1例抑郁症合并急性视网膜坏死综合征患者的护理

Nursing care of a patient with depression and acute retinal necrosis syndrome

总结1例抑郁症合并急性视网膜坏死综合征(acute retinal necrosis syndrome,ARNS)患者的护理经验。护理要点为迅速评估;围绕“患者-家庭-护士”实行个性化心理护理;多种方式用药护理;个性化的镇痛与睡眠管理;安全护理;出院指导。经过积极治疗后,患者左眼视力有所提高,出院最佳矫正视力为手动/50 cm,情绪稳定,继续遵医嘱用药。重视抑郁症合并ARNS患者的护理,针对用药、心理、安全等方面制定个性化的治疗与护理方案,可有效控制抑郁症患者病情复发,改善患者视力预后,降低致盲率,提高患者生活质量。

Objective Nursing experience of a patient with depression and acute retinal necrosis syndrome(ARNS)were summarized in this thesis.The key points of nursing care were rapid assessment,implementing personalized psychological care around"patient-family-nurse",multiple ways of medication nursing,personalized pain relief and sleep management,safe nursing,and discharge guidance.After the active treatment,the patient's left eye vision was improved,and the best corrected vision at discharge was HM/50 cm,and his emotion was stable,and the medication continued via following the doctor's advice after his discharging.In conclusion,paying attention to the nursing of patients with depression and ARNS and developing personalized treatment and nursing plans for medication,psychology,safety,and other aspects could effectively control the recurrence of patients with depression,improve their visual prognosis,reduce blindness rates,and improve their quality of life.