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目的:探讨肌肉放松疗法对视网膜脱离术后患者的影响。方法:选择2013年5月~2014年10月60例行视网膜脱离手术的患者随机等分为对照组和观察组,对照组采用常规护理,并选用俯卧位、低头坐位等交替使用的体位护理;观察组在对照组护理措施基础上进行肌肉放松疗法的护理,并在训练前及训练后1周、1个月、3个月对患者焦虑度进行问卷回访和眼压测定。结果:两组患者训练前和训练后1周焦虑评分和眼压比较均无统计学差异(P>0.05),均表现为明显焦虑,眼压高于正常值;1个月和3个月后焦虑评分和眼压均有下降,但对照组下降缓慢,观察组下降明显,两组比较均有统计学差异(P<0.05)。结论:肌肉放松疗法配合体位护理可改善视网膜脱离围术期患者舒适度和情绪,降低了患者的焦虑度和眼压,对患者的术后康复有积极作用。
Objective: To investigate the effect of muscle relaxation therapy on postoperative patients with retinal detachment. Methods: From May 2013 to October 2014, 60 patients undergoing retinal detachment surgery were randomly divided into control group and observation group. The control group was treated with routine nursing care and body position nursing such as prone position and bowed position were used alternately. The observation group was treated with muscle relaxation therapy on the basis of the nursing measures of the control group, and the anxiety degree of patients were interviewed and measured intraocular pressure before training, 1 week, 1 month and 3 months after training. Results: There was no significant difference in anxiety score and intraocular pressure before training and one week after training between the two groups (P> 0.05), all showed obvious anxiety and intraocular pressure higher than normal values. After 1 month and 3 months Anxiety score and intraocular pressure were decreased, but the control group decreased slowly, the observation group decreased significantly, the two groups were statistically significant (P <0.05). Conclusion: Muscle relaxation therapy combined with body care can improve the comfort and emotion of perioperative patients with retinal detachment, reduce the anxiety and intraocular pressure of the patients and have a positive effect on postoperative rehabilitation.