徐颖 巩丹慧 赵欣 韦千秋 张旸 王菁菁 郝琳娜

[摘要] 目的 分析综合护理干预对青光眼合并白内障超声乳化人工晶体植入术围手术期的影响。 方法 选择2016年1月～2017年1月在我院就诊的青光眼合并白内障患者80例作为研究对象，所有患者根据护理方法不同随机分为干预组和对照组，每组各40例，对照组采取常规护理干预，干预组于围术期采取综合护理干预，护理后，对两组患者的焦虑心理、术后并发症情况、护理满意度方面进行评价及比较分析。 结果 干预后，干预组的SAS评分明显低于对照组，干预组的并发症发生率为5.0%，显著低于对照组的25.0%，干预组患者的住院时间显著短于对照组，干预组的护理满意度达97.5%，明显高于对照组的77.5%（P<0.05）。 结论 对青光眼合并白内障患者行超声乳化人工晶体植入术围手术期采取综合护理干预，有利于减轻患者的焦虑心理、减少术后并发症发生率、促进疾病早日恢复，另一方面，提高护理满意度，改善护患关系，从而提高护理质量。

[关键词] 青光眼合并白内障；超声乳化人工晶体植入术；综合护理干预；并发症；护理满意度

[中图分类号] R473.77 [文献标识码] B [文章编号] 1673-9701（2018）07-0154-03

[Abstract] Objective To analyze the effect of comprehensive nursing intervention on the perioperative period of glaucoma combined with phacoemulsification and intraocular lens implantation. Methods 80 patients with glaucoma and cataract treated in our hospital from January 2016 to January 2017 were selected as study subjects. All patients were randomly divided into intervention group and control group according to different nursing methods， with 40 cases in each group. The control group was treated with conventional nursing interventions， and the intervention group was given perioperative comprehensive nursing intervention. The anxiety， postoperative complications and nursing satisfaction between the two groups of patients were evaluated and comparatively analyzed after nursing. Results After intervention， the SAS scores in the intervention group were significantly lower than those in the control group. The incidence of complications in the intervention group was 5.0%， significantly lower than 25.0% in the control group. The hospitalization time in the intervention group was significantly shorter than that in the control group. Nursing satisfaction of the intervention group reached 97.5%， significantly higher than 77.5% of the control group（P<0.05）. Conclusion The comprehensive nursing intervention in the perioperative period of phacoemulsification and intraocular lens implantation in patients with glaucoma and cataract is helpful to reduce anxiety of patients， reduce the incidence of postoperative complications and promote the early recovery of the disease. And on the other hand， it can improve the nursing satisfaction and nurse-patient relationship， thereby improving the quality of care.

[Key words] Glaucoma combined with cataract； Phacoemulsification and intraocular lens implantation； Comprehensive nursing intervention； Complications； Nursing satisfaction

白內障超声乳化人工晶体植入术治疗青光眼合并白内障具有操作灵活、创伤小、前房稳定性佳及患者视力恢复良好等优点[1]，但由于患者对疾病及手术缺乏相关了解，因此易产生焦虑、恐惧、抑郁等负性心理。因此，对青光眼合并白内障行超声乳化人工晶体植入术患者围术期实施有效的护理干预措施，对于提高手术成功率、减少术后并发症等方面具有重要的促进作用[2]。对于青光眼合并白内障患者来说，做好术前、术中、术后护理围术期护理及出院指导是确保手术成功和疾病恢复的重要环节[3-5]。……