综合护理干预对老年白内障术后患者心理状态及并发症的影响(1)
[摘要]目的 探讨综合护理干预对老年白内障术后患者心理状态及并发症的影响。方法 选取2018年6月～2019年6月我院收治的150例(150眼)老年白内障患者，依据随机数字表法分为常规护理组(n=75，75眼)和综合护理组(n=75，75眼)。常规护理组接受常规护理，综合护理组接受综合护理干预，分析两组心理状态、术后并发症发生情况。结果 护理前，两组焦虑自评量表、抑郁自评量表评分比较，差异无统计学意义(P>0.05)，护理后，综合护理组焦虑自评量表、抑郁自评量表评分[(27.0±4.5)、(29.1±4.0)分]低于常规护理组[(39.0±4.0)、(38.7±3.6)分]，差异均有统计学意义(P<0.05)，综合护理组术后并发症总发生率低于常规护理组，差异有统计学意义(P<0.05)。结论 老年白内障术后综合护理干预能对患者心理状态进行有效缓解，可降低并发症发生率。
[关键词]护理干预;老年白内障患者;心理状态;术后并发症
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)6(a)-0224-03
[Abstract] Objective To explore the effects of comprehensive nursing intervention on psychological status and complications of elderly patients after cataract surgery. Methods A total of 150 cases of elderly cataract patients (150 eyes) from June 2018 to June 2019 were selected. They were divided into two groups：routine nursing group (n=75， 75 eyes) and comprehensive nursing group (n=75， 75 eyes) according to the random table method. Routine nursing group received routine nursing， comprehensive nursing group received comprehensive nursing intervention， the psychological status and complications of the two groups of patients were compared. Results The differences of self-rating depression scale scores， before nursing intervention between the two groups were not significant (P>0.05). The SAS and SDS score after nursing intervention of the comprehensive nursing group ([27.0±4.5]， [(29.1±4.0] scores) were lower than the routine nursing group ([39.0±4.0]， [38.7±3.6] scores)， the differences were statistically significant (P<0.05)， the total incidence of postoperative complications of comprehensive nursing group was lower than the routine nursing group， the difference was statistically significant (P<0.05). Conclusion Comprehensive nursing intervention is more effective than routine nursing intervention in improving the psychological status and reducing the incidence of complications of elderly patients after cataract surgery.
[Key words] Nursing intervention; Elderly cataract patients; Psychological state; Postoperative complications
老年性白內障是一种组织老化的现象，主要诱发因素为器官衰退，老年人是高发人群，会直接降低患者视力，严重情况还促进其他并发症的发生，在一定程度上影响老年患者的生命安全、心理健康等[1]。临床应该给予患者个体化手术治疗，另还应给予患者个体化护理干预。相关医学研究表明[2]，护理干预能在一定程度对其他并发症的发生有效预防，缓解患者的负面情绪。为了对老年白内障术后患者进行更好护理，有效减少患者术后并发症的发生，减轻患者病痛，改善患者心理状态，提升患者生活质量，本研究对我院老年白内障患者150例(150眼)的临床资料进行统计分析，探讨术后护理干预对老年白内障患者心理状态及并发症的影响，现报道如下。
1资料与方法
1.1一般资料
选取2018年6月～2019年6月我院收治的150例(150眼)老年白内障术后，按随机数字表法分为常规护理组(n=75，75眼)和综合护理组(n=75，75眼)。综合护理组中，男33例，女42例;年龄66～85岁，平均(76.1±10.5)岁;疾病类型：62例为单纯性老年白内障，13例合并糖尿病性白内障;合并高血压情况：9例合并，66例未合并。常规护理组中，男31例，女44例;年龄67～85岁，平均(76.8±10.4)岁;疾病类型：61例为单纯性老年白内障，14例合并糖尿病性白内障;合并高血压情况：合并10例，未合并65例。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者及家属均知情同意;本研究经医院医学伦理委员会审核批准。, http://www.100md.com(梁川裕 麦小谷 肖可)
[关键词]护理干预;老年白内障患者;心理状态;术后并发症
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)6(a)-0224-03
[Abstract] Objective To explore the effects of comprehensive nursing intervention on psychological status and complications of elderly patients after cataract surgery. Methods A total of 150 cases of elderly cataract patients (150 eyes) from June 2018 to June 2019 were selected. They were divided into two groups：routine nursing group (n=75， 75 eyes) and comprehensive nursing group (n=75， 75 eyes) according to the random table method. Routine nursing group received routine nursing， comprehensive nursing group received comprehensive nursing intervention， the psychological status and complications of the two groups of patients were compared. Results The differences of self-rating depression scale scores， before nursing intervention between the two groups were not significant (P>0.05). The SAS and SDS score after nursing intervention of the comprehensive nursing group ([27.0±4.5]， [(29.1±4.0] scores) were lower than the routine nursing group ([39.0±4.0]， [38.7±3.6] scores)， the differences were statistically significant (P<0.05)， the total incidence of postoperative complications of comprehensive nursing group was lower than the routine nursing group， the difference was statistically significant (P<0.05). Conclusion Comprehensive nursing intervention is more effective than routine nursing intervention in improving the psychological status and reducing the incidence of complications of elderly patients after cataract surgery.
[Key words] Nursing intervention; Elderly cataract patients; Psychological state; Postoperative complications
老年性白內障是一种组织老化的现象，主要诱发因素为器官衰退，老年人是高发人群，会直接降低患者视力，严重情况还促进其他并发症的发生，在一定程度上影响老年患者的生命安全、心理健康等[1]。临床应该给予患者个体化手术治疗，另还应给予患者个体化护理干预。相关医学研究表明[2]，护理干预能在一定程度对其他并发症的发生有效预防，缓解患者的负面情绪。为了对老年白内障术后患者进行更好护理，有效减少患者术后并发症的发生，减轻患者病痛，改善患者心理状态，提升患者生活质量，本研究对我院老年白内障患者150例(150眼)的临床资料进行统计分析，探讨术后护理干预对老年白内障患者心理状态及并发症的影响，现报道如下。
1资料与方法
1.1一般资料
选取2018年6月～2019年6月我院收治的150例(150眼)老年白内障术后，按随机数字表法分为常规护理组(n=75，75眼)和综合护理组(n=75，75眼)。综合护理组中，男33例，女42例;年龄66～85岁，平均(76.1±10.5)岁;疾病类型：62例为单纯性老年白内障，13例合并糖尿病性白内障;合并高血压情况：9例合并，66例未合并。常规护理组中，男31例，女44例;年龄67～85岁，平均(76.8±10.4)岁;疾病类型：61例为单纯性老年白内障，14例合并糖尿病性白内障;合并高血压情况：合并10例，未合并65例。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者及家属均知情同意;本研究经医院医学伦理委员会审核批准。, http://www.100md.com(梁川裕 麦小谷 肖可)