International Journal of Ophthalmology Press -->眼科护理

先天性白内障患儿术后护理干预研究进展

赵芳

0引言我国先天性白内障的患病率约为0.05%,是儿童常见的眼科疾病之一[1],它可导致患儿视功能受损、视力障碍,严重者甚至致盲。及时而成功的手术是先天性白内障治疗的第一步,术后还需要有长期、系统的综合弱视治疗,才能获得满意的视力疗效。由于弱视治疗以家庭操作为主,整个治疗过程漫长而枯燥,加之儿童的心理状态不稳

Effect of nursing intervention on the compliance of amblyopia therapy in children with congenital cataract

Fang Zhao

·AIM:To investigate the effect of nursing intervention on the compliance of amblyopia therapy in children with congenital cataract,and the effect of compliance on therapeutic efficacy.·METHODS:Children with congenital cataract were randomly divided into two groups.Control group was given regular nursing care while intervention group was treated with nursing intervention therapy.The difference of compliance and efficacy between the two groups were compare and the correlation between nursing intervention and compliance and between compliance and therapeutic efficacy were analyzed.·RESULTS:Compared with control group,nursing intervention could significantly improve the compliance(P<0.05),and compliance was significantly correlated with therapeutic efficacy(P<0.01).·CONCLUSION:Nursing intervention can significantly improve the compliance of amblyopia therapy in children with congenital cataract,thus improve the therapeutic efficacy and the living quality of these children.·

Nursing intervention of preoperative anxiety in another-eye operation of 30 patients with single-blind eye

Xiao-Hui Huang and Li-Gui Zhang

·AIM:To investigate the clinical effect of Nursing intervention of preoperative anxiety in another-eye operation of 30 patients with single-blind eye.·METHODS:Nursing intervention were performed in 30 patients with single-blind.Self-Rating Anxiety Scale(SAS)were used to evaluate anxiety of the patients,both at 1 day and 30 minutes before the operation.The patients with the same disease and the same operation were regarded as a control group,which the another eye was healthy.·RESULTS:Before nursing intervention,the anxious degree of the experiment group was obviously heavy than that of control group,two groups were obviously heavy than that of normal group(≤0.01),and after intervention,both groups of sufferers anxious degree were decreased than that of them while hospitalizing just(≤0.01),the test group decreased heavy than that of control group(≤0.01).·CONCLUSION:Nursing intervention is an effective way to reduce the anxiety level in pre-ophthalmectomy patients with single-blind and improve the patients compliance.·

玻璃体切除术治疗眼底疾病的手术配合

陶男,吴光红,张林

羊膜覆盖术治疗义眼台暴露的护理与体会

祁玉,朱海燕,刘迪

0引言随着生活水平的不断提高,眼部美容越来越为人们所重视,各种原因引起的眼球摘除后,义眼台的安装已逐渐成为常规治疗,它能够减少眶脂肪的萎缩,保持眶隔张力,维持眼部的正常形态,具有眼部的美容效果。作为材料的羟基磷灰石(hydroxyapatite,HA),来自于天然的珊瑚石,作为植入人体材料,具有较好的组织相容性,排斥反应低的特点,已成为制作义眼台植入的首选材料[1]。虽然效果良好,但是由于各种临床因素,仍有一定义眼台暴露情况的发生,需要进一步的处理和精心护理。我院2006-10/2008-06对16例义眼台暴露者,采用羊膜覆盖术,经过精心护理,取得了令人满意的效果。1对象和方法1.1对象选取本

骨髓间充质干细胞羊膜片移植治疗翼状胬肉的观察和护理

张丽,郭慧宇

0引言翼状胬肉是常见眼表疾病,术后复发率高。我院眼科于2006-04/2008-10开展了“负载骨髓间充质干细胞羊膜片移植术治疗翼状胬肉”的临床课题,旨在观察骨髓间充质干细胞对角膜上皮修复和抑制胬肉复发的影响,现将临床观察情况及相关的护理措施报告如下。1对象和方法1.1对象经医院医学伦理委员会批准,有10例原发性巨大翼状胬肉患者接受了“负载自体骨髓间充质干细胞羊膜贴片移植术”,其中男7例7眼,女3例3眼,年龄42~60岁,均为鼻侧翼状,胬肉组织伸入角膜缘内超过5mm。负载自体骨髓间充质干细胞羊膜贴片的制备:无菌采集翼状胬肉患者骨髓,经分离、培养、扩增,将第3代骨髓间充质干细胞接种在羊膜上(取自

