[摘要]目的：探讨在重睑成形术围手术期实施针对性护理的效果。方法：选取2016年5月-2020年1月笔者医院收治的行重睑成形手术患者192例，按随机数字表法分为对照组、研究组，各96例。对照组实施常规护理干预，研究组给予针对性护理干预。观察不同护理干预后患者的心理状态、术后并发症发生率及护理满意度情况。结果：两组患者护理前抑郁自评量表（Self-rating depression scale，SDS）、焦虑自评量表（Self-rating anxiety scale，SAS）、视觉模拟评分（visual analogue scale，VAS）评分比较，差异无统计学意义（P>0.05）;护理后两组SDS、SAS、VAS评分均降低，研究组SDS、SAS、VAS评分均低于对照组，差异有统计学意义（P<0.05）。研究组术后并发症发生率为3.13%低于对照组的15.63%，研究组护理满意度为98.96%高于对照组的86.46%，差异有统计学意义（P<0.05）。结论：重睑成形术围手术期开展针对性护理，可以有效改善患者负性情绪，降低术后疼痛感，减少并发症、提高护理满意度，值得推广。

[关键词]针对性护理;重睑成形术;满意度;抑郁;焦虑;并发症

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2021）03-0160-03

Application Effect of Targeted Nursing in Patients with Blepharoplasty During Perioperative Period

GUO Yuan

（Department of Burn and Plastic Surgery，the First Affiliated Hospital of Xi'an Jiaotong University，Xi'an 710061，Shaanxi，China）

Abstract： Objective  To study the effect of targeted nursing for patients with blepharoplasty during perioperative period. Methods  From May 2016 to January 2020， 192 patients with blepharoplasty were admitted to our hospital. According to the random number table method， they were divided into the control group and the study group， with 96 cases in each group. The control group was given routine nursing intervention， and the study group was given targeted nursing intervention. The psychological status， postoperative complication rate and nursing satisfaction of patients after different nursing interventions were observed. Results  There was no significant difference in SDS， SAS and VAS scores before nursing between the two groups（P>0.05）. The scores of SDS， SAS and VAS in the two groups after nursing all decreased， and the scores of SDS， SAS and VAS in the study group were lower than those in the control group， the differences were statistically significant（P<0.05）. The postoperative complication rate in the study group was 3.13%， which was lower than that in the control group （15.63%， P<0.05）. The nursing satisfaction of the study group was 98.96%， which was higher than that of the control group （86.46%， P<0.05）. Conclusion  Targeted nursing during the perioperative period of blepharoplasty can effectively improve patients' negative emotions， reduce postoperative pain， reduce complications， and improve nursing satisfaction. It is worthy of promotion.

Key words： targeted nursing; blepharoplasty; satisfaction; depression; anxiety; complications

重瞼成形术是使正常外貌趋于美化的一种外科手段，通过改变眼睑组织结构，重塑眼睑外形，形成新的上睑皱襞的手术[1]。从美学角度分析，单睑易给一种生机感缺乏、臃肿和单挑的感觉，而重睑外形可使容貌更佳，外形更明媚，由此产生了手术形成重睑方法，即重睑成形术[2]。伴随人们对美的追求越来越高，重睑成形术现已广泛用于临床中。为提高手术疗效，除了要求手术医师技术娴熟外，手术前后护理干预的配合也尤为重要[3]。本文选取笔者医院收治的192例行重睑成形术患者，探究针对性护理的应用效果。

1  资料和方法

1.1 临床资料：选取2016年5月-2020年1月笔者医院收治的行重睑成形手术患者192例，按照随机数字表法分为对照组和研究组每组各96例。对照组：男51例，女45例;年龄18～47岁，平均（30.4±2.1）岁;59例一侧，37例双侧。研究……