Application analysis and research of clinical nursing path in nursing of ophthalmic cataract patients
临床护理路径在眼科白内障患者护理中的应用分析与研究

摘要

目的 本文重点分析并研究临床眼科白内障患者对其护理期间应用临床护理路径以及常规护理的差异性。方法 针对本次研究需要，特别抽取118例均在2018年6月-2019年12月期间我院眼科诊治的白内障患者，根据临床护理方案将患者分为两组，执行常规护理方案的为参照组（59例），执行临床护理路径方案的为研究组（59例），同时针对区别护理后两组患者心理情绪、并发症情况、住院费用、住院时间、平均视力、患者总满意率情况做了调查，并以此调查结果为本次临床判定依据，统计表格并对比分析。结果 针对性统计组间患者SAS、SDS 评分，护理前，两组各项均值对比未见明显差异显示出P值超过0.05；护理后两组各项均值对比差异明显，显示P＜0.05。患者并发症比较，显示P＜0.05。统计组间患者住院费用、住院时间、平均视力，组间存在较明显差异（P＜0.05）。比较患者满意度，对患者总满意率进行统计分析，组间对比有差异（P＜0.05）。结论 经研究，采用临床护理路径可全面提升眼科护理质量，有效改善白内障患者视力水平以及负面情绪，使其并发症得到明显降低，进而促使患者住院时间缩短，并很大程度节省住院费用，临床呈现效果另患者非常满意，对其预后恢复也发挥着重要影响，具有较高的应用价值，值得推广。

Abstract

Objective: This article focuses on analyzing and studying the differences of clinical nursing path and routine nursing during the nursing period of ophthalmic cataract patients.
Methods: According to the needs of this research, 118 cataract patients who were diagnosed and treated in our hospital's ophthalmology department from June 2018 to December 2019 were selected. The patients were divided into two groups according to the clinical nursing plan, and the routine nursing plan was implemented as the reference group. (59 cases), and the research group (59 cases) who implemented the clinical nursing path plan, and at the same time, the psychological and emotional conditions, complications, hospitalization costs, hospitalization time, average vision, and total patient satisfaction rate of the two groups of patients after nursing were compared. Survey, and use the survey results as the basis for this clinical judgment, statistical tables and comparative analysis.
Results: The SAS and SDS scores of patients between the two groups were counted. Before nursing, there was no significant difference in the mean values of the two groups, showing that the P value exceeded 0.05; Comparing complications of patients, mainly including hyphema, iritis, corneal edema, and shallow anterior chamber, the incidence rates in each group were 2 (3.39%) and 9 (15.25%), with significant differences between the two groups, showing P<0.05. The hospitalization expenses, length of stay, and average visual acuity of the patients between the groups were counted. The data of the research group reflected: (3461.21±109.83 yuan), (4.63±2.28 days), (0.96±0.43 degrees); the reference group data reflected: (4405.07±271.15 yuan) ), (7.15±2.76 days), (0.75±0.41 degrees); there were significant differences between groups (P<0.05). Comparing patients' satisfaction, the total satisfaction rate of patients was statistically analyzed. The data between the groups showed 58 cases (98.30%) and 49 cases (83.05%) respectively, and there was a difference between the groups (P<0.05).
Conclusion  : After research, the use of clinical nursing pathways can comprehensively improve the quality of ophthalmic care, effectively improve the visual acuity and negative emotions of cataract patients, and significantly reduce complications, thereby shortening the hospitalization time of patients and saving hospitalization costs to a great extent. The effect is very satisfactory to patients, and it also plays an important role in its prognosis and recovery. It has high application value and is worthy of promotion.