武小鸥 郭娟 覃冬

[摘要]目的：分析系统性护理干预对睑内翻矫正术患者心理状况、舒适度及外观恢复满意度的影响。方法：回顾性分析2018年1月-2019年1月于笔者医院接受睑内翻矫正术的85例上睑内翻患者临床资料，根据护理方法的差异分为研究组和对照组。对照组给予常规护理，研究组在此基础上增加系统性护理干预。比较两组心理状况[采用焦虑自评量表（Self-rating anxiety scale，SAS）和抑郁自评量表（Self-rating depression scale，SDS）进行评估]、舒适度[采用舒适状况量表（General comfort questionnaire，GCQ）评估]、外观恢复满意度[采用数字评分系统（Numeric rating scale，NRS）评估]及并发症发生情况。结果：两组护理前SAS、SDS评分比较差异无统计学意义（P>0.05）;护理后两组SAS、SDS评分均降低，且研究组均低于对照组，差异有统计学意义（P<0.05）。两组护理前生理、心理、社会文化和环境评分比较差异无统计学意义（P>0.05）;护理后两组生理、心理、社會文化和环境评分均升高，且研究组护均高于对照组，差异有统计学意义（P<0.05）。两组护理前NRS评分比较差异无统计学意义（P>0.05）。护理后1周及1个月研究组NRS评分高于对照组，差异有统计学意义（P<0.05）。研究组术后并发症发生率（4.44%）低于对照组（20.00%）， 差异有统计学意义（χ2=4.936，P=0.026）。结论：系统性护理可改善睑内翻矫正术患者心理状况，提高舒适度及外观恢复满意度，并降低术后并发症发生率，值得临床推广。

[关键词]系统性护理;睑内翻矫正术;心理状况;舒适度;外观恢复满意度

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2020）12-0181-04

Impact of Systemic Nursing Intervention on the Psychological Status and Prognostic Satisfaction of Patients Treated with Correction Entropion

WU Xiao-ou，GUO Juan，QIN Dong

（Department of Ophthalmology，Chengdu Third People's Hospital，Chengdu 610031，Sichuan，China）

Abstract： Objective  To analyze the impact of systemic nursing intervention on the psychological status， comfort， and satisfaction with appearance recovery of patients treated with correction entropion. Methods  The clinical data of 85 patients with upper eyelid entropion who underwent correction entropion in our hospital from January 2018 to January 2019 were retrospectively analyzed. According to the difference in nursing methods， they were divided into the study group and the control group. The control group was given routine nursing care， and the study group was supplemented systematic nursing intervention.The psychological status between the two groups were compared [using the Self-Rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）]， comfort [using the General comfort questionnaire （GCQ）]， satisfaction with appearance recovery [using Numeric rating scale （NRS）] and complications. Results  There was no difference in SAS and SDS scores between the two groups before nursing （P>0.05）. After nursing， the SAS and SDS scores of the two groups reduced， and the SAS and SDS scores of the study group were lower than those of the control group， the difference was statistically significant （P<0.05）. There was no difference in the scores of physiology， psychology， social culture and environment between the two groups before nursing （P>0.05）. After nursing， the scores of physiology， psychology， social culture and environment in the two groups reduced， and the scores of the study group were lower than those of the control group （P<0.05）. There was no difference in the NRS scores between the two groups before nursing （P>0.05）. One week and one month after nursing， the NRS score of the study group was higher than that of the control group （P<0.05）. The incidence of postoperative complications in the study group （4.44%） was lower than that in the control group （20.00%， χ2=4.936， P=0.026）. Conclusion  Systematic nursing care can improve the psychological condition of patients treated with correction entropion， improve comfort and satisfaction with appearance recovery， and reduce postoperative complications. It is worthy of clinical promotion.

Key words： systemic nursing; correction entropion; psychological condition; comfort; satisfaction of appearance recovery

睑内翻是指眼睑，特别是险缘部朝眼球方向卷曲的一种位置异常，当内翻至一定程度时，睫毛会倒向眼球，成为倒睫，刺激角膜、结膜，甚至形成角膜炎、角膜溃疡及结膜炎等[1]。睑内翻主要由于睑结膜或睑板因某些病变后瘢痕收缩所致，上下睑均可发生，以上睑内翻多见。临床上常常通过外科手术来进行矫正，其治疗效果一般可长期维持。睑内翻矫正术属外科常见手术，一般情况下术中创伤较小，患者愈合快[2]。而随……