视网膜脱离的精准护理模式干预效果评价

Evaluation of intervention effect of precision nursing model for retinal detachment

目的分析精准护理对视网膜脱离患者手术治疗及生活质量的影响。方法将安徽医科大学第一附属医院眼科2018年12月—2019年12月住院的60例视网膜脱离患者用随机数字表法分为观察组和对照组,每组各30例,分别给予精准护理和常规护理,比较2组的体位依从率、药物依从率、用药正确率、并发症发生率、复发率、满意度、视力、住院时间、治疗费用及生活质量的差异。结果观察组的体位依从率、用药正确率、满意度高于对照组,并发症发生率及复发率均低于对照组,差异有统计学意义(均P<0.05),2组的药物依从率差异无统计学意义(P=0.306);2组入院及出院时视力差异无统计学意义(均P>0.05),观察组在出院15 d和30 d视力为(0.15,0.40)、(0.18,0.45),优于对照组的(0.10,0.30)、(0.10,0.25),差异有统计学意义(P<0.05);观察组治疗费用为(14916.96±3966.91)元、住院时间为(8.77±3.38)d,少于对照组的(23763.22±8098.87)元和(15.20±4.21)d,差异具有统计学意义(均P<0.05);2组生活质量评分入院前差异无统计学意义(P=0.916),观察组在出院时、出院15 d及30 d为(34.97±3.43)分、(40.96±4.96)分、(46.25±5.23)分,优于对照组的(27.56±2.87)分、(30.41±4.51)分、(35.43±5.23)分,差异均有统计学意义(均P<0.05)。结论精准护理可以有效提高视网膜脱离患者的手术效果和生活质量,较常规护理优势明显。

Objective To explore the effect and mechanism of precision nursing mode in the surgical treatment and quality of life of patients with retinal detachment.Methods Sixty patients with retinal detachment hospitalised in the Department of Ophthalmology of the First Affiliated Hospital of Anhui Medical University from December 2018 to December 2019 were selected.They were randomly divided into the observation group and control group by random number table method,with 30 cases in each group.The patients in the observation group were given precise nursing,whereas those in the control group were given routine nursing.The differences of body position compliance rate,medication compliance rate,medication accuracy rate,postoperative complication rate,recurrence rate,percentage of patient satisfaction,visual acuity change,length of stay,treatment cost and quality of life between the two groups were compared,and the effects were analysed.Results The body position compliance rate,medication accuracy rate and satisfaction percentage of the observation group were significantly higher than those of the control group(all P<0.05).The incidence of complications and recurrence rate of the observation group were significantly lower than those of the control group with statistically significant differences(all P<0.05).No significant difference was observed in the medication compliance rate between the two groups(P=0.306).The visual acuity of the observation group at admission and discharge was not significantly different from that of the control group(all P>0.05).The visual acuity of the observation group at 15(0.15,0.40)and 30 days(0.18,0.45)of discharge was significantly better than that of the control group[(0.10,0.30)and(0.10,0.25)],all P<0.05.In the observation group,the treatment cost[(14916.96±3966.91)yuan]and hospital stay[(8.77±3.38)days]were significantly better than those in the control group[(23763.22±8098.87)yuan and(15.20±4.21)days,respectively,all P<0.05].There was no significant difference in the quality of life score before admission between the observation group and the control group(P=0.916).The quality of life scores of the observation group at discharge[(34.97±3.43)points],15 days after discharge[(40.96±4.96)points]and 30 days after discharge[(46.25±5.23)points]were significantly better than those of the control group[(27.56±2.87)points,(30.41±4.51)points and(35.43±5.23)points,respectively],the differences were statistically significant(all P<0.05).Conclusion Precision nursing can effectively improve the surgical effect and quality of life of patients with retinal detachment surgery and has a distinct advantage over routine nursing.