李艳艳?董文杰?韩峰

[摘要] 目的 研究對接受LASIK（准分子激光角膜原位磨镶术）手术患者提供术前视网膜氩蓝绿激光光凝治疗期间的护理要点。 方法 将我院于2016年2～12月间收治58例LASIK术前行视网膜氩蓝绿激光光凝治疗患者，按照随机数字表法将患者划分为一般组29例与观察组29例，为一般组患者提供常规手术护理服务，为观察组患者加强围术期护理干预措施，总结两组患者满意度评价结果、对比两组患者术后并发症出现情况、对比两组患者经护理干预前后心理焦虑评分、总结手术治疗有效率。 结果 一般组患者对临床护理服务满意度为65.52%，观察组患者满意度为93.10%，观察组患者满意度较高（P<0.05）。一般组患者术后并发症发生率为41.38%，观察组为13.79%，观察组患者并发症发生率低于一般组（P<0.05）。两组患者入院时焦虑评分结果对比无统计学意义（P>0.05），经护理干预后，观察组患者焦虑评分结果低于一般组（P<0.05）。一般组患者经手术治疗及护理干预后，治疗有效率为75.86%，观察组有效率为93.10%，观察组患者有效率高于一般组（P<0.05）。 结论 通过对接受LASIK手术患者术前实施视网膜氩蓝绿激光光凝治疗期间，加强围手术期护理干预措施，大部分患者均表示对临床护理工作感到满意、且术后并发症发生率较少、患者经护理干预后心理焦虑情绪得到良好改善、治疗有效率较高。

[关键词] LASIK术；视网膜氩蓝绿激光光凝术；护理干预；满意度；并发症；焦虑

[中图分类号] R473.77 [文献标识码] A [文章编号] 2095-0616（2017）14-151-04

Nursing points summary of treatment of retinal photocoagulation with argon blue green laser before LASIK

LI Yanyan1 DONG Wenjie2 HAN Feng1

1.Department of Ophthalmology， the Second Affiliated Hospital of Mudanjiang Medical University， Mudanjiang 157000， China； 2. Department of Dental， the Second Affiliated Hospital of Mudanjiang Medical University， Mudanjiang 157000， China

[Abstract] Objective To explore the nursing points of treatment of retinal photocoagulation with argon blue green laser before LASIK （laser in situ keratomileusis）. Methods 58 cases of patients with treatment of retinal photocoagulation with argon blue green laser before LASIK in our hospital from February 2016 to December 2016 were selected and divided into general group with 29 cases and observation group with 29 cases according to random digital table method. Patients in general group were treated with Rroutine surgical nursing service， and pateints observation group were treated with strengthening perioperative nursing intervention measures. Satisfaction evaluation results， the two groups of patients with postoperative complications， the comparison of the two groups of patients before and after the nursing intervention psychological anxiety score， summed up the effectiveness of surgical treatment of the two groups were summaried. Results Clinical nursing service satisfaction of general group was 65.52%， which was lower than that of observation group with 93.10%（P<0.05）. Postoperative complication rate of general group was 41.38%， which was higher than that of observation group with 13.79%（P<0.05）. There was no significant difference between the two groups on admission anxiety score（P>0.05）. After nursing intervention， the anxiety score of the observation group was lower than that of the general group（P<0.05）. After the surgical treatment and nursing intervention， treatment effection of general group was 75.86%， which was lower than that of observation group with 93.10%（P<0.05）. Conclusion Strengthening perioperative nursing intervention measures during the treatment of retinal photocoagulation with argon blue green laser before LASIK has high clinical nursing satisfaction. The incidence of postoperative complications is less， and the psychological anxiety of patients after nursing intervention is improved.

[Key words] LASIK； Argon laser photocoagulation； Nursing intervention； Satisfaction； Complication； Anxiety

准分子激光角膜原位磨镶术（ LASIK）是目前临床针对近视常见治疗术式之一，但由于大部分近视人群可能伴有眼底视网膜疾病，会影响LASIK术治疗效果，导致患者术后视力恢复较差、因此临床针对此类患者应加强LASIK术前检查、一旦发现眼后节病变[1-2]，因早期为患者提供视网膜激光光凝治疗，可有效减少术后并发症。激光光凝手术原理为利用生物热凝固效应，对视网膜病变进行破坏，控制眼底疾病；激光手术操作简单，但手术对医护人员配合要求较高[3-4]。本文研究对接受LASIK（准分子激光角膜原位磨镶术）手术患者提供术前视网膜氩蓝绿激光光凝治疗期间的护理要点，现将结果报道如下。……