赵艳

[摘要]目的 探讨优质护理在老年性白内障护理中的应用效果。方法 选取2018年2月～2019年9月我院收治的78例老年性白内障为研究对象，按照随机摸球法分为对照组（n=39）和观察组（n=39）。对照组采用常规护理，观察组采用优质护理，比较两组的视力恢复效果、不良事件发生率和知识掌握度。结果 观察组的视力恢复良好率高于对照组，差异有统计学意义（P<0.05）;观察组的眼部保护知识、健康护理知识、围术期护理知识评分高于对照组，差异均有统计学意义（P<0.05）;观察组的不良事件总发生率为5.13%（2/39），低于对照组的23.08%（9/39），差异有统计学意义（χ2=5.185，P<0.05）。结论 为老年性白内障患者优质护理时可有效提升视力恢复效果，提升知识掌握度，降低不良事件发生率，有临床应用价值。

[关键词]优质护理;老年性白内障;围术期护理;护理效果

[中图分类号] R473.77          [文献标识码] A          [文章编号] 1674-4721（2020）9（b）-0250-03

Application effect of high quality nursing in senile cataract nursing

ZHAO Yan

Department of Ophthalmology， Dalian Third People′s Hospital， Liaoning Province， Dalian   116033， China

[Abstract] Objective To explore the application effect of high quality nursing in senile cataract nursing. Methods A total of 78 cases of senile cataract patients in our hospital from February 2018 to September 2019 were selected as the study objects， and they were divided into control group and observation group according to the random ball-touching method， 39 cases in each group. The control group received routine nursing care， and the observation group received high-quality nursing care. The effect of visual acuity recovery， incidence of adverse events and knowledge mastery were compared in the two group. Results The rate of visual acuity recovery in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Eye protection knowledge， health care knowledge， eye protection knowledge and perioperative nursing knowledge in the observation group were higher than those in the control group， with statistical differences （P<0.05）. The total incidence of adverse events in the observation group was 5.13% （2/39）， lower than that in the control group for 23.08% （9/39）， with a statistical difference （χ2=5.185， P<0.05）. Conclusion High quality nursing care for senile cataract patients can effectively improve the effect of visual acuity recovery， improve the degree of knowledge， reduce the incidence of adverse events， which has clinical application value.

[Key words] High quality nursing; Senile cataract; Perioperative nursing; Nursing effect

白內障主要指眼内晶状体变性、老化后出现浑浊、不透明，使视力减退，甚至失明，为中老年患者常见眼部疾病。随着社会发展，生活水平的提高和老龄化的提升，老年性白内障问题逐步加剧，已成为老年患者失明的重要原因，严重影响患者生活质量。手术为治疗的重要方式，虽可提升视力但依然会出现不良状况，围术期护理便成为必不可少的干预方式。但由于多数患者合并糖尿病、高血压等基础疾病，增加护理的困难难度。常规性护理是以疾病干预、康复为主，预后效果有限。优质护理则以患者为中心，多种疾病综合干预，依据患者状况进行护理，可有效提升患者康复效果，护理满意度[1]。为提升患者护理效果，现选取我院老年性白内障患者为研究对象，分析不同护理方式的效果，现报道如下。

1资料与方法

1.1一般资料

选取2018年2月～2019年9月我院收治的78例老年性白内障患者。纳入标准：①患者符合WHO白内障疾病诊断标准[2]，②患者视力下降严重;③患者签署知情同意书。……