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目的观察综合性护理干预在角膜移植术患者的应用效果。方法角膜移植术患者40例,按护理计划随机分为两组,每组20例。对照组采用角膜移植术常规护理。试验组采用综合性护理干预:全面评估患者心理状态,采取有针对性的心理疏导,帮助患者树立正确的疾病观念;出院后定期随访并指导患者按照医嘱坚持每天正确应用抗排斥药物,教会患者自我观察及自我护理的方法。结果试验组患者疾病知识和康复保健知识评分均高于对照组(P<0.05)。出院后1个月~1年,试验组患者定期随访率高于对照组(P<0.01)。出院后3个月、6个月及1年时,试验组患者遵医嘱每天按时用药率高于对照组(P<0.01)。结论角膜移植术后给予患者连续的综合性护理干预,能有效提高患者疾病认知度和自我观察、自我护理能力及患者术后用药的依从性,促进康复,提高角膜移植术的成功率和患者的生活质量。
Objective To observe the effect of comprehensive nursing intervention in patients with corneal transplantation. Methods 40 patients with corneal transplantation, according to the nursing plan were randomly divided into two groups of 20 cases. The control group received routine nursing care of corneal transplantation. The experimental group adopted a comprehensive nursing intervention: a comprehensive assessment of the patient’s psychological state, to take targeted psychological counseling to help patients establish the correct concept of disease; regular follow-up after discharge and guide patients to follow the doctor’s advice every day correct use of anti-rejection drugs, Methods of observation and self-care. Results The score of disease knowledge and rehabilitation health care in test group were higher than that in control group (P <0.05). One month to one year after discharge, the regular follow-up rate of patients in trial group was higher than that in control group (P <0.01). At 3 months, 6 months and 1 year after discharge, patients in the test group had a higher daily medication rate than the control group (P <0.01). Conclusion Continuous and comprehensive nursing intervention after corneal transplantation can effectively improve patients’ cognition of disease and self-observation, self-care ability and compliance of postoperative medication, promote rehabilitation and improve the success rate of corneal transplantation and patients The quality of life