不同体位对原发性开角型青光眼术后病人前房积血及舒适度的影响OA
Effects of different body positions on hyphema and comfort in postoperative patients with primary open-angle glaucoma
目的:研究不同体位对原发性开角型青光眼术后病人前房积血、舒适度、睡眠质量、视力、眼压及术后眼部不良反应发生率的影响.方法:选取2023年9月—2024年12月在广西壮族自治区人民医院眼科住院的159例原发性开角型青光眼术后病人为研究对象,采用随机数字表法分为试验1组(30°半卧位)、试验2组(45°半卧位)、对照组(60°半卧位),每组各53例.比较3组病人干预前、干预后24 h及干预后48 h前房积血、舒适度、睡眠质量、视力、眼压及术后眼部不良反应发生率.结果:共154例病人完成干预,其中试验1组52例、试验2组51例、对照组51例.干预后24 h,试验1组、试验2组Kolcaba舒适状况量表评分高于对照组(P<0.05);试验1组睡眠质量评分低于试验2组和对照组(P<0.05);试验1组术后不良反应发生率低于试验2组和对照组(P<0.05);3组病人前房积血计分、视力、眼压比较,差异均无统计学意义(P>0.05).结论:3种不同体位均有利于病人前房积血吸收,但30°、45°半卧位在提升病人舒适度方面优于60°半卧位,而30°半卧位不仅可有效促进前房积血吸收,还能改善睡眠质量并减少术后不良反应发生率,可为临床护理人员提供体位决策支持.
Objective:To investigate the effects of different body positions on hyphema,comfort,sleep quality,visual acuity,intraocular pressure,and the incidence of postoperative ocular adverse reactions in patients following primary open-angle glaucoma surgery.Methods:A total of 159 postoperative patients with primary open-angle glaucoma hospitalized in the department of ophthalmology,the People's Hospital of Guangxi Zhuang Autonomous Region from September 2023 to December 2024 were enrolled.They were randomly divided into three groups using a random number table:experimental group 1(30° semi-recumbent position),experimental group 2(45° semi-recumbent position),and control group(60° semi-recumbent position),with 53 cases in each group.Hyphema,comfort,sleep quality,visual acuity,intraocular pressure,and incidence of postoperative ocular adverse reactions were compared among the three groups before intervention,24 hours post-intervention,and 48 hours post-intervention.Results:A total of 154 patients completed the intervention,including 52 in experimental group 1,51 in experimental group 2,and 51 in the control group.After 24 hours intervention,the Kolcaba Comfort Scale scores in experimental groups 1 and 2 were higher than that in the control group(P<0.05).The sleep quality score in experimental group 1 was lower than those in experimental group 2 and the control group(P<0.05).The incidence of postoperative adverse reactions in experimental group 1 was lower than that in experimental group 2 and the control group(P<0.05).No statistically significant differences were observed in terms of hyphema scores,visual acuity,or intraocular pressure among the three groups(P>0.05).Conclusion:All three body positions facilitate hyphema absorption.However,the 30° and 45° semi-recumbent positions are superior to the 60° semi-recumbent position in improving patient comfort.Furthermore,the 30° semi-recumbent position not only effectively promotes hyphema absorption but also improves sleep quality and reduces the incidence of postoperative adverse reactions,providing evidence-based support for clinical nursing staff in decision-making of body position.
李翠;农丽洋;程冬生;李桂荣
广西中医药大学,广西 530200右江民族医学院第一附属医院邢台市人民医院广西壮族自治区人民医院
原发性开角型青光眼体位前房积血舒适度睡眠质量不良反应
primary open-angle glaucomabody positionhyphemacomfortsleep qualityadverse reactions
《护理研究》 2026 (17)
2999-3006,8
广西自然科学基金项目,编号:2023GXNSFAA026086广西壮族自治区卫生健康委自筹经费科研项目,编号:Z-A20240015
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