Abstract:

Objective　To explore the effect applying Peplau interpersonal relationship theoretical nursing measures in cataract patients after phacoemulsification. Methods　A total of 96 cataract patients treated by phacoemulsification at Jinan Second People's Hospital from July 2021 to August 2022 were selected for the randomized controlled trial. They were divided into a reference group and an intervention group by the random number table method, with 48 cases in each group. There were 26 males and 22 females in the reference group; they were (68.46±3.39) years old. There were 28 males and 20 females in the intervention group; they were (68.45±3.26) years old. The reference group took routine rehabilitation nursing measures, and the intervention group Peplau interpersonal relationship theoretical nursing measures. One day after admission and 1 day before discharge, the psychological congruence, social support, and quality of life of the two groups were observed. t test was applied. Results　One day after admission, there were no statistical differences in the post-traumatic growth level, social support, and quality of life between the two groups (all P>0.05). One day before discharge, the scores of sense of control, sense of understandability, sense of meaning, and sense of psychological agreement in the intervention group were higher than those in the reference group [(25.24±1.41) vs. (24.48±1.43), (29.33±1.45) vs. (28.52±1.43), (24.27±1.43) vs. (23.54±1.45), and (83.28±1.45) vs. (82.52±1.43); all P<0.05]. The scores of subjective support, objective support, and support utilization and the comprehensive score in the intervention group were higher than those in the reference group [(21.26±1.45) vs. (20.49±1.39), (15.31±1.39) vs. (14.52±1.45), (14.29±1.37) vs. (13.51±1.39), and (53.33±5.42) vs. (49.53±5.42); all P<0.05]. The scores of far vision moving light sense, adjustment ability, reading and writing fine work, and life ability and the comprehensive score in the intervention group were higher than those in the reference group [(21.27±1.48) vs. (20.51±1.43, (22.26±1.42) vs. (21.49±1.43), (21.27±1.42) vs. (20.48±1.38), (22.24±1.41) vs. (21.48±1.39), and (92.23±5.42) vs. (89.49±5.43); all P<0.05]. Conclusion　Peplau interpersonal relationship theoretical nursing measures for patients after phacoemulsification for cataract is beneficial to enhance their psychological congruence and social support, and improve their postoperative quality of life.

Key words:

Cataract, Phacoemulsification, Peplau's theory of interpersonal relations, Psychological congruence, Social support, Quality of life

摘要：

目的　探讨Peplau人际关系理论护理在白内障超声乳化术后患者中的应用效果。方法　选取2021年7月至2022年8月于济南市第二人民医院进行白内障超声乳化手术治疗的患者96例进行随机对照试验，采用随机数字表法将其分为参照组和干预组，各48例。参照组男26例，22例，年龄（68.46±3.39）岁。干预组男28例，20例，年龄（68.45±3.26）岁。参照组实施常规康复护理措施，干预组实施Peplau人际关系理论康复护理措施。于入院1 d、出院前1 d，观察两组心理一致感、社会支持、生存质量等情况。采用t检验。结果　入院1 d，两组创伤后成长水平、社会支持、生存质量等比较，差异均无统计学意义（均P>0.05）。出院前1 d，干预组可控感、可理解感、意义感、心理一致感评分均高于参照组［（25.24±1.41）分比（24.48±1.43）分、（29.33±1.45）分比（28.52±1.43）分、（24.27±1.43）分比（23.54±1.45）分、（83.28±1.45）分比（82.52±1.43）分；均P<0.05］。干预组主观支持、客观支持、支持利用度评分和综合得分均高于参照组［（21.26±1.45）分比（20.49±1.39）分、（15.31±1.39）分比（14.52±1.45）分、（14.29±1.37）分比（13.51±1.39）分、（53.33±5.42）分比（49.53±5.42）分；均P<0.05］。干预组远视力移动光感、调节能力、读写精细工作、生活能力评分和综合得分均高于参照组［（21.27±1.48）分比（20.51±1.43）分、（22.26±1.42）分比（21.49±1.43）分、（21.27±1.42）分比（20.48±1.38）分、（22.24±1.41）分比（21.48±1.39）分、（92.23±5.42）分比（89.49±5.43）分；均P<0.05］。结论　对白内障超声乳化术后患者采取Peplau人际关系理论康复护理有利于增强患者心理一致感，加强社会支持，提高患者术后生存质量。

关键词:

白内障, 超声乳化术, Peplau人际关系理论, 心理一致感, 社会支持, 生存质量