优质护理在老年性白内障护理中的应用(1)
[摘要]目的 探讨优质护理在老年性白内障护理中的应用。方法 选取2017年2月～2019年2月我院收治的255例老年性白内障患者，按随机摸球法将其分为对照组(n=127)和观察组(n=128)。对照组采用常规护理，观察组实施优质护理，比较两组的疾病健康知识掌握情况、焦虑情况、视力、住院时间及不良事件总发生率。结果 观察组的疾病健康知识掌握合格率为96.1%，高于对照组的78.7%，差异有统计学意义(P<0.05);观察组的Zung焦虑自评量表(SAS)评分低于对照组，术后视力高于对照组，住院时间短于对照组，差异均有统计学意义(P<0.05);观察组的不良事件总发生率为3.1%，低于对照组的16.5%，差异有统计学意义(P<0.05)。结论 优质护理在老年性白内障护理中的应用效果显著，可在临床推广。
[关键词]优质护理;老年;白内障;不良事件;心理状态
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0213-03
[Abstract] Objective To explore the application of high quality nursing in the nursing of elderly cataract. Methods From February 2017 to February 2019， 255 patients with senile cataract were selected and divided into control group (n=127) and observation group (n=128) by touch the ball randomly. The control group was given routine nursing， and the observation group was given high quality nursing. The disease health knowledge， anxiety， vision， hospitalization time and total incidence of adverse events were compared between the two groups. Results The qualified rate of disease health knowledge in the observation group was 96.1%， which was higher than that in the control group (78.7%)， the Zung self-rating anxiety scale (SAS) score in the observation group was lower than that in the control group， the postoperative visual acuity was higher than that in the control group， and the hospitalization time was shorter than that in the control group， the differences were statistically significant (P<0.05). The total incidence of adverse events in the observation group was 3.1%， lower than that in the control group (16.5%)， the difference was statistically significant (P<0.05). Conclusion The application effect of high quality nursing in elderly cataract nursing is remarkable and can be popularized.
[Key words] High quality nursing; Old age; Cataract; Adverse events; Psychological state
白內障是一种多发于老年群体的眼科疾病，主要由老化、局部营养障碍、免疫及代谢异常等因素引发晶状体代谢紊乱，造成晶状体蛋白质发生变性、浑浊所致[1-2]。手术是治疗白内障的常用手段，使视力及晶状体浑浊程度得到有效改善，但因老年患者身体各项功能逐步退化，对手术创伤耐受性低，再加围术期多数伴有“焦虑、紧张”等不良情绪，术后无法正常视物，增加不良事件发生风险[3-4]。为改善患者预后，围术期辅助科学有效的护理尤为必要，优质护理是近年来新兴的一种方法，强调以患者为中心，从护理工作各个环节规避风险，改善患者的身心不适，而提升疾病临床治疗效果。本研究以我院收治的255例老年性白内障患者，采用对比分析法对优质护理的应用进行探讨，旨在为临床护理提供参考，现报道如下。
1资料与方法
1.1一般资料
选取2017年2月～2019年2月我院收治的255例老年性白内障患者作为研究对象，采用随机摸球法将其分为对照组(n=127)和观察组(n=128)。对照组中，男65例，女62例;平均年龄(70.5±2.4)岁;疾病类型：并发症白内障42例，单纯性白内障85例。观察组中，男67例，女61例;平均年龄(70.9±2.7)岁;疾病类型：并发症白内障44例，单纯性白内障84例。两组的性别、年龄、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会批准，参与研究者知情同意。纳入标准：①符合解读眼科临床指南(PPP)规范诊治理念关于白内障的诊断标准[5];②年龄>60岁，疾病处于成熟期;③临床资料完整者。排除标准：①合并严重肝肾功能不全、恶性肿瘤病变、免疫功能障碍者;②无法正常语言沟通者;③护理依从性差者。, 百拇医药(康红 杨嫣 周红)
[关键词]优质护理;老年;白内障;不良事件;心理状态
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0213-03
[Abstract] Objective To explore the application of high quality nursing in the nursing of elderly cataract. Methods From February 2017 to February 2019， 255 patients with senile cataract were selected and divided into control group (n=127) and observation group (n=128) by touch the ball randomly. The control group was given routine nursing， and the observation group was given high quality nursing. The disease health knowledge， anxiety， vision， hospitalization time and total incidence of adverse events were compared between the two groups. Results The qualified rate of disease health knowledge in the observation group was 96.1%， which was higher than that in the control group (78.7%)， the Zung self-rating anxiety scale (SAS) score in the observation group was lower than that in the control group， the postoperative visual acuity was higher than that in the control group， and the hospitalization time was shorter than that in the control group， the differences were statistically significant (P<0.05). The total incidence of adverse events in the observation group was 3.1%， lower than that in the control group (16.5%)， the difference was statistically significant (P<0.05). Conclusion The application effect of high quality nursing in elderly cataract nursing is remarkable and can be popularized.
[Key words] High quality nursing; Old age; Cataract; Adverse events; Psychological state
白內障是一种多发于老年群体的眼科疾病，主要由老化、局部营养障碍、免疫及代谢异常等因素引发晶状体代谢紊乱，造成晶状体蛋白质发生变性、浑浊所致[1-2]。手术是治疗白内障的常用手段，使视力及晶状体浑浊程度得到有效改善，但因老年患者身体各项功能逐步退化，对手术创伤耐受性低，再加围术期多数伴有“焦虑、紧张”等不良情绪，术后无法正常视物，增加不良事件发生风险[3-4]。为改善患者预后，围术期辅助科学有效的护理尤为必要，优质护理是近年来新兴的一种方法，强调以患者为中心，从护理工作各个环节规避风险，改善患者的身心不适，而提升疾病临床治疗效果。本研究以我院收治的255例老年性白内障患者，采用对比分析法对优质护理的应用进行探讨，旨在为临床护理提供参考，现报道如下。
1资料与方法
1.1一般资料
选取2017年2月～2019年2月我院收治的255例老年性白内障患者作为研究对象，采用随机摸球法将其分为对照组(n=127)和观察组(n=128)。对照组中，男65例，女62例;平均年龄(70.5±2.4)岁;疾病类型：并发症白内障42例，单纯性白内障85例。观察组中，男67例，女61例;平均年龄(70.9±2.7)岁;疾病类型：并发症白内障44例，单纯性白内障84例。两组的性别、年龄、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会批准，参与研究者知情同意。纳入标准：①符合解读眼科临床指南(PPP)规范诊治理念关于白内障的诊断标准[5];②年龄>60岁，疾病处于成熟期;③临床资料完整者。排除标准：①合并严重肝肾功能不全、恶性肿瘤病变、免疫功能障碍者;②无法正常语言沟通者;③护理依从性差者。, 百拇医药(康红 杨嫣 周红)