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目的:探索中西医结合协同护理模式对青光眼术后患者自我护理能力和生活质量的影响。方法:选择2013年10月—2014年10月在本院行青光眼手术的100例青光眼术后患者作为研究对象,进行随机分组,观察组(中西医结合协同护理模式,护理组)50例,对照组(常规护理组)50例,两组病人性别、年龄、文化程度、经济收入、治疗方案、住院时间等指标无显著性差异(P>0.05),具有可比性。所有病例均行青光眼小梁切除术,生活可自理具有基本活动能力,意识清楚,语言表达准确清晰,签署知情同意书。观察组的护士经过CCM培训后对患者在常规护理基础上应用CCM模式护理,和患者及家属共同制定护理方案,教会患者及家属自我护理知识、自我康复技能训练、随访干预,共同监控患者,发现问题及时纠偏,并给予最大限度的生理及心理帮助。对照组按照眼科青光眼术后常规方法对患者护理,即定时监测生命体征、遵医嘱进行各项护理操作、给患者常规宣教注意事项、不定期随访。干预前及干预后3个月回访,采用自我护理能力量表和生活方式量表比较干预前后两组的自我护理和健康促进生活方式情况。结果:干预后观察组自我护理评分和健康促进生活方式评分均高于对照组,观察组的护士职业满意度及护理效果均高于对照组(P<0.01)。结论:中西医结合协同护理与常规的护理相比,能增强患者治疗依从性、主动性,改善生活方式,显著提高青光眼术后患者自我护理能力和生活质量,提高护理效果,促进患者康复,提高护士职业满意度,效果满意,值得在临床推广应用。
Objective: To explore the effect of integrated traditional Chinese and western medicine on self-care ability and quality of life in post-glaucoma patients. Methods: 100 patients with glaucoma underwent glaucoma surgery in our hospital from October 2013 to October 2014 were selected as the research object, 50 cases were randomly divided into observation group (Integrative Medicine and Nursing Group) There were 50 patients in the group (routine care group). There was no significant difference in gender, age, educational level, economic income, treatment plan and hospital stay between the two groups (P> 0.05). All patients underwent glaucoma trabeculotomy, life can take care of themselves with basic activities ability, awareness, accurate and clear language expression, signed informed consent. After the CCM training, the nurses in the observation group applied the CCM model care to the patients on the basis of routine nursing care, worked out the nursing plans with the patients and their families, taught the patients and their families self-care knowledge, self-rehabilitation skills training and follow-up interventions, Correction of the problem in time, and to maximize the physical and psychological help. Control group in accordance with the conventional method of ophthalmology glaucoma patients care, that is, regular monitoring of vital signs, as directed by the nursing operations, to patients with routine education matters needing attention, from time to time follow-up. Before and 3 months after the intervention, the patients were interviewed. Self-care ability scale and life style scale were used to compare self-care and health promotion life style before and after intervention. Results: After the intervention, the self-care score and health promotion life style scores of the observation group were higher than those of the control group. The occupational satisfaction and nursing effect of the nurses in the observation group were higher than those of the control group (P <0.01). Conclusion: The combination of traditional Chinese and western medicine can improve the treatment compliance and initiative, improve the life style, improve the self-care ability and quality of life of patients after glaucoma surgery, improve the nursing effect and promote the recovery and improvement of patients compared with the routine nursing Job satisfaction of nurses, the effect is satisfactory, it is worth in the clinical application.