杨奕 邢懿

【摘 要】目的：观察分析优质护理干预模式应用于眼底出血患者治疗时，能否对远期康复效果产生积极影响。方法：80例眼底出血患者分为观察、对照两组，治疗期间分别接受优质护理和常规护理。比对两组患者接受护理前后的视力水平和生活质量评分。结果：干预前，两组患者的视力水平和生活质量评分均无显著差异（P>0.05），P值均>0.05；干预后，观察组患者的视力水平和生活质量评分均显著高于对照组（P<0.05），P值均<0.05。结论：采用优质护理干预模式护理眼底出血患者时，能够对远期康复效果产生积极影响，改善视力的同时还能提高患者的生活质量，可推广应用。

【关键词】眼底出血；优质护理干预；远期康复效果；视力水平；生活质量

【Abstract】Objective：To observe and analyze whether the high-quality nursing intervention model can have a positive impact on the long-term rehabilitation effect when it is applied to the treatment of patients with fundus hemorrhage.Methods：80 patients with fundus hemorrhage were divided into observation group and control group. They received high-quality nursing and routine nursing respectively during the treatment period. The visual acuity and quality of life scores of the two groups were compared before and after nursing.Results：Before intervention， there was no significant difference in visual acuity and quality of life score between the two groups（P>0.05）（P> 0.05）； After the intervention， the visual acuity and quality of life scores of the observation group were significantly higher than those of the control group （P<0.05）（P< 0.05）. Conclusion： When nursing patients with fundus hemorrhage with high-quality nursing intervention mode， it can have a positive impact on the long-term rehabilitation effect， improve vision and improve the quality of life of patients， which can be popularized and applied.

【Key？Words】fundus hemorrhage； Quality nursing intervention； Long term rehabilitation effect； Visual acuity level； Quality of life

眼底出血是指因患有眼部或全身疾病，導致眼底视网膜出血的情况（视网膜内外屏障会陷入异常状态）[1]。该病的发生是一个动态过程，出血血管的部位（视网膜、脉络膜、深浅层等）及性质（动静脉、毛细血管和新生血管等）以及血管内压力共同决定了出血波及的层次和范围，故眼底出血会表现出多种形态。临床资料显示，患有糖尿病（病发时间较长且血糖控制效果不佳）、高血压等慢性疾病、高度近视者以及出现老年黄斑变性情况（视网膜黄斑区出现“不该生长”的新生血管，由于较为脆弱且不甚健康，故很容易发生破裂，最终导致出血）的人为眼底出血的好发人群[2]。目前，临床针对该病的主要治疗方式为病因及对症治疗，具体而言：针对早期症状，可使用安络血等止血剂，可防止再次出血；中晚期可使用普罗碘铵，目的在于促进积血吸收。在此基础上，要求糖尿病、高血压患者控制自身血糖和血压情况；如果患者……