中西医结合护理 (May 2023)

Application of forward-backward nursing model combined with multimedia-based health education in patient with diabetic cataract during ambulatory surgery (前移后延护理模式联合多媒体健康宣教在糖尿病性白内障日间手术患者中的应用)

  • ZENG Yaya (曾雅雅),
  • WAN Huimin (万慧敏),
  • YUAN Huying (袁沪英),
  • ZHU Ying (诸颖)

DOI
https://doi.org/10.55111/j.issn2709-1961.202212005
Journal volume & issue
Vol. 9, no. 5
pp. 188 – 192

Abstract

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Objective To investigate the effect of forward-backward nursing model combined with multimedia-based health education in patient with diabetic cataract during ambulatory surgery. Methods Totally 80 patient with diabetic cataract who received ambulatory surgery were randomly divided into the observation group and control group, with 40 cases in each group. All patients received routine care during ambulatory surgery, and those in the observation group was given forward-backward nursing model combined with Multimedia-based health education. Self-rating Anxiety Scale (SAS) was used to evaluate the anxiety status of the patient. Postoperative complications such as corneal edema, increased intraocular pressure and incision infection were observed, and patient satisfaction was measured and compared between two groups. Results The SAS score decreased in both two groups after intervention, and SAS score in the observation group was lower than that in the control group (P＜0. 05). The total rate of postoperative complication in the observation group was lower than that in the control group (7. 50% vs. 22. 50%, P＜0. 05). The score of satisfaction assessment in the observation group was higher than that in the control group (P＜0. 01). Conclusion Forward-backward nursing model combined with Multimedia-based health education is effective to relieve the anxiety status of patients who received ambulatory surgery, improve disease awareness, reduce the risk of postoperative complications and improve patient stats action with nursing service. (目的 探讨前移后延护理模式联合多媒体健康宣教在糖尿病性白内障日间手术患者中的应用效果。方法 选取科室收治的行日间手术的糖尿病性白内障患者80例为研究对象, 随机分为观察组40例与对照组40例。对照组实施护理常规, 观察组在对照组基础上给予前移后延护理模式联合多媒体健康宣教。采用焦虑自评量表(SAS)评估患者焦虑程度, 记录术后角膜水肿、眼压升高、切口感染等并发症的发生情况, 评估患者满意度。结果 干预后, 两组SAS评分均较干预前下降, 且观察组SAS评分低于对照组, 差异有统计学意义(P＜0. 05); 观察组并发症总发生率7. 50%(3/40), 低于对照组的22. 50%(9/40), 差异有统计学意义(P＜0. 05)。观察组护理满意度评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 前移后延护理模式联合多媒体健康宣教能有效缓解糖尿病性白内障日间手术患者的焦虑情绪, 提升疾病知识的掌握程度, 降低术后并发症的发生风险, 提高患者对护理工作的满意度。)

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