表面麻醉下白内障超声乳化手术中的心理护理
Psychological intervention in phacoemulsification cataract surgery with ocular surface anesthesia
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摘要: 目的:评估心理护理在表面麻醉下白内障超声乳化手术中的作用。方法:将在表面麻醉下白内障超声乳化手术的老年性白内障患者59例随机分成2组,对照组30例给予常规护理,心理护理组29例在常规护理基础上给予心理护理。观察2组手术顺利情况、患者在术中的配合情况以及患者的痛苦程度。结果:心理护理组手术顺利、基本顺利、不顺利分别占72.4%、24.1%和3.45%,对照组分别占56.7%、33.3%和10.0%,2组差异无统计学意义(P0.05)。心理护理组术中配合程度得分为(4.690.47)分,明显高于对照组的(3.301.05)分(P0.01)。患者的术中痛苦程度心理护理组为(1.660.61)分,明显低于对照组的(2.430.63)分(P0.01)。结论:心理护理可以减轻患者术中的痛苦,提高患者术中配合程度,使手术更加顺利。Abstract: Objective: To evaluate the effect of psychological intervention on phacoemulsification cataract surgery under ocular surface anesthesia. Methods: Fifty-nine cases with senile cataract were performed pacoemusification cataract surgery under surface anesthesia and were divided randomly into two groups: experimental group in which the psychological intervention was performed further and controlled group in which the routine nursing care was given. The process of surgery, cooperation of the patients and pain feeling were recorded and compared in these two groups. results: Seventy-two point four percent of patients went on well, 24. 1% basic smooth and 3. 14% not very well in the cataract surgery in the cataract surgery in the experimental group,and only 56. 7%,33. 3% and 10% respectively in the controlled group,however the difference was not significant(P > 0. 05) . The scores of cooperation in cataract was 4. 69 0. 47 in the experimental group,which was higher significantly in the controlled group whose score was 3. 30 1. 05(P < 0. 01) . Scores of pain feeling was 1. 66 0. 61 in the experimental group and 2. 43 0. 63 in the controlled group, the difference was significan (P < 0. 01) . Conclusions: Psychological intervention can alleviate pain feeling of patients, enhance cooperation and make the cataract surgery go further well.