陶　晗　张　宁　陈奇妙

【摘要】 目的 通过与3~10岁幼儿建立一对一护患交友活动，提高患儿斜视矫正术的合作程度。方法 实行专一护士全程伴随患儿术前术后检查与护理，多与患儿接触交流，融入患儿的生活中，建立有亲切感、依赖感、安全感的护患关系。结果 3~10岁15名患儿行全麻下斜视矫正手术，有3名学龄前患儿进入手术室时有哭闹等不良情绪，其余患儿合作良好。结论 建立一对一护患交友活动，可以让患儿有亲切感、安全感，提高患儿手术的合作程度。

【关键词】一对一护患交友活动；斜视；斜视矫正手术

The nursing before and after strabismus-rectify-operation from 3 to 10 years old children

TAO Han，ZHANG Ning,CHEN Qi-miao.Department of Ophthalmonogy,Health hospital for women and children in Yulin city,Guangxi Zhuang nationality Autonomous Region,Guangxi 537000,China

【Abstract】 Objective Through the activity that from the 3~10 years old children solved trouble and made friends each other,enhances the cooperation degree of the childrens strabismus-rectify-operation.Methods Carry on specially-nurse inspection and nursing before and after strabismus-rectify-operation in the process,contacted and communieated with trouble children often,melts into in the troublechildrens life,establishment the kind,dependence and safe solve trouble-relations.Results 15 troubles children who were 3~10 years old operate strabismus-rectify-operation under anesthesia,3 before school age troubles children had the bad mood with cry and noisy when entered the operating room,others were well.Conclusion Establishes solve trouble and make friends each other can make the children feel kind and safe,enhances the cooperation degree of the childrens squint-rectify-operation.

【Key words】Solve trouble and make friends each other;Strabismus;Strabismus-rectify-operation

人类视觉发育在生后2年为关键期，视觉发育的敏感期可持续到9~12岁^[1]。深入社区幼儿园进行视力检查弱视筛查是发现儿童弱视斜视最简易的方法^[2]。3~10岁少儿时期是视觉发育的敏感期，少儿斜视是引起弱视的原因之一，治疗少儿斜视是治疗弱视，再建双眼立体视功能的重要方法，少儿斜视，常用的治疗方法是斜视矫正手术，2003-2007年8月，3~10岁患儿在本院儿童眼科行斜视矫正手术15例，实行专一护士全程伴随患儿术前术后检查与护理，多与患儿接触交流，融入患儿的生活中，建立有亲切感依赖感安全感的护患关系，有3例患儿进入手术室时哭闹，均为学龄前儿童。今将斜视矫正手术术前术后护理总结如下。

1 临床资料

2003-2007年8月3~10岁患儿在本院儿童眼科行斜视矫正手术15例，其中男7例，女8例；行共同内斜视矫正术9例(男3例，女6例)，行共同外斜视矫正术5例(男3例，女2例)，行上肌矫正术1例(男)；……