陈宇 王晶 张宇 石义鹭 李琳

[摘要]目的 探討综合护理在原发性闭角型青光眼患者滤过术后的应用效果。方法 选取2016年1月～2017年2月在我院接受手术治疗的原发性闭角型青光眼患者128例，采取随机数字表法分成对照组和实验组，每组各64例。对照组接受常规的护理措施，实验组接受综合护理措施；比较两组的自我管理效能得分及生存质量等。结果 护理前两组的自我管理效能评分差异无统计学意义（P>0.05）；护理3个月后，实验组的自我管理效能评分为（32.92±7.53）分，高于对照组的（26.47±5.94）分，差异有统计学意义（P<0.05）；护理3个月后，实验组的生存质量评分为（62.27±4.37）分，高于对照组的（54.65±3.48）分，差异有统计学意义（P<0.05）。结论 综合护理能增强原发性闭角型青光眼患者的自我管理效能，提高其术后日常生活活动能力和生活质量，在临床中具有重要的推广意义。

[关键词]综合护理；原发性闭角型青光眼；滤过术；生活质量

[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721（2018）8（b）-0218-03

Application effects of comprehensive nursing care in the patients with primary angle-closure glaucoma after filtration surgery

CHEN Yu1 WANG Jing2 ZHANG Yu3 SHI Yi-lu1 LI Lin3

1. Department of Ophthalmology， Hongqi Hospital of Mudanjiang Medical University， Heilongjiang Province， Mudanjiang 157000， China； 2. Department of Dermatology， Hongqi Hospital of Mudanjiang Medical University， Heilongjiang Province， Mudanjiang 157000， China； 3. Intravenous Injection Room， Hongqi Hospital of Mudanjiang Medical University， Heilongjiang Province， Mudanjiang 157000， China

[Abstract] Objective To investigate the application effect of comprehensive nursing on primary angle-closure glaucoma after filtration surgery. Methods 128 patients with primary angle-closure glaucoma who underwent surgery in our hospital from January 2016 to February 2017 were selected. Patients were randomly divided into control group and experimental group by random number table method， 64cases in each group. The control group was given routine nursing care， and the experimental group was given comprehensive nursing measures. The self-management efficacy scores and the quality of life of patients in the two group were compared. Results The self-management efficacy scores of the two groups before nursing were not statistically significant （P>0.05）； after 3 months of nursing， the self-management efficacy score in the experimental group （[32.92±7.53] scores） was higher than that in the control group （[26.47±5.94] scores）， and the difference was statistically significant （P<0.05）； after 3 months of nursing， the quality of life in the experimental group （[62.27±4.37] scores） was higher than that in the control group （[54.65±3.48] scores）， and the difference was statistically significant （P<0.05）. Conclusion Comprehensive nursing care can enhance the self-management efficacy of the patients with primary angle-closure glaucoma， improve postoperative activities of daily living， the quality of life of patients with primary angle-closure glaucoma after surgery， which has an important clinical significance in clinical practice.

[Key words] Comprehensive nursing care； Primary angle-closure glaucoma； Filtration surgery； Quality of life

原发性闭角型青光眼是青光眼中最常见类型，也是临床较常见的眼科类疾病之一，其常为双侧性，两眼同时或先后发病，临床症状主要为病理性眼压增高、眼部胀痛、结膜混合性充血、虹视、视力下降、角膜水肿等，严重影响患者的生存质量[1-2]。目前，原发性闭角型青光眼多采用手术治疗。闭角型青光眼患者术后的主要并发症为焦虑、抑郁等，因此原发性闭角型青光眼患者的心理状况亟需改善[3]。临床研究表明，除采用手术和药物治疗外，术后的密切观察和护理可有效改善患者术后不良情绪，降低并发症发生率，实施及时有效的护理措施对原发性闭角型青光眼患者有重要意义[4]。本研究探究综合护理对原发性闭角型青光眼患者滤过术后视觉和生活质量的影响，旨在为临床治疗护理该类患者提供依据及经验。