KANO模型护理对玻璃体积血患者术后生活质量及心理健康的影响

Effect of KANO model nursing on quality of life and mental health of patients with vitreous hemorrhage after surgery

目的分析卡诺(KANO)模型护理对玻璃体积血患者术后生活质量及心理健康的影响。方法选择2021年1月至2023年1月安徽医科大学附属六安医院治疗的100例玻璃体积血患者为研究对象,所有患者均行玻璃体切割术治疗,根据随机数字表法将其分为对照组和观察组,各50例。对照组在术后给予常规护理干预,观察组在对照组基础上进行KANO模型护理干预。比较两组干预前后眼压及视觉模拟评分法(VAS)评分、国家眼科研究所视功能问卷-25(NEI VFQ-25)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分及护理满意度。结果干预后,两组眼压及VAS评分均低于干预前,且观察组低于对照组(P<0.05);干预后,两组NEI VFQ-25评分高于干预前,且观察组高于对照组(P<0.05);干预后,两组SDS、SAS评分均低于干预前,且观察组低于对照组(P<0.05);观察组护理满意度优于对照组(P<0.05)。结论KANO模型护理在手术治疗基础上显著改善进一步患者的视功能生活质量,缓解抑郁、焦虑等不良心理,进一步促进患者恢复,降低眼压及疼痛程度,提高护理满意度,具有较高的推广价值。

Objective To analyze the effect of KANO model nursing on the quality of life and mental health of patients with vitreous hemorrhage after surgery.Methods A total of 100 patients with vitreous hemorrhage treated in Lu’an Hospital Affiliated to Anhui Medical University from January 2021 to January 2023 were selected as the study objects.All patients underwent vitrectomy and were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group received routine nursing intervention after surgery,and the observation group received KANO model nursing intervention on the basis of the control group.Intraocular pressure,visual analogue scale(VAS)score,National Eye Institute visual functioning questionnaire-25(NEI VFQ-25),self-rating depression scale(SDS),self-rating anxiety scale(SAS)scores,and nursing satisfaction were compared between the two groups before and after intervention.Results After intervention,intraocular pressure and VAS scores of both groups were lower than those before intervention,and those of observation group were lower than those of control group(P<0.05).After intervention,NEI VFQ-25 scores in both groups were higher than those before intervention,and those observation group were higher than those of the control group(P<0.05).After intervention,SDS,SAS scores in both groups were lower than those before intervention,and those of observation group were lower than those of control group(P<0.05).The nursing satisfaction of observation group was better than that of control group(P<0.05).Conclusion On the basis of surgical treatment,KANO model nursing can further improve the visual function quality of life of significant patients,relieve depression,anxiety,and other adverse psychology,further promote patient recovery,reduce intraocular pressure and pain degree,and improve nursing satisfaction,which has a high promotion value.