《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (10): 982-984.

• 论文 • 上一篇    下一篇

护理干预对准分子激光屈光矫治术后视觉质量的影响

刘惠霞，景晓慧   

  1. 咸阳市第一人民医院眼科中心，陕西咸阳市712000
  • 收稿日期:2012-05-14 修回日期:2012-08-24 出版日期:2012-10-25 发布日期:2012-10-25

Nursing Intervention on Visual Quality after Excimer Laser Refractive Correction Operation

LIU Hui-xia, JING Xiao-hui   

  1. Ophthalmology Center, Xianyang No.1 People's Hospital, Xianyang 712000, Shaanxi, China
  • Received:2012-05-14 Revised:2012-08-24 Published:2012-10-25 Online:2012-10-25

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摘要： 目的探讨护理干预对准分子激光屈光矫治术后视觉质量的影响。方法选择2010 年1~12 月在本院实施准分子激光屈光矫治术并能定期复诊6 个月以上的患者400 例，未实施护理干预的200 例患者为对照组，实施护理干预的200 例患者为试验组，两组患者术前均进行常规的术中配合指导，试验组除常规的护理指导外，同时实施系统规范的护理干预，即进行心理干预、认知干预、行为干预，严密观察，及时发现不良反应并早期处理。观察两组患者术中配合情况，术中及术后并发症发生率等进行比较。结果试验组术中不全瓣、偏心切削、过矫、屈光回退、最佳矫正视力下降等影响视觉效果的不良反应低于对照组(P<0.05)。结论实施护理干预能有效降低准分子激光屈光矫治术后并发症的发生，减轻患者痛苦，提高术后视觉质量。

关键词: 准分子激光, 护理干预, 视觉质量

Abstract: Objective To explore the impact of nursing intervention on the visual quality of patient after excimer laser refractive correction operation. Methods 400 patients, underwent excimer laser refractive correction operation and regularly followed up more than 6 months, were selected in our hospital from January to December in 2010. The clinical data of 200 patients without nursing intervention were analyzed as control group compared with those of 200 patients receiving nursing intervention as intervention group. Both groups were conducted routine nursing instruction before the operation. The intervention group was given systematic and normative nursing intervention besides routine nursing instructions, including psychological intervention, behavioral intervention, close observation, discovery of adverse reaction in time and giving early disposal. The cooperation reaction of the patients during the operation, and incidence of surgical complications during and post surgery were observed. Results Compared with the control group, the incidence of adverse reactions of visual influence such as incomplete valve during surgery, eccentric cutting after surgery, overcorrection, glare, and refractive regression were significantly lower (P<0.05). Conclusion The implementation of nursing intervention can reduce the adverse reaction of excimer laser refractive correction operation, alleviate the suffering of patients and promote visual quality after surgery. Key

Key words: excimer laser, nursing intervention, visual quality