授权教育联合引导式想象放松护理在老年白内障手术患者中的应用效果

Application effects of authorized education combined with guided imagery relaxation nursing in elderly patients with cataract surgery

目的:观察授权教育联合引导式想象放松护理在老年白内障手术患者中的应用效果。方法:选取2019年10月至2021年10月该院收治的114例老年白内障手术患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各57例。对照组实施常规护理,研究组在对照组基础上实施授权教育联合引导式想象放松护理。比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、生命质量[低视力者生活质量量表(LVQOL)]评分、视功能[视功能指数量表(VF-14)]评分,以及护理满意度。结果:护理后,研究组HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);护理后,研究组远视力、调节能力、精细工作、日常生活等LVQOL各维度评分均高于对照组,差异有统计学意义(P<0.05);护理后,研究组VF-14评分高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为98.25%(56/57),高于对照组的85.96%(49/57),差异有统计学意义(P<0.05)。结论:授权教育联合引导式想象放松护理应用于老年白内障手术患者可降低负性情绪评分,提高生命质量评分、视功能评分和护理满意度,效果优于常规护理。

Objective:To observe application effects of authorized education combined with guided imagery relaxation nursing in elderly patients with cataract surgery.Methods:A prospective study was conducted on 114 elderly patients undergoing cataract surgery admitted to the hospital from October 2019 to October 2021.They were divided into control group and study group according to the random number table method,57 cases in each group.The control group was given routine nursing,while the study group was given authorized education combined with guided imagery relaxation nursing on the basis of that of the control group.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],quality of life[low vision quality of life scale(LVQOL)],visual function[visual function scale(VF-14)],and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of HAMA and HAMD in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of LVQOL dimensions such as far vision,adjustment ability,fine work and daily life in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the VF-14 score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 98.25%(56/57),which was higher than 85.96%(49/57)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Authorized education combined with guided imagined relaxation nursing applied to the elderly patients with cataract surgery can reduce the negative emotion scores and improve the quality of life scores,the visual function scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.