实用老年医学 ›› 2024, Vol. 38 ›› Issue (6): 639-641.doi: 10.3969/j.issn.1003-9198.2024.06.022

• 护理园地 • 上一篇    下一篇

中医护理临床路径在老年糖尿病病人超声乳化白内障手术中的应用研究

丁姗, 王晓凤   

  1. 210029 江苏省南京市,江苏省人民医院眼科
  • 收稿日期:2023-08-23 出版日期:2024-06-20 发布日期:2024-06-19
  • 通讯作者: 王晓凤,Email:457369367@qq.com
  • 基金资助:
    江苏省人民医院临床能力提升工程护理项目(JSPH-NB-2022-10)

Application of clinical pathway of traditional Chinese medicine nursing in elderly patients with diabetes undergoing phacoemulsification cataract surgery

DING Shan, WANG Xiaofeng   

  1. Department of Ophthalmonogy, Jiangsu Province Hospital, Nanjing 210029, China
  • Received:2023-08-23 Online:2024-06-20 Published:2024-06-19
  • Contact: WANG Xiaofeng, Email:457369367@qq.com

摘要: 目的 通过建立和实施中医护理临床路径,改善行超声乳化白内障手术的老年糖尿病病人围手术期症状。方法 将70例病人分为研究组和对照组,每组35例。对照组接受白内障围手术期常规护理,研究组在常规护理的基础上接受中医护理临床路径。收集并比较2组病人的住院天数、血糖水平、视力、术后并发症以及围手术期的满意度和舒适度等资料,评价中医护理临床路径改善糖尿病白内障病人围术期症状的效果。结果 术后2组视力差异没有统计学意义(P>0.05),与对照组比较,研究组术后血糖水平以及并发症发生率显著降低,舒适度、满意度显著升高,差异有统计学意义(P<0.05)。结论 中医护理临床路径有助于改善行超声乳化白内障手术的老年糖尿病病人围手术期症状,提高病人的满意度和舒适度。

关键词: 老年人, 糖尿病, 白内障手术, 中医护理临床路径

Abstract: Objective To improve the perioperative symptoms in the elderly patients with diabetes undergoing phacoemulsification cataract surgery by establishing and carrying out clinical pathway of traditional Chinese medicine nursing. Methods A total of 70 elderly patients with diabetes undergoing phacoemulsification cataract surgery were divided into the study group and the control group, with 35 cases in each group. The control group received routine perioperative nursing, while the study group received pathway of traditional Chinese medicine nursing on the basis of routine perioperative nursing. The clinical data of hospitalization days, plasma glucose, sight, postoperative complications, perioperative satisfaction and comfort were collected and compared between the two groups, and the effects of clinical pathway of traditional Chinese medicine nursing in improving the perioperative symptoms were analyzed. Results Compared with the control group, the sight showed no significant differences, and the level of postoperative plasma glucose and the incidence of complications were significantly lower, and the perioperative satisfaction and comfort were significantly higher in the study group (P<0.05). Conclusions The clinical pathway of traditional Chinese medicine nursing is helpful to improve the perioperative symptoms and the patients’ satisfaction and comfort in the patients with diabetes undergoing phacoemulsification cataract surgery.

Key words: aged, diabetes, cataract surgery, clinical pathway of traditional Chinese medicine nursing

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