围术期系统性干预对行超声乳化抽吸联合人工晶体植入术的老年白内障患者的影响

Effects of perioperative systemic intervention on elderly cataract patients undergoing phacoemulsification combined with in-traocular lens implantation

中文关键词: 老年  白内障  人工晶体植入术  围术期  超声乳化  系统性护理

英文关键词: elderly  cataract  intraocular lens implantation  perioperative period  phacoemulsification  systematic nursing

中文摘要:

      目的 观察围术期系统性干预对行超声乳化抽吸(PHACO)联合人工晶体植入术(IOL)的老年白内障患者的影响.方法 选取2023年4月—2025年2月安庆市立医院收治的120例行PHACO联合IOL的老年白内障患者,随机分为对照组(n=60)和观察组(n=60);对照组采用围术期常规护理干预,观察组采用围术期系统性干预.比较2组患者干预前后心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)],围术期失眠率,护理满意度及并发症总发生情况.结果 干预后,观察组患者SDS和SAS评分、围术期失眠率均低于对照组,护理满意度高于对照组,差异均有统计学意义(P＜0.05);2组患者并发症总发生率差异无统计学意义(P＞0.05).结论 围术期系统性干预可有助于改善行PHACO联合IOL的老年白内障患者的心理状态,提高护理满意度,降低围术期失眠率,对单眼与双眼手术患者均有较好效果.

英文摘要:

      Objective To observe the effects of perioperative systematic intervention on elderly cataract patients under-going phacoemulsification(PHACO)combined with intraocular lens implantation(IOL).Methods A total of 120 elderly cataract patients who underwent PHACO combined with IOL in Anqing Municipal Hospital between April 2023 and February 2025 were selected and randomly divided into control group(n=60)and observation group(n=60).The control group re-ceived conventional perioperative nursing intervention,while the observation group received perioperative systematic interven-tion.The psychological status[Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)],perioperative in-somnia rate,nursing satisfaction,and total incidence of complications were compared between the two groups before and after the intervention.Results After the intervention,the SDS and SAS scores,as well as the perioperative insomnia rate,in the observation group were significantly lower than those in the control group,while nursing satisfaction was significantly higher than that in the control group.The differences were statistically significant(P＜0.05).There was no significant difference in the total incidence of complications between the two groups(P＞0.05).Conclusion Perioperative systematic intervention can effectively improve the psychological status of elderly cataract patients undergoing PHACO complicated with IOL,enhance nursing satisfaction,and reduce the incidence of perioperative insomnia.It has good effects on both single-eye and double-eye surgery patients.