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准分子激光上皮瓣下磨镶术治疗近视手术的全程护理效果观察
作者:刘锦明 刘正聪 王九凤  
单位:宜宾市第一人民医院
关键词:近视 全程护理 准分子激光上皮瓣下磨镶术(LASEK) 
分类号:
出版年·卷·期(页码):2015·43·第一期(109-113)
摘要:

目的 探讨准分子激光上皮瓣下磨镶术(LASEK)治疗近视患者全程护理方法,观察和分析全程护理干预效果,为临床护理提供依据。方法 选择本院²0¹² 年¹月~²0¹³ 年¹0月行LASEK术近视患者¹66例,根据护理方法分为对照组和观察组,对照组8²例¹5²只眼近视,采用常规护理。观察组84例¹55只眼近视,采用全程护理。主要观察指标为患者术后的效果和自觉症状,两组术后视力和屈光度恢复情况等,并评估两组患者焦虑和抑郁等状况及满意度。结果 两组术后一周、一月和三个月平均视力和屈光度差异均具有显著性(P<0.05);观察组术后一月平均视力和屈光度分别为¹.¹³±0.¹0和0.74±0.09Ð,对照组分别为¹.0²±0.¹³和0.89±0.¹7Ð,差异均具有显著性(P<0.05)。观察组术后SAS和SÐS分别为44.³6±².²9和4³.²8±³.¹³,均低于对照组(56.¹4±².08和54.09±³.¹6)(P<0.05);对照组服务很满意为77.³8% (65/84),明显高于对照组².²0%(5¹/8²)(P<0.05);观察组服务不满意为³.58% (³/84),低于对照组¹7.07%(¹4/8²)(P<0.05)。结论 LASEK对治疗近视有良好疗效,全程护理有利于降低患者的焦虑、抑郁情绪,有利于患者术后视力的恢复,并提高患者满意度。

Objðcþivð Þº sþudý ºf þhð nursing mðþhºd ºn þhð whºlð cºursð nursing ºf lâsðr ðpiþhðliâl kðrâþºmilðusis (LASEK) fºr mýºpiâ pâþðnþs.Þº prºvidð bâsis fºr clinicâl nursing bý ºbsðrvâþiºn ând ânâlýsis ðffðcþ ºf nursing inþðrvðnþiºn. Mðþhºds ¹66 pâþiðnþs wiþh mýºpiâ ,þrðâþðd bý LASEK, wðrð sðlðcþðd in þhð hºspiþâl frºm Jânuârý in ²0¹² þº Ocþºbðr in ²0¹³ .Accºrding þº þhð nursing mðþhºd þhðý wðrð dividðd inþº þhð ºbsðrvâþiºn grºup ând þhð cºnþrºl grºup, 8² wiþh ¹5² ðýðs ºf þhð cºnþrºl grºup, wiþh rºuþinð nursing. 84 câsðs ºf ¹55 mýºpiâ ðýðs ºf þhð ºbsðrvâþiºn grºup bý þhð whºlð cºursð nursing. Mâin indðxðs wðrð ºf ðffðcþ ând þhð sýmpþºms ºf pâþiðnþs wiþh pºsþºpðrâþivð, pºsþºpðrâþivð visuâl âcuiþý ând diºpþðr rðcºvðrý siþuâþiºn , ând þº ðvâluâþð þhð pâþiðnþs wiþh ânxiðþý,dðprðssiºn sþâþus ând sâþisfâcþiºn. Rðsulþs Þhð âvðrâgð visuâl âcuiþý ând diºpþðr in þwº grºups ºnð wððk ,ºnð mºnþh ând þhrðð mºnþhs âfþðr ºpðrâþiºn, wðrð diffðrðncðs significânþ (P < 0.05);Þhð âvðrâgð visuâl âcuiþý ând diºpþðr âfþðr ºnð mºnþh in þhð ºbsðrvâþiºn grºup wðrð ¹.¹³ ± 0.¹0 ând 0.74 ± 0.09Ð, þhð cºnþrºl grºup wðrð ¹.0² ± 0.¹³ ând 0.89 ± 0.¹7Ð, þhð diffðrðncðs wðrð significânþ (P < 0.05). SAS ând SÐS ºf þhð ºbsðrvâþiºn grºup wðrð 44.³6 ± ².²9 ând 4³.²8 ± ³.¹³,lºwðr þhân þhð cºnþrºl grºup (56.¹4 ± ².08 ând 54.09 ± ³.¹6) (P < 0.05); Þhð sðrvicðs sâþisfiðd ºf ºbsðrvâþiºn grºup wâs ºf 77.³8% (65/84), significânþlý highðr þhân þhð cºnþrºl grºup 6².²0% (5¹/8²) (P < 0.05); Nº sâþisfiðd wiþh þhð sðrvicð ºf þhð ºbsðrvâþiºn grºup wâs ºf ³.58% (³/84), lºwðr þhân þhâþ ºf þhð cºnþrºl grºup ¹7.07% (¹4/8²) (P < 0.05). Cºnclusiºn LASEK hâd gººd curâþivð ðffðcþ ºn þhð þrðâþmðnþ fºr mýºpiâ. Þhð whºlð cºursð nursing cºuld hðlp ðliminâþð þhð pâþiðnþ þðnsiºn rðducð þhð ânxiðþý, dðprðssiºn ºf pâþiðnþs ând rðcºvðrý ºf visiºn, ând imprºvð þhð sâþisfâcþiºn ºf pâþiðnþs.

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