眼科围手术期心理问题分析和护理对策

程丛红,唐苗苗

Control study on the predominance of different kinds of temporal-subcutaneous injection

Qun Xiang,Yu-Lian Li and Jian-Fang Xu

AIM:To compare the reducing pain-degree when inserting needle between patients accepting modified temporal-subcutaneous injection and the traditional way,and explore the clinical feasibility of the modified temporal-subcutaneous injection.METHODS:To use the patients who accepted the compound anisodine temporal-subcutaneous injection as subject investigated,some patients accepted the way of the vertical needle(modified temporal-subcutaneous injection),the other accepted the traditional way(normal temporal-subcutaneous injection),and the pain-degree of two groups were compared.The assigned persons observed the patients’ response to pain with the Wong-Baker facial scale,collected the data of the patients’ response to pain,then made statistical analysis of the data.RESULTS:The pain-degree of modified temporal-subcutaneous injection was significantly lower than that of the traditional way.CONCLUSION:The modified temporal-subcutaneous injection can significantly reduce pain-degree when patients accept temporal-subcutaneous injection,thereby improve the compliance when patients accept the treatment of temporal-subcutaneous injection.

Nursing care coordination of Pentacam examination in eye anterior segment

Hong Xiao

AIM:To better match the examination of anterior segment with Pentacam.METHODS:A total of 280 clinical patients were checked antierior segment with Pentacam.Before examination,clearly understand the eye condition of patients,carefully guide the sitting position,safe mydriasis,make instruction of the fixation and wink of the eyes,care points and precautions of this check method were summarized in the practical work.RESULTS:Clearly understand the purpose of examination and the eye condition of patients,carefully guide the sitting position,safe mydriasis,give more attention to the fixation and wink of the eyes.All of above made it beneficial to nurse successfully complete the examination with a doctor.CONCLUSION:Precise guidance of nurses and good coorperation of patients were the important guarantee of the examination of Pentacam.

Injection safety problems of eye and its prevention by nursing care

Zhi-Juan Wang

AIM:To discuss the security problems existing in the injection of eye to reduce operational risk of care.METHODS:Site of injection of the eye was exact.RESULTS:In the 569 eyes with eye injection,161 eyes had various conditions of adverse reactions.CONCLUSION:Improving nurses responsibility and safe operation of injection risk of the eye will ensure effective treatment for patients.

Discuss of cataract peri-operative nursing care of 138 cases poor patients

Xue-Fei Yu

AIM:To discuss the effect of the cataract peri-operative nursing care of government’s special care for poor patients. METHODS:Preoperative and postoperative nursing points of 138 cases poor patients cataract surgery were summarized. RESULTS:Strict preoperative and postoperative care and operating rules,close observation of the patient’s surgery eye and general condition, and good psychological care of patients were conducive to the prognosis of disease. CONCLUSION:Most poor cataract patients are older and associated with other systemic diseases,the improvement of their visual acuity are not entirely satisfing.They should be given intensive care.

糖尿病性视网膜病变的护理体会

文玉叶

0引言糖尿病性视网膜病变(DR)是糖尿病的严重并发症之一,是成人中致盲的最常见原因。研究表明,早期发现,控制血糖,改善视网膜微循环,并适时地激光治疗能有效阻止和减缓DR的进展。现将60例DR患者的临床护理体会报告如下。1临床资料我科于2009-01/2010-12收治60例DR患者,其中男

视网膜脱离患者围手术期的护理体会

薛春丽,成惠娟

0引言视网膜脱离是临床上常见的致盲性眼病,视网膜脱离时,因视网膜下液的重力作用及眼球活动,可使视网膜脱离的范围逐渐扩大。视网膜脱离是一种以手术治疗为主的眼病,手术的成功与术前术后护理有着密切的关系[1]。因此,在手术治疗的基础上,根据视网膜脱离的不同程度和部位,在围手术期我们应用护理程序对365例患者进行

眼底荧光血管造影不良反应的观察与护理

王晶,郑坤,底煜,赵芳

0引言眼底荧光血管造影(fundus fluorescein angiography,FFA)是眼底病检查的重要方法之一,它是将荧光素钠快速注入肘正中静脉,利用装有特殊的滤光片组合的眼底照相机真实记录下眼底循环的动态过程,以及荧光素在组织中扩散的形态和部位[1]。为眼底病的诊断和治疗提供有力依据。患者对FFA检查有不同程度的紧张恐惧心理,有效的护理指导能减少检查的不良

