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    眼科专科护士在白内障超声乳化连台手术围手术期的护理管理

    Nursing procedures conducted by ophthalmic professional nurses in the perioperative period of mutiple successive cataract surgeries of phacoemulsification

    • 摘要: 目的 探讨眼科专科护士在白内障超声乳化连台手术围手术期的护理配合方法与效果。方法 选择2011年9月—2015年5月在海南医学院附属医院诊治的白内障住院患者172例,将2011年9月—2013年12月连台手术患者100例作为对照组,2014年1月—2015年5月连台手术患者72例作为观察组,对照组采取常规围手术期护理,观察组由眼科专科护士在对照组护理的基础上加用积极的护理配合。结果 观察组连台手术间隔时间为(35.24±2.33)min,不能按时接走患者2例(2.8%),而对照组分别为(55.09±2.18)min和19例(19.0%),观察组均明显少于对照组,差异有统计学意义(P<0.05)。观察组围手术期核查疏漏、监护不力、感染风险、流程失当与设备应用缺陷等护理风险发生率为4.2%,而对照组为15.0%,观察组明显少于对照组,差异有统计学意义(P<0.05)。观察组与对照组患者对围手术期护理满意度分别为98.6%和89.0%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论 眼科专科护士在白内障超声乳化连台手术围手术期的护理配合提高了手术效率,增进了护患及医患沟通效果,减少了护理风险事件的发生。

       

      Abstract: Objective To explore the nursing procedures conducted by ophthalmic professional nurses and the effects in the perioperative period of multiple consecutive cataract surgeries of phacoemulsification. Methods A total of 172 cataract patients admitted to the Affiliated Hospital of Hainan Medical College from September 2011 to May 2015 were selected in this study. A total of 100 patients undergoing multiple consecutive surgeries from September 2011 to December 2013 were taken as a control group, and 72 patients undergoing consecutive surgeries from January 2014 to May 2015 were taken as an observation group. The control group received routine perioperative nursing care, while the observation group received proactive nursing care conducted by ophthalmic professional nurses on the basis of routine nursing care. Results The operation interval of consecutive cataract surgeries in the observation group was (35.24 ±2.33) min, which was significantly shorter than that of the control group (55.09±2.18) min, P<0.05. The patients who could not be picked up on time were 2 patients (2.8%) in the observation group, which was significantly lower than that of the control group 19 patients (19.0%), P<0.05. The incidence of nursing risks such as perioperative verification omission, ineffective monitoring, risk of infection, improper procedures and defective equipment application in the observation group was 4.2%, while that in the control group was 15.0%. The incidence of nursing risks in the observation group was significantly lower than that in the control group (P<0.05). The satisfaction rate of patients for perioperative nursing in the observation group was significantly higher than that of the control group (98.6% vs. 89.0%, P<0.05). Conclusions The nursing cooperation of ophthalmic professional nurses in the perioperative period of multiple consecutive cataract surgeries of phacoemulsification can improve the surgical efficiency, enhance the effects of nurse-patient and doctor-patient communication, and reduce the occurrence of nursing risk events.

       

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