玻璃体切除联合眼内填充物术后应用不同卧位床的护理效果对比

摘要

目的 探讨玻璃体切除联合眼内填充物术后应用不同卧位床的护理效果.方法 选取2014年10月至2016年10月本院收治的复杂性视网膜脱离患者82例,按数字随机表分为两组,每组41例.所有患者均采用玻璃体切除联合眼内填充物术治疗,且术后均给予俯卧位面向下体位护理,对照组卧于普通病床上,观察组卧于多功能床上.观察并记录两组术后负性情绪、术后俯卧时间、术后舒适度及并发症发生率情况,进行比较分析.结果 观察组术后SAS、SDS评分分别为(46.25±2.56)分、(48.37±3.03)分,均低于对照组,差异有统计学意义(P＜0.05);观察组手术当天、术后第ld、第2d、第3d、第7d的俯卧时间分别为(3.97±0.51)h、(16.88±2.36)h、(17.87±2.25)h、(17.41±2.05)h及(17.95±2.43)h,均长于对照组,差异有统计学意义(P＜0.05);观察组术后舒适度优于对照组,差异有统计学意义(P＜0.05);观察组术后角膜水肿、眼压升高及并发白内障的并发症发生率分别为0.00％、4.88％和2.44％,均低于对照组,差异有统计学意义(P＜0.05).结论 玻璃体切除联合眼内填充物术治疗复杂性视网膜脱离患者术后给予多功能床俯卧位面向下体位护理效果显著,可显著缓解患者负性情绪,延长俯卧位时间,提高患者术后舒适度,降低并发症发生率,值得推广.%Objective To investigate the nursing effect on different clinostatism beds for vitrectomy combined with intraocular filling.Methods 82 patients with complex retinal detachment were enrolled in our hospital from October 2014 to October 2016,and divided into two groups according to the random number table,41 cases in each group.All patients were treated with vitrectomy combined with intraocular fillvng,and postoperative were placed in the prone position.The control group was lying on the ordinary bed,while the observation group was lying on the multifunctional bed.The incidence of postoperative depression,postoperative comfort level and complications were observed and recorded.The results were compared and analyzed.Results The postoperative SAS,SDS scores in the observation group were (46.25+2.56) and (48.37+3.03),were lower than those in the control group,with statistically significant differences (P＜0.05).The time in the prone position in the observation group on the day of surgery,postoperative 1 d,2 d,3 d,7 d were respectively (3.97±0.51)h,(16.88±2.36)h,(17.87±2.25)h,(17.41±2.05)h,and (17.95±2.43)h,were longer than those in the control group,with statistically significant differences (P＜0.05).The postoperative comfort level in the observation group was better than that in the control group,with statistically significant difference (P＜0.05).The incidences of postoperative corneal edema,elevated intraocular pressure,cataract in the observation group were 0.00％,4.88％,and 2.44％,were lower than those in the control group,with statistically significant differences (P＜O.05).Conclusions Nursing care of prone position lying on the multifunctional bed is significantly effective for patients with complex retinal detachment treated by vitrectomy combined with intraocular filling,which can significantly relieve the negative emotions,prolong the prone position time,improve the postoperative comfort level,reduce the incidence of complications,worthy of promotion.