新鲜羊膜移植治疗眼重度碱烧伤的护理

薛春丽

0引言重度眼部碱烧伤常因眼表大面积组织受损导致眼结膜组织坏死和缺损,角膜持续性上皮缺损溶解、穿孔,严重者危及眼球,并且碱具有溶解蛋白、向组织内渗透的特点,其病程长,治疗棘手,最终常因角膜白斑、角膜结膜化、睑球粘连而致盲。新鲜羊膜移植术可抑制碱烧伤后角膜新生血管生长,其作用优于保存羊膜移植术[1]。早期羊膜移植治疗眼前段烧伤,可以促进部分遭受可逆损伤的组织尽快修复,特别是可使角膜缘干细胞免受烧伤后继发的炎症-组织自溶-纤维血管化恶性循环的继续损坏,在羊膜特有的生物营养支持下,通过自身健康组织的修复获得眼表

资深护士满意度的调查

高兰各

0引言我们医院是河北乃至华北地区最大的眼专科医院。护理人才作为科技人才的一个组成部分,是医疗机构的一种重要战略资源,而眼科资深护士更是我院护理发展所需要的骨干人才,是构成医疗和手术管理的一个重要部分。她们熟练掌握了一定专业范围的业务技能,具备成熟的人际沟通能力以及专业的可信性,我们医院充分发挥资深护士的资源优势,建立良好的医患关系,造就和谐医疗环

荧光素钠眼底血管造影的护理配合

洪杰

0引言眼底血管造影是眼科临床诊治眼底病的检查方法。它是将造影剂从肘静脉注入人体,利用具有特定滤光片的眼底照相机拍摄眼底血管及其灌注的过程,主要反映视网膜血管的情况,对眼底疾病的诊断和治疗具有重要的意义。自2008-06/2010-01我院共进行眼底造影908例,其中男521例,女387例,年龄20～76(平均52.2)岁。18例出现恶心呕吐,7例面部出现皮疹,无1例发生过敏性休克。现将护理情况报告如下。

多量手术围手术期医院感染管理

王志娟

0引言白内障是我国首位致盲眼病,手术是白内障患者复明的主要治疗方法。我院是一所综合性的二级医院,于2010-05被授予扶贫白内障手术定点医院,白内障手术骤然增多。每次手术可连续3～7台,对于院内感染无疑是一个巨大的考验。2010年也是医疗体系改革的关键年,卫生部启动了优质护理示范工程和方案。我院作为专科白内障手术中心,一次性多量手术操作必须要强化专科护

Personalized care management in the eyes of cataract surgery patients

Ai-Min Wang,Fang-Yan Liu and Mei Wu

·AIM:To investigate the personalized care management in the eyes of cataract surgery patients.·METHODS:Form February 2007 to August 2010,482 cataract patients were treated in our hospital,of which 241 cases were taken to the operating room and general care after surgery,and the remaining 241 patients were treated with personalized care management.After discharge,statistics of satisfaction survey for personalized patient care in operating room was taken.·RESULTS:In the observation group,patient satisfaction rate with personalized care was 98.8%;in the control group,patient satisfaction rate with general care was 89.6%.·CONCLUSION:The personalized nursing management has good clinical effects on cataract surgery treatment.·

Application of collective health education in cataract surgery

Hong Xiao,Xiao-Dan Zhang and Ting Shen

·AIM:To improve the effect of health education in cataract patients,the working efficiency of the nurses and satisfaction of patients.·METHODS:Totally 832 cataract eyes who underwent phacoemulcification and intraocular lens(IOL)implantation were divided into two groups.Health eductation of 412 eyes(control group)were conducted in traditional way,while 420 eyes(trial group)were conducted by way of collective lecturing,projecting slides,demonstrations in interactive approach.·RESULTS:The acknowledgement of health education,the persistency,compliance of patients in trial group were significantly better than that of patients in control group(P<0.01).·CONCLUSION:Collective health education targeted at patients of single disease improve the effect of health education,working efficiency of the nurses and satisfaction of patients.·

