目的:探讨基于PDCA循环的延续性护理对老年白内障手术患者的影响。方法:选择 2020 年 10 月—2022 年9 月于张家港市第一人民医院眼科就诊的 102 例老年白内障患者作为研究对象，采用随机数表法将其分为对照组与观察组，各 51 例。对照组采用常规护理模式，研究组在对照组基础上给予基于PDCA循环的延续性护理。评估并比较眼压控制情况、裸眼视力、睡眠质量[匹茨堡睡眠质量量表(Pittsburgh sleep quality index，PSQI)]、生活质量[中文版低视力者生活质量量表(Chinese-version low vision quality of life questionnaire，CLVQOL)]及患者依从性。结果:干预后，两组眼压、裸眼视力较干预前改善，且研究组眼压低于对照组，裸眼视力高于对照组，差异有统计学意义(P<0。05);干预后，两组PSQI评分低于干预前，且研究组低于对照组，差异有统计学意义(P<0。05);干预后，两组CLVQOL各维度评分高于干预前，且研究组高于对照组，差异有统计学意义(P<0。05);研究组干预后治疗依从性评分高于对照组，差异有统计学意义(P<0。05)。结论:基于PDCA循环的延续性护理应用在老年白内障手术患者中能改善眼压和裸眼视力，提升睡眠与生活质量，同时增强患者的依从性，对促进康复具有积极作用。
Impact of Continuous Nursing Based on PDCA Cycle on Elderly Patients Undergoing Cataract Surgery
Objective:To explore the impact of continuous nursing based on the PDCA cycle on elderly patients undergoing cataract surgery.Method:A total of 102 elderly cataract patients who treated in the Department of Ophthalmology of Zhangjiagang First People's Hospital from October 2020 to September 2022 were selected as the research objects,they were divided into the control group and the observation group by random number table method,with 51 cases in each group.The control group was given routine nursing mode,and the study group was given continuous nursing based on PDCA cycle.The intraocular pressure control,naked eye vision,sleep quality[Pittsburgh sleep quality scale(PSQI)],quality of life[Chinese-version of low vision quality of life scale(CLVQOL)]and patient compliance were evaluated and compared.Result:After intervention,the intraocular pressure and naked eye vision of two groups were improved compared with those before intervention,and the intraocular pressure of the study group was lower than that of the control group,and the naked eye vision was higher than that of the control group,the differences were statistically significant(P<0.05);after intervention,the PSQI scores of two groups were lower than those before intervention,and that in the study group was lower than that in the control group,the differences were statistically significant(P<0.05);after intervention,the scores of each dimension of CLVQOL in two groups were higher than those before intervention,and which in the study group were higher than the control group,the differences were statistically significant(P<0.05);the treatment compliance scores of the study group after intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of continuous nursing based on PDCA cycle in elderly patients undergoing cataract surgery can improve intraocular pressure and naked eye vision,improve sleep and quality of life,and enhance patient compliance,which has a positive effect on promoting rehabilitation.
Continuous nursing based on PDCA cycleElderly cataract patientsIntraocular pressure controlNaked eye visionQuality of life
万方数据
维普
