王琳　张迎迎　李海欣

[摘要] 目的 探讨干性玻璃体切割术治疗先天性白内障的围术期护理干预价值。 方法 选择2012年8月～2016年1月在陕西省咸阳市第一人民医院接受干性玻璃体切割术治疗的先天性白内障患儿56例，根据随机数字表法分为观察组和对照组，各28例。对照组患儿接受临床眼科常规护理，观察组患儿接受干性玻璃体切割术围术期护理术后随访6个月。出院前1 d，评估两组患儿家属的护理满意度；术后6个月复查患儿视力情况，记录并发症发生情况。 结果 观察组护理满意度问卷总分及护理态度、操作专业性、沟通有效性、解决问题的效率、职业操守评分均高于对照组，差异有统计学意义（均P < 0.05）；两组患儿的视力情况差异有统计学意义（P < 0.05）；观察组患儿的并发症发生率低于对照组（P < 0.05）。 结论 围术期护理可以提高先天性白内障患儿家属的满意度，提升干性玻璃体切割术的治疗效果及安全性。

[关键词] 先天性白内障；干性玻璃体切割术；围术期护理；护理满意度

[中图分类号] R779.7 R473.77 [文献标识码] A [文章编号] 1673-7210（2016）11（c）-0186-04

Application of perioperative nursing of dry vitrectomy in congenital cataract

WANG Lin ZHANG Yingying LI Haixin

the Second Department of Ophthalmology， the First People′s Hospital of Xianyang， Shaanxi Province， Xianyang 712000， China

[Abstract] Objective To study the application of perioperative nursing of dry vitrectomy in congenital cataract. Methods A total of 56 children with congenital cataract underwent dry vitrectomy in the First People′s Hospital of Xianyang from August 2012 to January 2016 were divided into the observation group and the control group according to random number table， each group consisted of 28 cases. The cases in control group were treated by routine clinical care， whle patients in observation group were treated by perioperative nursing of dry vitrectomy， the cases in both groups were followed up for 6 months. One day before discharge， the nursing satisfaction of family members of the children in two groups was evaluated； 6 months after surgery the information acuity of vision and complications were recorded. Results The total scores of nursing satisfaction， the scores of nursing attitude， professional operation， effective communication， problem solving efficiency and occupation ethics in observation group were higher than those in control group， the differences were statistically significant （P < 0.05）； the information acuity of vision had a statistically significant difference between the two groups（P < 0.05）； the occurrence rate of complication in observation group was lower than that in control group （P < 0.05）. Conclusion Perioperative nursing care can improve the satisfaction of family members of children with congenital cataract， and improve the therapeutic efficacy and safety of dry vitrectomy.

[Key words] Congenital cataract； Dry vitrectomy； Perioperative nursing； Nursing satisfaction

目前，我国先天性白内障的发病率为0.05%，是导致婴幼儿弱视甚至失明的主要病因之一；对不存在眼底、视神经发育异常或者合并小眼球的患儿，早期手术治疗是提升视力、改善生活质量的最可靠方式[1-2]。干性玻璃体切割术是目前较多学者推崇的治疗先天性白內障的手术方式，具有操作简单、安全、手术时间短的优势[3]。可靠的手术方式结合良好的护理干预是获得最佳治疗效果的关键，由于患儿无法像成人一样与护理人员进行沟通，这就要求在日常护理工作中加强患儿家属的健康教育，同时增加生命体征等监测的紧密度[4-5]。本研究将围术期护……