目的:研制一种用于视网膜脱离手术后进行俯卧位护理的辅助恢复装置,提高患者的舒适度及治疗依从性.方法:该辅助装置采用不锈钢材料制作,由基座体、滑轮、支撑杆体和放置框体4个部分组成.选取40例接受视网膜玻璃体切割手术后的患者,随机分为实验组和对照组.实验组患者使用辅助装置,对照组患者采用常规护理,在患者术后2周内观察俯卧时间、总体满意度及不良反应.结果:使用该装置可以使患者在术后第1～2周的俯卧持续时间延长,并明显提高患者的舒适度及满意度.实验组在俯卧时间、缓解肌肉酸痛、关节疼痛、呼吸不畅、烦躁及失眠情况方面优于对照组;患者满意度经卡方检验,实验组很满意的概率较对照组高,差异有统计学意义(P＜0.05).结论:该辅助装置结构简单、原理易懂、操作方便易学、安全舒适,为视网膜脱离术后患者的护理提供了一个很好的辅助效果,具有良好的推广应用价值.%Objective To develop an auxiliary recovering device for prone position nursing after the retina vitrectomy in order to improve comfort and treatment compliance.Methods The device was made of stainless steel,and consisted of a base,pulleys,supporting rods and a placing case.Totally 40 patients receiving retinal detachment operation were divided into an experimental group and a control group.The patients in the experimental group applied the auxiliary device and the ones in the control group underwent conventional nursing,and then a 2-week observation was executed on the prone time,overall satisfaction and adverse response after the operation.Results The device behaved well in prone time,patient comfort and satisfaction,and the experimental group gained advantages over the control group in prone time,relieving muscle pains,arthralgia,poor breath,anxiety and insomnia.Chi-square test proved the experimental group had the patient satisfaction significantly enhanced when compared with the control group (P＜0.05).Conclusion The device can be used for auxiliary nursing after retinal detachment operation with simple structure,easy operation and high comfort,and thus is worthy promoting practically.
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