论文部分内容阅读
目的探讨综合护理干预对青光眼患者术后康复的影响。方法选取2012年3月-2014年4月住院治疗的青光眼患者116例,随机分为常规护理组和综合护理组各58例。2组患者均接受激光虹膜周边切开术治疗,常规护理组采取常规护理措施,综合护理组在常规护理措施基础上采取综合护理措施。比较2组患者视力水平、眼压、患眼视网膜中央动脉血流变化、对青光眼认知情况及生活质量。结果干预后,综合护理组眼压低于常规护理组,舒张期血流速峰值和收缩期血流速峰值均高于常规护理组,阻力指数低于常规护理组,青光眼知识、药物依从性、生活方式和习惯及总体认知评分均高于常规护理组,症状和视功能、身体机能、社会活动、精神心理评分和总分均高于常规护理组。结论综合护理措施有助于提高患者对青光眼的认知水平、改善眼部血流状态、降低眼压,从而有效提高患者的生活质量。
Objective To investigate the effect of comprehensive nursing intervention on postoperative recovery of glaucoma patients. Methods A total of 116 patients with glaucoma admitted to hospital from March 2012 to April 2014 were randomly divided into routine care group and comprehensive care group of 58 cases. The patients in both groups underwent laser iridectomy. The routine nursing group took the routine nursing measures, and the comprehensive nursing group took the comprehensive nursing measures based on the routine nursing measures. Visual acuity, intraocular pressure, changes of central retinal artery blood flow, cognitive status and quality of life of glaucoma were compared between the two groups. Results After intervention, the IOP of the comprehensive care group was lower than that of the routine care group. The peak values of diastolic and peak systolic velocities were higher in the general care group than those in the normal nursing group. The resistance index was lower than that in the routine care group, glaucoma knowledge, drug compliance, Methods and habits as well as overall cognitive score were higher than those in the general nursing group. Symptoms and visual function, physical function, social activity, psychic scores and total scores were higher than those in the general nursing group. Conclusion The comprehensive nursing measures can help to improve the level of cognition of patients with glaucoma, improve the state of ocular blood flow and reduce intraocular pressure, so as to effectively improve the quality of life of patients.