先天性上睑下垂患者围手术期的护理

单华,富蕾

0引言上睑下垂是指提上睑肌或Mller氏肌功能部分或完全丧失,致使一侧或双侧上睑明显低于正常位置。其主要的症状是上睑不能上提,患者常紧缩额肌、皱额、耸肩以助提睑,重者需仰头视物。如为儿童,并且下垂超过瞳孔时,常可造成患眼弱视。上睑下垂分为先天性和后天性。

糖尿病性白内障患者围手术期护理

陈丽君

0引言随着人民生活水平的提高,糖尿病合并白内障患者也越来越多,糖尿病性白内障较同年龄组非糖尿病患者为早,发病率也较高,与一般老年性白内障相比,糖尿病性白内障患者抵抗力低下,行手术治疗容易出现切口愈合能力差、感染、出血、视网膜病变加重等并发症。手术的创伤、手术的麻醉都可以使糖尿病患者的病情发生不确定的变

护理干预对Vogt-小柳-原田综合征患者治疗依从性的影响

张芳

0引言Vogt-小柳-原田综合征是一种伴有毛发变白、脱发、皮肤脱色斑及听力损害、脑膜刺激征的双眼肉芽肿性全葡萄膜炎,发病急,病程迁延反复[1]。无休止地反复发作是Vogt-小柳-原田综合征的特征,患者被反复发作的疾病折磨得痛苦、无奈、绝望,生存质量严重下降,同时给家庭和

急性闭角型青光眼急性发作期术前术后的护理

李玉莲

0引言急性闭角型青光眼的急性发作期是眼科急诊之一。致盲率极高,如治疗不及时,严重者数天内失明,处理不当也受影响,应积极救治,在最短的时间内降低眼压,开放房角,尽可能避免永久性周边虹膜前粘连产生,挽救患者的视功能。我科于2009-01/2010-10共收治146例146眼急

Examination and analyses the effect of basic nursing combined with mental nursing in LASIK

Xia Liu,Yan-Jun Ren,Lan-Ping Sun,Gui-Fen Liu and Qiu-Feng Zong

AIM:To approach the effect of basic nursing combined with mental nursing in laser in situ keratomileusis(LASIK).METHODS:One thousand and fifty-six cases with LASIK were randomly divided into experiment group(n=528)and control group(n=528).The control group were treated with traditional basic nursing,and the experiment group by basic nursing combined with mental nursing.When two groups patient reviewed,their satisfaction with postoperation nursing were surveyed and the complications were observed.RESULTS:The self-protection knowledge among nursing,patient satisfaction in nursing and complication incidence were compared.There was statistical significance.(P<0.05,P<0.01,P<0.05).CONCLUSION:The basic nursing combined with effective mental nursing is effective protection for operation safe and successful.

Application and evaluation of clinical nursing pathway in the treatment of age-related cataract

Ting-Ting Jia and Jiao-Jiao Xu

AIM:To evaluate application effect of clinical nursing pathway combined with phacoemulsification surgery and intraocular lens implantation in the treatment of age-related cataract(ARC)·METHODS:Using controlled trials,75 cases of ARC were divided into observation group with clinical nursing pathway and control group with conventional care.Evaluation index include clinical efficacy,average waiting time before surgery,average inpatient time,average hospital costs,health care quality and patient satisfaction·RESULTS:Clinical efficacy including postoperative best-corrected visual acuity,the difference between the two groups was not statistically significant(P>0.05).The average waiting time before surgery,average inpatient time,average hospital costs of observation group were significantly less than those of control group,the difference was statistically significant(P<0.05).Health care quality including the rate of disease control knowledge,the rate of health knowledge and satisfaction in the observation group were also significantly higher than those in control group,the difference was statistically significant(P<0.05)·CONCLUSION:The application of clinical nursing pathway combined with phacoemulsification surgery and intraocular lens implantation for patients with ARC can effectively shorten treatment time,reduce treatment costs and improve health care quality as well as patient satisfaction.

