人文关怀在眼底病日间手术治疗患者中的护理应用与效果

Effect of Humanistic Care in Nursing Patients Undergoing Daytime Surgery for Ocular Fundus Diseases

目的 探讨人文关怀在眼底病日间手术治疗患者中的护理应用及临床效果。方法 选择2018年3月至2019年12月本院收治的眼底病实施日间手术治疗者80例,按照随机数字表法分为两组,各40例。对照组实施常规护理,以遵医嘱为主,协调医师进行手术治疗,观察组针对眼底病日间手术患者,实施人文关怀护理干预。比较两组患者及医师对护理人员的满意度;比较两组手术推迟率及手术取消率;统计两组平均住院日及床位使用率。结果 观察组患者满意度评分及医师满意度评分分别为(86.90±2.50)分和(89.62±3.61)分,均显著高于对照组的(78.51±2.11)分和(80.14±3.22)分,差异有统计学意义(P <0.05);观察组手术推迟率及手术取消率分别为7.50%和2.50%均显著低于对照组的37.50%和30.00%,差异有统计学意义(P <0.05);观察组发生术后疼痛、出血和眼内压增高的总比例为2.50%,显著低于对照组的22.50%,差异有统计学意义(P <0.05);观察组平均住院日为(1.51±0.20)d,短于对照组的(2.10±0.11)d,床位使用率为(96.51±2.31)%,高于对照组的(89.20±1.70)%,差异有统计学意义(P <0.05)。结论 针对眼底病实施日间手术治疗患者实施人文关怀护理,能有效的提高护理满意度,提高手术效率,缩短住院时间。

Objective To explore the nursing application and clinical effect of humanistic care in patients undergoing daytime surgery for ocular fundus diseases. Methods 80 cases with ocular fundus diseases treated in our hospital from March 2018 to December 2019 were selected for daytime surgery, and were divided into two groups with 40 cases in each group according to the random number table method. The control group was given routine nursing, mainly according to doctor’s advice, and coordinated with doctors for surgical treatment, while the observation group was given humanistic care and nursing intervention for patients with fundus diseases undergoing daytime operation.The satisfaction of the two groups of patients and doctors with nursing staff was compared. The operation postponement rate and operation cancellation rate were compared between the two groups. The average hospitalization time and bed utilization rate of the two groups were counted. Results The scores of patients’ satisfaction and doctors’ satisfaction in the observation group were(86.90±2.50) and(89.62±3.61) respectively, which were significantly higher than those in the control group(78.51±2.11) and(80.14±3.22), with statistical significance(P<0.05). The delayed rate and cancelled rate of operation in the observation group were 7.50% and 2.50% respectively, which were significantly lower than those in the control group 37.50% and 30.00%,respectively and the difference was statistically significant(P<0.05). The total rate of postoperative pain, bleeding and increased intraocular pressure in the observation group was 2.5%. It was significantly lower than that of the control group 22.5%, P<0.05. The average hospitalization time of the observation group were(1.51±0.20) days shorter than those of the control group(2.10±0.11) days, and the bed utilization rate was(96.51±2.31)%,which was higher than that of the control group [(89.20±1.70)%](P<0.05). Conclusion Humanistic care nursing for patients undergoing daytime surgery for ocular fundus diseases can effectively improve nursing satisfaction, improve surgery efficiency and shorten hospitalization time.