饶晓英

【摘要】 目的：分析青光眼小梁切除术后眼球按摩护理方式对患者的影响。方法：选择笔者所在医院2016年9月-2019年1月收治的青光眼患者100例，采取随机数字表法进行分组，对照组（n=50）给予常规护理措施干预，观察组（n=50）在一般护理前提下，给予术后眼球按摩护理。比较两组眼压水平、护理满意度、生活质量。结果：护理前两组眼压水平比较差异无统计学意义（P>0.05）;护理后两组眼压值均低于护理前，且观察组均低于对照组，差异均有统计学意义（P<0.05）。观察组护理满意度高于对照组，差异有统计学意义（P<0.05）。护理前两组生活质量评分比较差异无统计学意义（P>0.05）;护理后两组评分均高于护理前，且观察组高于对照组，差异均有统计学意义（P<0.05）。结论：青光眼小梁切除术后采取眼球按摩护理方式对患者进行干预，可以促使眼压迅速恢复，提高患者满意度，改善患者生活质量，从而改善患者的预后。

【关键词】 青光眼 小梁切除术后 眼球按摩护理方式

doi：10.14033/j.cnki.cfmr.2019.29.054 文献标识码 B 文章编号 1674-6805（2019）29-0-03

[Abstract] Objective： To analyze the effect of eyeball massage nursing methods on patients after trabeculectomy for glaucoma. Method： From September 2016 to January 2019， 100 patients with glaucoma in our hospital were selected and divided into groups by random number table method. The control group （n=50） was given routine nursing intervention， while the observation group （n=50） was given postoperative eyeball massage nursing on the premise of general nursing. The intraocular pressure level， nursing satisfaction and quality of life were compared between the two groups. Result： There was no significant difference in intraocular pressure between the two groups before nursing （P>0.05）， but the intraocular pressure of the two groups after nursing was lower than that before nursing， and the observation group was lower than the control group， the differences were statistically significant （P<0.05）. The nursing satisfaction of the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. There was no significant difference in quality of life score between the two groups before nursing （P>0.05）， but the score of the two groups after nursing was higher than that before nursing， and the observation group was higher than the control group， the differences were statistically significant （P<0.05）. Conclusion： The intervention of eyeball massage nursing after glaucoma trabeculectomy can promote the rapid recovery of intraocular pressure， improve the satisfaction of patients， improve the quality of life of patients， and thus improve the prognosis of patients.

[Key words] Glaucoma Trabeculectomy Eyeball massage nursing methods

First-authors address： First Peoples Hospital of Xiaochang County， Xiaochang 432900， China

青光眼危害性高，是導致患者失明的主要疾病，病情进展快，高发于中老年人，急性发作期可在50 h内迅速导致患者失明，严重影响患者的身体健康、生活质量，因此必须对青光眼患者进行积极的护理干预，从而提高患者的治疗效果和生活质量。青光眼的病因主要在于眼内压力升高。随着眼压水平升高，患者的眼球组织、视功能会因此遭到严重的损伤，致使患者视力降低、视野缩小[1-2]。眼球按摩护理是一种非药物治疗方法，可以有效地降低患者眼压，有利于提高青光眼的治疗效果，在青光眼的治疗中应用效果确切[3-5]。本研究通过对笔者所在医院收治的青光眼患者进行对照试验分析，探讨青光眼小梁切除术后眼球按摩护理方式对眼压及手术成功率的影响效果，具体研究内容如下分析。