42例。所有患者均采取白内障人工晶体植入手术治疗,对照组患者按照常规围手术期提供护理,观察组则在对照组基础上实施优质护理。对比分析不同护理措施的效果。结果观察组(40例,占95.24%)患者的护理满意度明显比对照组(35例,占83.33%)更高,有统计学差异(P<0.05);观察组(2例,占4.76%)患者的并发症发生率明显低于对照组(13例,占30.95%),有统计学差异(P<0.05);观察组术后泪液分泌测试、泪膜破裂时间、角膜荧光染色表现都明显比对照组更优,有统计学差异(P<0.05);观察组患者经过护理以后的眼压、RNPL厚度、视野缺损等相关表现都明显比对照组更优,有统计学差异(P<0.05);两组患者在护理前,生活质量都不佳,组间无统计学差异(P>0.05),护理后,两组患者的生活质量都得到了改善,但观察组患者的改善效果优于对照组,有统计学差异(P<0.05)。结论围手术期为老年性白内障患者提供优质护理可明显改善患者病情,提高患者护理满意度,提升患者治疗的安全性,促进智力水平的改进,并提高患者的生活质量,临床应用效果良好,值得推荐。

Objective To analyze the effect of high-quality nursing in the perioperative period of senile cataract patients.Methods From September 2017 to September 2018,84 senile cataract patients were selected.During the study,patients were divided into two groups according to the double-blind grouping method.There were 42 cases in the control group and the observation group.All patients were treated with cataract IOL implantation.The patients in the control group were provided with routine perioperative nursing,while the patients in the observation group were provided with high-quality nursing on the basis of the control group.To compare and analyze the effect of different nursing measures.Results The nursing satisfaction of the observation group(40 cases,95.24%)was significantly higher than that of the control group(35 cases,83.33%),and there was a statistical difference(P<0.05).The observation group(the incidence of complications in 2 cases,accounting for 4.76%)was significantly lower than that of the control group(13 cases,accounting for 30.95%),and there was a statistical difference(P<0.05).Postoperative tear secretion test and tear film in the observation group the rupture time and corneal fluorescence staining performance were significantly better than those of the control group,with statistical differences(P<0.05).The intraocular pressure,RNPL thickness,visual field defect and other related performances of the observation group were significantly better than those of the control group(P<0.05).The quality of life of the two groups of patients before nursing is not good,and there is no statistical difference between them(P>0.05).After nursing,the two groups of patients the quality of life has been improved,but the improvement effect of the observation group is better than that of the control group,there is a statistical difference(P<0.05).Conclusion Providing high-quality care for patients with senile cataract during the perioperative period can significantly improve the patient's condition,increase patient care satisfaction,improve the safety of patient treatment,promote the improvement of intelligence,and improve the quality of life of patients.The clinical application effect is good and it is worthwhile recommend.