加速康复外科护理模式在糖尿病视网膜病变患者围术期中的应用

Application of enhanced recovery surgery nursing model in the perioperative period of patients with diabetic retinopathy

目的探讨加速康复外科护理模式在糖尿病视网膜病变患者围术期中的应用。方法选取2019年8月—2021年4月医院眼科收治的实施玻璃体切割术患者60例,按照组间基本特征具有可比性的原则分为对照组和观察组,各30例。对照组行传统护理,观察组给予加速康复外科护理,比较两组体位摆放正确率、血糖稳定率。统计两组并发症发生情况及干预过程中患者的视力变化,以及患者的自我管理能力与住院时间。结果观察组术后体位摆放正确率、血糖稳定率高于对照组(P<0.05),并发症发生率低于对照组(P<0.05);出院时观察组视力高于对照组(P<0.05),观察组针对糖尿病视网膜病变围术期的自我管理能力评分高于对照组(P<0.05),平均住院日短于对照组(P<0.05)。结论针对糖尿病视网膜病变行玻璃体切割术患者行加速康复外科护理干预,能有效地促进术后体位摆放准确率,提高血糖控制率,改善术后视力,减少并发症,缩短住院时间。

Objective To explore the application of enhanced recovery surgery nursing model in the perioperative period of patients with diabetic retinopathy.Methods To select 60 patients with vitrectomy who were admitted to the ophthalmology department of the hospital from August 2019 to April 2021 as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 30 cases in each group.The control group was given traditional nursing,and the observation group was given enhanced rehabilitation surgery nursing to compare the correct rate of body position and blood sugar stability rate between the two groups.In addition,we counted the incidence of complications in the two groups and the changes in the patients'vision during the intervention process,as well as the patients'self-management ability and hospitalization time.Results The correct rate of postoperative body position and blood sugar stability rate of the observation group were higher than those of the control group(P<0.05),and the incidence of complications was lower than that of the control group(P<0.05).The visual acuity of the observation group was higher than that of the control group at the time of discharge(P<0.05),the self-management ability score for the perioperative period of diabetic retinopathy in the observation group was higher than that of the control group(P<0.05),and the average hospital stay was shorter than that of the control group(P<0.05).Conclusion The application of enhanced recovery surgery nursing intervention for vitrectomy patients with diabetic retinopathy can eff ectively improve the accuracy of postoperative body positioning,improve blood sugar control rate,improve postoperative visual acuity,reduce complications,and shorten hospitalization time.