预见性护理在高龄糖尿病性白内障患者围手术期中的效果(1)
[摘要] 目的 关于预见性护理对高龄糖尿病性白内障患者围手术期的效果分析。方法 以2017年10月—2019年1月该院收治的50例高龄糖尿病性白内障患者作为该文观察组,另选50例作为该文对照组,均采用白内障手术治疗。两组患者分别采用预见性护理和常规护理进行干预,评价效果。结果 比较两组患者的视力改善率,观察组为92.00%(46/50), 对照组为78.00%(39/50)(P<0.05);观察组并发症发生率为6.00%(3/50),其中眼压升高、角膜水肿和感染患者各1例,对照组为18.00%(9/50),眼压升高患者3例,角膜水肿患者4例,感染患者2例(P<0.05)。结论 对高龄糖尿病性白内障患者围手术期通过预见性护理进行指导能够有效提升患者的视力改善优良率,同时可以降低并发症对患者的影响,值得推广。
[关键词] 预见性护理;高龄糖尿病性白内障;围手术期护理
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2020)01(a)-0157-02
Perioperative Effect of Predictive Nursing in Elderly Patients with Diabetic Cataract
CAO Yan-zhe, YU Feng-hui, DU Xiao-hui, CHEN Yu-lan, QIN Xiao-fei
Department of Ophthalmology, Daqing People's Hospital, Daqing, Heilongjiang Province, 163316 China
[Abstract] Objective To analyze the effect of predictive nursing on perioperative period of elderly patients with diabetic cataract. Methods From October 2017 to January 2019, 50 patients with advanced cataract in the hospital were enrolled in this study group, and 50 patients were selected as the control group. All patients were treated with cataract surgery. The two groups of patients were treated with predictive care and routine care to evaluate the effect. Results The improvement rate of visual acuity in the two groups was 92.00%(46/50) in the observation group and 78.00%(39/50) in the control group(P<0.05). The complication rate in the observation group was 6.00%(3/50). Among them, 1 patient with elevated intraocular pressure, corneal edema and infection, 18.00%(9/50) in the control group, 3 patients with elevated intraocular pressure, 4 patients with corneal edema, and 2 patients with infection(P<0.05). Conclusion The guidance of predictive nursing in the perioperative period of elderly patients with diabetic cataract can effectively improve the excellent rate of vision improvement and reduce the impact of complications on patients. It is worth promoting.
[Key words] Predictive nursing; Advanced diabetic cataract; Perioperative care
糖尿病性白內障是因为长时间血糖水平升高,导致患者的局部微循环出现改变而导致的一种病症,所以导致这种病症发生的主要契机是糖尿病,这种病症会导致患者在心脏、肾脏和眼部等多个部位出现相关损伤,所以临床应重视这种病症[1-2]。针对糖尿病性白内障在治疗的过程中多采用手术对人工晶体置换,以便于使患者视力恢复,但是治疗过程中因为多种因素的限制等,容易导致患者手术以后出现眼压升高和感染等相关的不良症状,所以在临床上应该积极的采取有效的干预措施[3]。该文以该院于2017年10月—2019年1月收治的100例该病患者为例,主要分析预见性护理应用在高龄糖尿病性白内障围手术期当中的护理效果,现将主要研究情况报道如下。
1 资料与方法
1.1 一般资料
将来该院进行治疗的50例高龄糖尿病性白内障患者作为该文观察组,另外选择同期来该院进行治疗的50例高龄糖尿病性白内障患者作为该文的对照组,保证两组患者的临床资料基本一致,方便进行分组对照。观察组当中入组男性患者27例、女性患者23例;患者年龄最大值为92岁,年龄最小值为70岁,年龄平均值为(78.5±7.1)岁。对照组患者中入组男性患者26例、女性患者24例,患者年龄最大值为90岁,年龄最小值为69岁,年龄平均值为(78.1±6.7)岁。该文两组患者均被诊断为白内障,均为糖尿病性白内障,诊断符合标准。所有研究对象均签署知情同意书,临床资料符合伦理委员会的相关标准。经过统计学软件检验,两组患者的临床一般资料差异无统计学意义(P>0.05),可比较。, 百拇医药(曹艳喆 于凤辉 杜晓慧 陈玉兰 秦小飞)
[关键词] 预见性护理;高龄糖尿病性白内障;围手术期护理
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2020)01(a)-0157-02
Perioperative Effect of Predictive Nursing in Elderly Patients with Diabetic Cataract
CAO Yan-zhe, YU Feng-hui, DU Xiao-hui, CHEN Yu-lan, QIN Xiao-fei
Department of Ophthalmology, Daqing People's Hospital, Daqing, Heilongjiang Province, 163316 China
[Abstract] Objective To analyze the effect of predictive nursing on perioperative period of elderly patients with diabetic cataract. Methods From October 2017 to January 2019, 50 patients with advanced cataract in the hospital were enrolled in this study group, and 50 patients were selected as the control group. All patients were treated with cataract surgery. The two groups of patients were treated with predictive care and routine care to evaluate the effect. Results The improvement rate of visual acuity in the two groups was 92.00%(46/50) in the observation group and 78.00%(39/50) in the control group(P<0.05). The complication rate in the observation group was 6.00%(3/50). Among them, 1 patient with elevated intraocular pressure, corneal edema and infection, 18.00%(9/50) in the control group, 3 patients with elevated intraocular pressure, 4 patients with corneal edema, and 2 patients with infection(P<0.05). Conclusion The guidance of predictive nursing in the perioperative period of elderly patients with diabetic cataract can effectively improve the excellent rate of vision improvement and reduce the impact of complications on patients. It is worth promoting.
[Key words] Predictive nursing; Advanced diabetic cataract; Perioperative care
糖尿病性白內障是因为长时间血糖水平升高,导致患者的局部微循环出现改变而导致的一种病症,所以导致这种病症发生的主要契机是糖尿病,这种病症会导致患者在心脏、肾脏和眼部等多个部位出现相关损伤,所以临床应重视这种病症[1-2]。针对糖尿病性白内障在治疗的过程中多采用手术对人工晶体置换,以便于使患者视力恢复,但是治疗过程中因为多种因素的限制等,容易导致患者手术以后出现眼压升高和感染等相关的不良症状,所以在临床上应该积极的采取有效的干预措施[3]。该文以该院于2017年10月—2019年1月收治的100例该病患者为例,主要分析预见性护理应用在高龄糖尿病性白内障围手术期当中的护理效果,现将主要研究情况报道如下。
1 资料与方法
1.1 一般资料
将来该院进行治疗的50例高龄糖尿病性白内障患者作为该文观察组,另外选择同期来该院进行治疗的50例高龄糖尿病性白内障患者作为该文的对照组,保证两组患者的临床资料基本一致,方便进行分组对照。观察组当中入组男性患者27例、女性患者23例;患者年龄最大值为92岁,年龄最小值为70岁,年龄平均值为(78.5±7.1)岁。对照组患者中入组男性患者26例、女性患者24例,患者年龄最大值为90岁,年龄最小值为69岁,年龄平均值为(78.1±6.7)岁。该文两组患者均被诊断为白内障,均为糖尿病性白内障,诊断符合标准。所有研究对象均签署知情同意书,临床资料符合伦理委员会的相关标准。经过统计学软件检验,两组患者的临床一般资料差异无统计学意义(P>0.05),可比较。, 百拇医药(曹艳喆 于凤辉 杜晓慧 陈玉兰 秦小飞)
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