首页|表面麻醉下白内障手术配合欠佳老年患者术中体验的质性研究

表面麻醉下白内障手术配合欠佳老年患者术中体验的质性研究

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目的 了解表面麻醉下白内障手术中配合欠佳老年患者的真实感受,为提高该类患者术中配合度及手术安全性提供参考。方法 于2022年9月至2023年6月目的抽样法选取某三级甲等医院眼科表面麻醉下行白内障手术术中配合欠佳的17例老年患者作为研究对象,采用现象学研究法进行半结构化访谈,并使用Colaizzi 7步分析法对数据进行整理和分析。结果 归纳出3个主题:对白内障手术相关知识了解不足;负性心理体验(对手术环境的陌生、手术操作引起的负性心理、担心手术预后);术中畏光,固视时间久。结论 为了提高老年患者白内障手术的术中配合度,护理人员应完善健康宣教及科普,全方位提高患者对疾病的认知度,并采取有效措施疏导患者情绪,减轻其心理负担,以改善术中配合度,提高手术安全性。
Intraoperative Experience of Poor Coordination Elderly Patients During Cataract Surgery Under Surface Anesthesia:A Qualitative Study
Objective To comprehend the genuine feelings of elderly patients with poor cooperation during cataract surgery under surface anesthesia and to provide references for strategies to enhance the intraopera-tive collaboration of these patients.Methods From September 2022 to June 2023,17 elderly patients dem-onstrating poor coordination in cataract surgery under surface anesthesia in the department of ophthalmol-ogy in a tertiary A hospital were selected as the subjects.Semi-structured interviews were carried out with the phenomenological research approach,and the data were sorted and analyzed using the Colaizzi 7-step analysis method.Results 3 themes are summarized:deficiency in knowledge regarding cataract surgery;negative psychological experiences(unfamiliarity with the surgical environment,negative psychology in-duced by the operation,concern about the prognosis of the operation);photophobia and long fixation dura-tion during the operation.Conclusions To improve the intraoperative cooperation of elderly patients under-going cataract surgery,nursing staff should enhance health education and science popularization,compre-hensively raise patients'awareness of the disease,effectively relieve their tension and psychological bur-den,and organize preoperative simulation training to enhance intraoperative coordination.

cataractcooperation during operationpsychological feelingqualitative study

张文娟、张睿、赵敏、赵春艳

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海军军医大学第一附属医院 眼科,上海 200433

白内障 术中配合 心理感受 质性研究

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(8)