Effect of Holistic Perioperative Nursing Intervention on the Prognosis of Small Incision Cataract Extraction in Elderly Patients with Diabetic Cataract
Objective To study the effect of holistic perioperative nursing intervention on the prognosis of small incision cataract extraction in elderly patients with diabetic cataract(DC).Methods A total of 60 elderly patients with DC admitted to the Second Hospital of Tianjin Medical University from September 2015 to September 2020 were selected.All patients underwent small incision cataract extraction.According to the random number table method,they were divided into control group(30 patients)and observation group(30 patients).The control group received routine perioperative nursing intervention,and the observation group received holistic perioperative nursing intervention.The blood glucose levels[fasting blood glucose(FPG),glycosylated hemoglobin(HbA1c)],negative emotions[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],ocular surface parameters(mean tear film rupture time,redness index,corneal endothelial count),surgical complications and nursing satisfaction were compared between the two groups.Results FPG and HbA1c decreased in both groups,and those in the observation group were lower than those in the control group(P＜0.05).The scores of SAS and SDS in the two groups decreased,and those in the observation group were lower than the control group(P＜0.05).The average tear film rupture time and corneal endothelial count in the observation group were higher than those in the control group,and the redness index was lower than that in the control group(P＜0.05).The incidence of surgical complications in the observation group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group(P＜0.05).Conclusion Holistic perioperative nursing intervention has high application value in small incision cataract extraction in elderly DC patients,which can strengthen the blood glucose management of patients,ease their negative emotions,alleviate the ocular surface damage caused by surgery,reduce the risk of surgical complications,and have high satisfaction feedback.
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