Abstract:

Objective　To explore the clinical effect of surgical risk self-examination nursing for patients taking trabeculectomy for glaucoma. Methods　One hundred and twenty-six patients taking trabeculectomy for glaucoma at Jinan Second People's Hospital from November 2022 to February 2023 were selected as the nursing study objects. According to the different nursing methods, they were divided into a control group, taking routine nursing, and an observation group, taking surgical risk self-examination nursing, with 63 cases in each group. The control group included 38 males and 25 females who were (66.48±3.44) years old; according to the core hardness, there were 36 cases of grade Ⅱ and 27 cases of grade Ⅲ. The observation group had 36 males and 27 females who were (66.51±3.58) years old; according to the core hardness, there were 33 cases of grade Ⅱ and 30 cases of grade Ⅲ. The surgery related indicators, mood status, and complications in both groups were analyzed. t and χ² tests were applied. Results　The intraoperative systolic and diastolic blood pressures, heart rate, operation time, and length of hospital stay in the observation group were better than those in the control group [(119.56±9.38) mmHg (1 mmHg=0.133 kPa) vs. (126.36±12.41) mmHg, (70.57±5.44) mmHg vs. (68.39±3.34) mmHg, (74.53±13.38) beats/min vs. (80.39±9.44) beats/min, (48.61±8.49) min vs. (54.47±11.35) min, and (2.44±0.33) d vs. (3.32±1.45) d], with statistical differences (t=3.47, 2.71, 2.84, 3.28, and 4.70; all P<0.05). The scores of depression, tension, anger, panic, fatigue, energy, and self-related emotion in the observation group were better than those in the control group [(11.57±2.49) vs. (13.33±4.43), (12.61±3.42) vs. (14.36±5.28), (13.55±5.27) vs. (15.38±4.40), (11.66±2.29) vs. (13.37±3.35), (8.54±3.53) vs. (10.41±1.42), (18.56±4.27) vs. (16.39±3.55), and (15.58±3.22) vs. (13.44±2.45)], with statistical differences (t=2.75, 2.21, 2.12, 3.35, 3.90, 3.10, and 4.20; all P<0.05). The incidence of complications in the observation group was lower than that in the control group [1.59% (1/63) vs. 11.11% (7/63)], with a statistical difference (χ²=4.81, P<0.05). Conclusion　Surgical risk self-examination nursing is helpful to improve surgical indicators of patients taking trabeculectomy for glaucoma, relieve their panic and resistance during surgery, and reduce the incidence of complications.

Key words:

Glaucoma, Trabeculectomy, Surgical risk self-examination, Surgery-related indicators, Mood state, Complications

摘要：

目的　探究手术风险自查护理在青光眼小梁切除术患者中的临床效果。方法　选取济南市第二人民医院2022年11月至2023年2月期间收治的126例青光眼小梁切除术患者作为本次护理研究对象。依据护理方法的不同将其分为对照组（常规护理）和观察组（常规护理联合手术风险自查护理），各63例。对照组男38例，女25例，年龄（66.48±3.44）岁；核硬度分级：Ⅱ级36例、Ⅲ级27例。观察组男36例，女27例，年龄（66.51±3.58）岁；核硬度分级：Ⅱ级33例、Ⅲ级30例。对两组患者手术相关指标、心境状态、并发症等情况进行对比分析，统计学方法采用t检验和χ²检验。结果　观察组患者术中收缩压、术中舒张压、心率、手术时间、平均住院时间等手术相关指标情况均优于对照组［（119.56±9.38）mmHg（1 mmHg=0.133 kPa）比（126.36±12.41）mmHg、（70.57±5.44）mmHg比（68.39±3.34）mmHg、（74.53±13.38）次/min比（80.39±9.44）次/min、（48.61±8.49）min比（54.47±11.35）min、（2.44±0.33）d比（3.32±1.45）d］，差异均有统计学意义（t=3.47、2.71、2.84、3.28、4.70，均P<0.05）。观察组患者抑郁、紧张、愤怒、慌乱、疲乏评分均低于对照组［（11.57±2.49）分比（13.33±4.43）分、（12.61±3.42）分比（14.36±5.28）分、（13.55±5.27）分比（15.38±4.40）分、（11.66±2.29）分比（13.37±3.35）分、（8.54±3.53）分比（10.41±1.42）分］，精力和与自我有关的情绪评分均高于对照组［（18.56±4.27）分比（16.39±3.55）分、（15.58±3.22）分比（13.44±2.45）分］，差异均有统计学意义（t=2.75、2.21、2.12、3.35、3.90、3.10、4.20，均P<0.05）。观察组患者并发症发生率低于对照组［1.59%（1/63）比11.11%（7/63）］，差异有统计学意义（χ²=4.81，P<0.05）。结论　手术风险自查护理有助于改善青光眼小梁切除术患者手术相关指标，缓解患者术中恐慌与抗拒感，降低并发症发生率。

关键词:

青光眼, 小梁切除术, 手术风险自查, 手术相关指标, 心境状态, 并发症