首页> 中文期刊>中外医疗 >护理干预在原发性急性闭角型青光眼患者术前术后护理中的应用

护理干预在原发性急性闭角型青光眼患者术前术后护理中的应用

     

摘要

Objective To discuss the application of nursing intervention to the patients with acute angel-closure glaucoma before and after surgery. Methods 86 patients with acute angel-closure glaucoma were divided into the control group and the intervention group. The intervention group was given the nursing intervention, while the control group was given the conventional nursing. And the status of treatment and psychology was compared between the two groups. Results The intervention group was more smoothly. Before and after intervention, the anxiety score of the intervention group was (55.1±6.7) points, (44.7±5.7) points, respectively, and that of the control group was (54.4±5.9) points, (50.8±5.5) points, respectively;the intraocular pressure of the intervention group was (42.3±7.1) mmHG on admission, (39.1±5.4) mmHG the day before surgery, (25.4±4.7) mmHG 3 days after the surgery, (20.3±3.9) mmHG at discharge, and that of the control group was (43.1±6.5) mmHG, (42.9±5.2) mmHG, (28.1±5.1) mmHG, (22.6±4.5) mmHG, respectively, the differences between the two groups were statistically significant, P<0.05. Conclusion For patients with glaucoma, preoperative and postoperative psychological nursing intervention during hospitalization can effectively improve the mental health and reduce the intraocular pressure of the patients, and by which the surgery for saving the sight can be conducted as early as possible.%目的:护理干预在急性闭角型青光眼患者中的应用。方法对2012年5月—2013年5月收治的86例急性闭角型青光眼患者分对照组和干预组,干预组采用护理干预,对照组采用常规护理,比较两组治疗情况和心理状态。结果干预组较为顺利,焦虑心理评分干预前(55.1±6.7),干预后(44.7±5.7),对照组干预前焦虑评分(54.4±5.9),干预后(50.8±5.5),干预组入院时眼压(42.3±7.1) mmHG,术前日晚眼压(39.1±5.4) mmHG,术后3 d眼压(25.4±4.7) mmHG,出院时眼压(20.3±3.9) mmHG,对照组入院时眼压(43.1±6.5) mmHG,术前日晚眼压(42.9±5.2) mmHG,术后3 d眼压(28.1±5.1) mmHG,出院时眼压(22.6±4.5) mmHG,差异有统计学意义(P<0.05)。结论通过住院期间术前术后的心理护理干预,青光眼患者的心理健康状况得到很大改善,降低了眼压,为手术保存视力争取了时间。

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