Effect of surgical risk self-examination nursing for patients taking trabeculectomy for glaucoma
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 x2 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(x2=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.
万方数据
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