循证护理对老年性白内障并发原发性闭角型青光眼的疗效。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Qi Zhou, Aiyixianmuguli Wufuer, Jian Guo
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引用次数: 0

摘要

目的方法:选取2019年2月至2020年10月期间在新疆维吾尔自治区人民医院接受治疗的100例老年性白内障合并原发性闭角型青光眼(PACG)患者作为研究对象,通过随机抽签的方式将其平均分为对照组和实验组。对照组采用常规护理,实验组采用循证护理干预。根据两组患者的护理效果、护理满意度、术后1、2、3周并发症发生率、QLI(生活质量指数)、PSQI(匹兹堡睡眠质量指数)、SPEED(眼干标准患者评估)、SEEQ(索尔兹伯里眼部评估问卷)、视力、眼压等指标的比较进行全面分析:与常规护理相比,循证护理对老年性白内障和术后 PACG 患者的治疗效果更好(P = .002)。实验组患者对循证护理的满意度高于另一组(P < .001)。就两组患者术后 1 周、2 周和 3 周的并发症发生率而言,实验组的结果比对照组更理想(P = .02, .003, < .001)。与常规护理组相比,循证护理组的 QLI 得分明显更高(P < .001),但 PSQI 却明显更低(P < .001)。与对照组相比,实验组的 SPEED 和 SEEQ 结果更低(P = .001, < .001)。与对照组相比,实验组患者在接受循证护理后视力和眼压均有所改善(P 均 < .001)。在术后 1、2 和 3 周的并发症发生率、PSQI、SPEED、SEEQ 和眼压方面,循证干预组比常规护理组获得了更理想的结果:循证护理干预在提高护理工作效率和质量、优化患者眼部指标方面收获颇丰,在临床实践中具有很强的应用价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Evidence-based Nursing for Senile Cataract Complicated with Primary Angle-closure Glaucoma.

Objective: To explore the efficacy and ocular indicator changes of evidence-based nursing in elderly patients with cataracts complicated with primary angle-closure glaucoma (PACG) after surgery.

Methods: 100 elderly cataract patients combined with PACG treated in the People's Hospital of Xinjiang Uygur Autonomous Region between February 2019 and October 2020 were included in the study and equally assigned to a control group and an experimental group by random draw. The control group adopted conventional nursing, and the experimental group intervened with evidence-based nursing. A thorough analysis was conducted based on the comparison of nursing effectiveness, nursing satisfaction, complication rate at 1, 2, and 3 weeks after surgery, QLI (Quality of Life Index), PSQI (Pittsburgh Sleep Quality Index), SPEED (Standard Patient Evaluation of Eye Dryness), SEEQ (Salisbury Eye Evaluation Questionnaire), eyesight and intraocular pressure between two groups of patients.

Results: The evidence-based nursing was more effective in treating patients with senile cataracts and PACG after surgery compared with routine care (P = .002). The patients in the experimental group were more satisfied with evidence-based nursing than those in the other group (P < .001). The experimental group yielded a more desirable outcome than the control group in terms of the complication rate of patients of the two groups at 1 week, 2 weeks, and 3 weeks after surgery (P = .02, .003, < .001). In contrast to the group with routine care, the evidence-based nursing group obtained significantly higher scores of QLI (P < .001), but intensely lower results of PSQI (P < .001). Lower SPEED and SEEQ results of the experimental group were observed, as compared to the control group (P = .001, < .001). The patients in the experimental group enjoyed better eyesight and intraocular pressure after the evidence-based nursing in comparison with the control group (both P < .001). The group with evidence-based intervention garnered a more desirable result than the group with routine care about the complication rate at 1, 2, and 3 weeks after surgery, PSQI, SPEED, SEEQ and intraocular pressure.

Conclusion: Evidence-based nursing intervention reaped huge fruits in the improvement of the efficiency and quality of nursing work and also in the optimization of the ocular indicators of patients, which is highly applicable in clinical practice.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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