综合护理措施在降低眼科手术患者护理风险中的效果

郝艳丽

（延安大学附属医院眼科，陕西 延安，716000）

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摘要：

目的 分析综合护理措施在降低眼科手术患者护理风险中的临床效果。方法 将我院2015年7月至2016年7月收治的220例眼科手术患者随机分成观察组和对照组，每组110例。对照组采取常规护理措施，观察组患者采取综合护理措施。 比较两组患者心理障碍、生活能力降低、睡眠障碍、感染、伤口裂开、前房积血风险事件的发生率，并分析风险事件的发生原因。结果 两组患者共发生118例风险事件，其中观察组13例（11.82%），对照组105例（95.45%），观察组患者各项风险发生率及总发生率均显著低于对照组（P<0.05）；护理人员技术水平（33.90%）是引起风险事件的最主要的因素，其次为患者自身 因素（29.66%）、环境因素（20.34%）、仪器设备准备不充分问题（16.10%）。结论 在眼科手术患者护理中，采用综合护理措施能 够有效降低护理风险发生率。临床上应对护理风险产生的原因进行具体分析，并提出防范措施。

关键词：眼科手术患者；综合护理措施；护理风险

中图分类号：R473.6 文献标志码：A文章编号：2096-1413(2017)23-0189-02

Clinical effect of comprehensive nursing measures on reducing nursing risk in patients with ophthalmic surgery
HAO Yan-li
(Department of Ophthalmology, Yan``an University Affiliated Hospital, Yan``an 716000, China)

ABSTRACT: Objective To analyze the clinical effect of comprehensive nursing measures on reducing the nursing risk in patients with ophthalmic surgery. Methods A total of 220 cases of patients with ophthalmic surgery in our hospital were selected and randomly divided into observation group and control group, with 110 cases in each group. The patients in the control group received routine nursing and the patients in the observation group accepted comprehensive nursing measures. The incidences of risk events of psychological factors, reducing of life ability, sleep disorders, infection, wound dehiscence, anterior chamber of the two groups were compared, and the causes of the risk event were analyzed. Results There were 118 cases of risk events in the two groups,13 cases in the observation group (11.82%) and 105 cases in the control group (95.45%), the incidence of each risk event and the overall incidences in the observation group were significantly lower than those of the control group (P<0.05); the technical level of caregivers (33.90%) is the key factor in causing risk events, followed by the patient``s own factors (29.66%), environmental factors (20.34%) and inadequate preparation of equipment (16.10%). Conclusion Comprehensive nursing measures in patients with ophthalmic surgery can effectively reduce the risk of nursing. The causes of nursing risks should be concretely analyzed in clinic, and the preventive measures should be put forward.
KEYWORDS: patients with ophthalmic surgery; comprehensive nursing measures; nursing risk

参考文献：
[1] 万霞.眼科手术患者护理中的风险及防范对策分析[J].中国社区医 师:医学专业,2012,14(11):327-328.
[2] 刘兴凤.眼科护理中的风险及防范对策分析[J].中外医疗,2010,29(24):170.
[3] 杨萍.眼科护理中的风险相关因素分析及防范对策[J].基层医学论 坛,2013,17(33):4402-4403.
[4] 宣治月,蔡兆阳.老年眼科手术患者围术期常见风险与护理对策 [J].中国药物经济学,2014,9(1):269-270.
[5] 蔡红,曾继红,曹昕.眼科日间手术患者安全风险分析及防范对策 [J].华西医学,2014,29(8):1565-1567.
[6] 夏冠斌,沈一鸣,俞爱芬,等.眼科护理中的风险及防范对策分析[J]. 上海预防医学杂志2010,6(11):1220-1221.
[7] 俞翠萍.眼科护理中的风险相关因素分析及对策[J].中国实用护理 杂志,2011,27(9):45-46.
[8] 张红梅,邓婕,潘筱玲.眼科老年手术患者的护理[J].全科护理,2010,8(3):236-237.