临床路径与整体护理在眼科的应用

聂冬丽

0引言临床路径是指医院里的一组人员共同针对某一病种的监测、治疗、康复和护理所制定的一个有严格的工作顺序、准确的时间要求的照顾计划,可减少康复的延迟及资源的浪费,使服务对象获得最佳的医疗护理服务质量[1]。这种计划是以制订和规范患者每一天的医疗护理内容为形式,为类似健康问题的病种提供一个系统、规范的服务流程,保证医疗护理质量达到一定的水平。在重视医疗结果的今天,临床路径日益受到医务界广泛的关注,并被实践证实是一种有效的管理工具[2]。

尿毒症患者白内障手术围手术期的心理护理

蔡莉萍,唐红

0引言尿毒症患者因代谢产物潴留,可导致全身性病变,亦可引起眼部病变,促进白内障的发生和发展,并影响眼部手术的效果[1]。我院于2007-01/2010-12共为28例诊断为尿毒症的白内障患者行白内障超声乳化囊外摘出+人工晶状体植入术。为配合手术顺利进行,对手术患者进行了心理因素分析,现报告如下。1对象和方法1.1对象我院2007-01/2010-12诊断为尿毒症的白内障患者共28例34眼,其中男13例15眼,女15例19眼;年龄50～83岁(平均66.5岁);同时伴高血压者16例,伴糖尿病8例,伴青光眼1例;术前检查:术前视力<0.05者

连续多台白内障超声乳化手术规范化护理配合

黄秀菊

0引言白内障超声乳化手术是治疗白内障的首选术式,具有切口小、无痛苦、手术时间短、术后反应轻、切口愈合快的特点。随着白内障手术技术的提高和人工晶状体设计及工艺的日趋完善,越来越多的学者已将该手术定义为屈光手术之一。同时,白内障患者对手术后的期望值也日益提高[1]。由于我院仪器设备资源不足,故白内障超声乳化手术经常是连续多台进行,一般10～23台/次。2009-03/2010-08我院共行白内障超声乳化联合人工晶状体植入手术3602例4321眼,经规范、精心的手术配合,效果满意,现报告如下。

眼科手术室轮岗护士的带教初探

刘娜,闫淑香,韩亚坤,滕学龙

0引言由于我院护理工作的特殊性和培养需要,为了在竞争激烈的时代获得竞争优势,也为了使眼科护理工作与诊疗水平同步提高,促使护士在各个方面得到提高,保证护理人员有能力按照工作岗位要求的标准完成所承担的工作

视网膜母细胞瘤植入静脉输液港导管堵塞的处理及护理

顾琪

0引言视网膜母细胞瘤(retinoblastoma,RB))源于视网膜胚胎核层,是婴幼儿常见的原发性眼内恶性肿瘤。发病率约为1:14000～1:20000,无种族、地域及性别的差异。诊断时的平均年龄为12(双侧)～24mo(单侧)。治疗的目的是挽救患儿生命,保留眼球,保存有用视力。在发达

Nursing care of intravitreal injection of Lucentis for treatment of age-related macular degeneration

Xia Cui,Xin Shan and Xiao-Ling Li

AIM:To explore the nursing care of intravitreal Lucentis injection to treat the patients withage-related macular degeneration(AMD).METHODS:Thirty patients(30 eyes) were diagnosed as AMD.They would be treated by intravitreal Lucentis injection.The preoperative psychological nursing was emphasized.Complications,especially intraocular pressure were observed.RESULTS:Twenty-one eyes were improved in visual acuity in all 30 eyes.The intraocular pressure(20.1-24.6mmHg) in 4 eyes were higher than preoperative,which was normal 24 hours later.No complications were observed in the follow-up.CONCLUSION:It is very important to enhance the peri-injection,mid-injection and post-injection nursing for assuring the treatment efficacy.

Long-term effect of the nursing care based on differentiation of symptoms and signs on the Vogt-Koyanagi-Harada’s syndrome

Fang Zhang

AIM:To investigate the long-term effect of the nursing care based on differentiation of symptoms and signs on the Vogt-Koyanagi-Harada’s syndrome (VKH).METHODS:Ninety-six patients with VKH were randomly divided into an experimental group (48 cases,treated with conventional therapy and nurse combined with nursing care based on differentiation of symptoms and signs) and a control group (48 cases,treated with conventional therapy and nurse).After that,the differences in long-term effect between two groups were compared.RESULTS:There were significant differences in long-term effect between the experimental group (the excellent effect:40 cases;the inferior excellent effect:7 cases;the bad effect:1 cases) and the control group (the excellent effect:30 cases;the inferior excellent effect:15 cases;the bad effect:3 cases).Long-term effect in experimental group was significantly better than that in control group (P<0.05).CONCLUSION:The nursing care based on differentiation of symptoms and signs possesses important long-term clinical application value for the patients with VKH.