静默疗法在老年白内障手术患者中的应用
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摘要
目的探究静默疗法在老年白内障手术患者中的应用效果。方法 2016年4月—2017年4月医院收治的老年白内障手术患者46例为对照组,2017年5月—2018年5月收治的老年白内障手术患者46例为观察组。对照组采用常规干预,观察组在对照组基础上增加静默疗法干预。采用视觉模拟评分法(VAS)评估2组焦虑情况,对比生理指标变化和手术时间和手术配合度。结果进入手术室后5 min,2组焦虑状况均加重,但观察组VAS评分较对照组低,差异有统计学意义(P<0.05)。进入手术后5 min,2组收缩压及心率波动幅度增大,但差异无统计学意义(P>0.05)。对照组手术时间为(30.64±5.74) min,观察组手术时间为(29.04±5.62) min,2组比较差异无统计学意义(P>0.05)。观察组患者手术配合度高于对照组(P<0.05)。结论静默疗法能够改善老年白内障手术患者术前焦虑症状,提高手术配合度。
Objective To investigate the effect of meditation therapy in elderly patients undergoing cataract. Methods According to the sequence of hospital admission, 46 elderly patients with cataract were given conventional nursing during the perioperative period of cataract, another 46 elderly patients were given extra meditation therapy during the perioperative period of cataract. The anxiety status of patients was evaluated by Visual Analogue Scale(VAS). The changes of vital signs(systolic pressure, heart rate), length of operation and degree of operation coordination were compared between two groups. Results The VAS score of patients was increased at 5 minutes after entering the operating room, and with a less increase in the observation group than that in the control group(P<0.05). There was no significant difference in changes of vital signs(systolic pressure, heart rate) between two groups after entering the operating room(P>0.05). The length of operation was(29.04±5.62)min in the observation group and(30.64±5.74) min in the control group, with a significant difference(P>0.05). Patients in the observation group had a higher degree of operation coordination compared with those in the control group(P<0.05). Conclusion The meditation therapy is effective to relieve the preoperative anxiety status and improve the operation coordination of elderly patients undergoing cataract.
Objective To investigate the effect of meditation therapy in elderly patients undergoing cataract. Methods According to the sequence of hospital admission, 46 elderly patients with cataract were given conventional nursing during the perioperative period of cataract, another 46 elderly patients were given extra meditation therapy during the perioperative period of cataract. The anxiety status of patients was evaluated by Visual Analogue Scale(VAS). The changes of vital signs(systolic pressure, heart rate), length of operation and degree of operation coordination were compared between two groups. Results The VAS score of patients was increased at 5 minutes after entering the operating room, and with a less increase in the observation group than that in the control group(P<0.05). There was no significant difference in changes of vital signs(systolic pressure, heart rate) between two groups after entering the operating room(P>0.05). The length of operation was(29.04±5.62)min in the observation group and(30.64±5.74) min in the control group, with a significant difference(P>0.05). Patients in the observation group had a higher degree of operation coordination compared with those in the control group(P<0.05). Conclusion The meditation therapy is effective to relieve the preoperative anxiety status and improve the operation coordination of elderly patients undergoing cataract.
引文
[1] 曹殿霞.小切口非超声乳化白内障手术与超声乳化白内障手术治疗硬核白内障的效果研究[J].中国医药导刊,2017,19(4):327-328.
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[13] 鲁为凤,彭洁,曹勍,等.白内障术后患者发生感染性眼内炎的相关因素分析及围术期护理的预防效果研究[J].中华医院感染学杂志,2017,27(23):5437-5440.
[14] LEE H,ROBERTS C J,KIM T I,et al.Changes in biomechanically corrected intraocular pressure and dynamic corneal response parameters before and after transepithelial photorefractive keratectomy and femtosecond laser-assisted laser in situ keratomileusis[J].J Cataract Refract Surg,2017,43(12):1495-1503.
[15] 刘君,胡晋平,刘征,等.Colaizzi的七步分析法在老年性白内障患者手术主观感受分析中的应用[J].中国实用护理杂志,2017,33(28):2186-2189.
[2] 陈佳惠,景清荷,宋超,等.两种不同超声乳化方法在援外假性剥脱综合征性白内障手术中的比较研究[J].中国眼耳鼻喉科杂志,2017,17(4):249-251.
[3] DURAN J A,GUTIERREZ E,ATIENZA R,et al.Vector analysis of astigmatic changes and optical quality outcomes after wavefront-guided laser in situ keratomileusis using a high-resolution aberrometer[J].J Cataract Refract Surg,2017,43(12):1515-1522.
[4] 徐晴,刘华,温凯,等.固视训练为主的护理干预对Pentacam眼前节分析系统检查时间的影响[J].中国实用护理杂志,2018,34(6):442-444.
[5] 陈红,干锦华.继续动机性访谈对白内障患者出院后复诊依从性的影响[J].中华现代护理杂志,2018,24(18):2186-2188.
[6] 赵维敏.护理风险管理在2型糖尿病合并白内障患者围手术期中的应用[J].护理实践与研究,2018,15(15):68-70.
[7] ARBELAEZ M C,ALPINS N,VERMA S,et al.Clinical outcomes of laser in situ keratomileusis with an aberration-neutral profile centered on the corneal vertex comparing vector planning with manifest refraction planning for the treatment of myopic astigmatism[J].J Cataract Refract Surg,2017,43(12):1504-1514.
[8] 黎敏莹,于建新,张颖嫦,等.临床护理路径在基层医院白内障患者中的应用[J].齐鲁护理杂志,2018,24(13):89-91.
[9] 张萌.内外环境兼顾型安全护理在高龄白内障手术患者中的应用[J].国际护理学杂志,2018,37(14):1943-1946.
[10] LUNDSTROM M,DICKMAN M,HENRY Y,et al.Femtosecond laser-assisted cataract surgeries reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery:Baseline characteristics,surgical procedure,and outcomes[J].J Cataract Refract Surg,2017,43(12):1549-1556.
[11] 李祥梅,石美琴,黄颖.白内障超声乳化术后高眼压影响因素及护理研究进展[J].护士进修杂志,2018,33(9):27-30.
[12] 王珍珍,王绪保,丁亚莉,等.SERVQUAL在白内障手术护理质量中的应用[J].中华现代护理杂志,2017,23(2):230-233.
[13] 鲁为凤,彭洁,曹勍,等.白内障术后患者发生感染性眼内炎的相关因素分析及围术期护理的预防效果研究[J].中华医院感染学杂志,2017,27(23):5437-5440.
[14] LEE H,ROBERTS C J,KIM T I,et al.Changes in biomechanically corrected intraocular pressure and dynamic corneal response parameters before and after transepithelial photorefractive keratectomy and femtosecond laser-assisted laser in situ keratomileusis[J].J Cataract Refract Surg,2017,43(12):1495-1503.
[15] 刘君,胡晋平,刘征,等.Colaizzi的七步分析法在老年性白内障患者手术主观感受分析中的应用[J].中国实用护理杂志,2017,33(28):2186-2189.