护理干预在AcrySof ReSTOR多焦点人工晶状体的临床应用

目的：观察AcrySof ReSTOR多焦点人工晶状体的临床应用效果及科学有效的护理。方法：对11例15只眼白内障患者行白内障超声乳化术的入院宣教、术前、术中及术后护理进行总结,定期检查患者的裸眼远、近视力,矫正远、近视力,角膜散光,人工晶状体位置,并以问卷形式调查对不同距离下的视物舒适度、是否存在眩光等视觉症状及戴镜率。结果：到位的健康宣教、心理护理使11例15只眼患者主动配合手术,术后密切观察病情,未出现并发症,裸眼及矫正远视力在0.6以上的比例分别为73%和93%,裸眼及矫正近视力Jr3（0.5）以上的比例为67%和80%。80%的患者对术后的视力表示满意。部分病例由于手术切口术后出现散光或散光加重影响视力。73%的患者能不依赖眼镜完成日常活动。结论：健康宣教贯穿整个护理过程,做好心理护理、相关知识教育,使患者积极配合各种检查,自愿接受手术;AcrySof ReSTOR多焦点人工晶状体能同时提供良好的远、近视力,手术的高质量和人工晶状体度数的精确计算是术后患者获得满意视力的重要保证。

Clinic Use of Nursing Interference for Patients Using AcrySof ReSTOR Multi-focus Artificial Lens

Objective：To observe the clinic effects and scientific effective nursing of AcrySof ReSTOR multi-focus artificial lens.Method： Summary was made about the admission education and nursing for pre,during and post operation for 11 patients with 15 problematic eyes.Examinations were made periodically about the far and near eyesights for naked eyes,corrected eyes,corneal astigmatism and the position of the artificial lens.The questionnaire form was used to investigate the comfort of seeing objects in different distance and the existence of the light dizziness and glasses-wearing rate.Result：The health education and psychological nurse in place promoted the patients’cooperation in operation and recovering.Complication was not found.Seventy-three percent of the patients had the far eyesight of 0.6 or over,ninety-three percent of the patients had the corrected far eyesight of 0.6. Sixty-seven percent and eighty percent patients had the eyesight over 0.5 for the naked and corrected eyesight respectively. Eighty percent of the patients were satisfied with the result of the operation.Conclusion：Health education goes through the whole nursing duration,therefore psychological nurse and corresponding education are important to help the patients to cooperate in different examinations and operation. AcrySof ReSTOR multi-focus artificial lens may offer excellent far and near eyesight. High-qualified operation and the accurate calculation of degrees of the artificial lens are the base for the ideal eyesight after operation.