论文部分内容阅读
目的探讨准分子激光角膜屈光手术患者实施临床护理路径的效果。方法 2013年1月至2014年12月,行准分子激光角膜屈光手术患者1 708例,按入院时间分为两组,分为对照组患者689例,入院时间2013年1月~12月,实行常规护理;实验组患者1 019例,入院时间2014年1月~12月,实行临床护理路径。比较两组患者对健康教育知识的掌握情况,观察术后视觉效果、患者依从性及患者的满意度。结果实验组患者均遵医嘱定期复查,按时点药,依从性好,并发症发现早,无严重并发症;对照组67.9%患者不能完全遵循医嘱。裸眼视力(Uncorrected visual acuity UCVA)达到或超过术前最佳矫正视力(Best corrected visual acuity BCVA)者,实验组为(98.9%);对照组(95.7%)。主观视觉质量调查对照组46%患者诉视物疲劳、眩光等不适;实验组25%。想把此手术推荐给自己的亲戚或朋友者,对照组患者63%;实验组患者90%。患者满意度实验组92.6%;对照组62.9%。健康教育达标率实验组96.3%;对照组74.1%。两组比较差异有显著意义(P<0.05)。结论对准分子激光角膜屈光手术实施临床护理路径可提高患者健康教育知识的掌握程度,能提高患者的依从性,及时发现并发症,减少了严重并发症的发生,提高患者视觉质量及满意度。提高护理人员的自身素质及护理质量,有一定的经济效益和社会效益。
Objective To investigate the effect of clinical nursing pathway in patients undergoing excimer laser corneal refractive surgery. Methods From January 2013 to December 2014, 1780 patients undergoing excimer laser corneal refractive surgery were divided into two groups according to the hospitalization time: 689 patients in the control group, admission time from January to December 2013, The routine nursing was carried out. In the experimental group, 1 019 cases were admitted and the admission time was from January to December 2014. The clinical nursing route was implemented. The mastery of health education knowledge was compared between the two groups, and the postoperative visual effects, patient compliance and patient satisfaction were observed. Results The patients in the experimental group were regularly inspected by the doctor and were treated on time. Good compliance and complications were found early and no serious complications. 67.9% of the patients in the control group could not follow the doctor’s instructions completely. In the experimental group (98.9%) and control group (95.7%), UCVA achieved or surpassed the best corrected visual acuity (BCVA). Subjective visual quality survey control group, 46% of patients complained of visual fatigue, glare and other discomfort; experimental group 25%. Would like to recommend this operation to their relatives or friends, the control group of patients 63%; 90% of patients in the experimental group. Patient satisfaction was 92.6% in the experimental group and 62.9% in the control group. Health education compliance rate experimental group 96.3%; control group 74.1%. There was significant difference between the two groups (P <0.05). Conclusions The implementation of clinical nursing pathways in patients undergoing laser keratomileusis can improve the mastery of patients’ health education knowledge, improve patient compliance, timely detection of complications, reduce the occurrence of serious complications and improve the visual quality and satisfaction of patients . Improve nursing staff’s own quality and quality of care, have some economic and social benefits.