综合护理对玻璃体切除术患者心理状态及视力恢复的影响

Fengjuan Zhang, Yan-hui Wang, Li Liu, Shuangshi Wu, Ke-Zhou Ni, Yangyang Yu, Yanyi Lyu, Xiao-Yang Zhang, Junyun Liu, Ying Cui
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摘要

目的:探讨综合护理对玻璃体切除术患者心理状态及视力恢复的影响。背景:玻璃体切除术是临床上广泛应用于多种眼病的常规手术。但由于玻璃体的解剖位置和手术风险,患者容易产生心理障碍,影响治疗效果。设计:选取2015年2月至2017年2月在我院行玻璃体切除术的患者84例,随机分为对照组(n=42)和实验组(n=42)。对照组在术中及术后给予常规护理,实验组在常规护理的基础上给予综合护理。方法:通过比较两组患者的心理状态和视力恢复程度,评价综合护理的效果。结果:实验组焦虑自评量表(SAS)和抑郁自评量表(SDS)均显著低于对照组(p<0.01)。实验组视力恢复率(92.86%)显著高于对照组(76.19%)(p<0.05)。实验组术后并发症发生率显著低于对照组(p<0.05),平均住院时间显著短于对照组(p<0.01)。结论:玻璃体切除术患者综合护理效果显著。综合护理能有效改善患者心理状态,促进视力恢复。与临床实践的相关性:手术患者的综合护理可改善患者的康复,并对疾病结局产生影响。这可能适用于大多数临床实践。
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Effects of Comprehensive Care to the Psychological Status and the Eyesight Recovery of the Patients with Vitrectomy
Aims and Objectives: To determine the effects of the comprehensive care to the psychological status and the eyesight recovery of the patients with vitrectomy. Background: Vitrectomy is a routine clinical practice which was widely used to treat multiple eye diseases. However, due to the anatomic location of the vitreous body and the operational risk, patients tend to develop psychological disorders, which would negatively affect the therapeutic effects. Design: 84 cases of the patients who had the vitrectomy operation in our hospital during the period of February 2015 to February 2017 were randomly divided into control group (n=42) and experimental group (n=42). The control group accepted the routine care during and after the operation, and the experimental group accepted the comprehensive care in addition to routine care. Methods: The effects of comprehensive care were evaluated by comparing the psychological status of the patients and the extent of the eyesight recovery between the two groups. Results: Both the self-rating anxiety scale (SAS) and the self-rating depressive scale (SDS) of the experimental group are significantly (p<0.01) lower than the control group. The eyesight recovery efficiency in experimental group (92.86%) is significantly higher (p<0.05) than control group (76.19%). The incidence of postoperative complications in experimental group is significantly lower (p<0.05) than control group, and the average length of stay in hospitals in experimental group is significantly shorter (p<0.01) than control group. Conclusions: There were significant beneficial effects of the comprehensive care in patients with vitrectomy. Comprehensive care could effectively improve the psychological statues of the patients and enhance their eyesight recovery. Relevance to clinical practice: Comprehensive care in patients underwent surgery improve patient’s recovery and make a difference in disease outcomes. This could potentially be applicable to most of the clinical practices.
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