眼球按摩护理对青光眼患者术后眼压及疼痛的影响

摘要

Objective To explore the effect of eyeball massage nursing care on intraocular pressure and pain after glaucoma surgery.Methods 114 glaucoma patients undergoing surgical treatment at our hospital from June,2014 to December,2015 were collected and randomly divided into a control group and an observation group,57 cases for each group.The control group was routinely cared;in addition,the observation group was given eye massage nursing care.After nursing care,the control of postoperative intraocular pressure and pain were compared these two groups.Results 3 and 6 months after surgery,the intraocular pressures were (14.63±2.31) mmHg (1mmHg=0.133 kPa) and (14.87±2.05) mmHg in the observation group and were (16.69±2.12) mmHg and (18.74±3.24) mmHg in the control group,with statistical differences (P ＜ 0.05).3 d after operation and before discharge,the pain scores were (4.23±1.32) and (3.79±0.82) in the observation group and were (5.14±1.29)and (4.67±1.32) in the control group,with statistical differences (P ＜ 0.05).Conclusion Eyeball massage nursing care for patients with glaucoma can effectively control intraocular pressure and ease the pain caused by surgery.%目的 探究眼球按摩护理对青光眼患者术后眼压及疼痛的影响.方法 将2014年6月至2015年12月本院收治的114例拟行手术治疗的青光眼患者纳入研究,根据随机数表法分为两组,每组各57例.对照组予以常规护理,观察组予以常规护理+眼球按摩护理.护理后,两组的术后眼压控制情况及疼痛感比较.结果 术后3、6个月,观察组的眼压水平分别为(14.63±2.31) mmHg(1 mmHg=0.133kPa)、(14.87±2.05) mmHg;对照组为(16.69±2.12) mmHg、(18.74±3.24) mmHg,观察组的眼压水平优于对照组,差异有统计学意义(P＜0.05);术后第3天及出院前,观察组患者的疼痛评分为(4.23±1.32)分、(3.79±0.82)分;对照组为(5.14±1.29)分、(4.67±1.32)分,观察组的疼痛评分低于对照组,差异有统计学意义(P＜0.05).结论 对青光眼患者术后行眼球按摩护理可以有效控制患者眼压水平,缓解手术带来的疼痛感.