临床护理路径对老年白内障手术患者心理健康和生活质量的影响

目的探讨临床护理路径对老年白内障手术患者心理健康和生活质量的影响。方法选择50例老年白内障患者，择期在局麻下行超声乳化联合人工晶体植入术，随机均分为观察组和对照组，对照组采用眼科围术期常规护理，观察组实施临床护理路径护理。观察两组护理前后心理健康[Zung氏焦虑自评量表（SAS）、Zung氏抑郁自评量表（SDS）]和生活质量（Quality of Life，QOL）的变化。结果护理前，两组SAS、SDS评分和QOL各项评分差异有统计学意义（P〉0．05）；护理后，观察组SAS、SDS评分为（39．52±5．11）和（40．36±4．48）分，显著低于对照组的（43．16±5．30）和（43．44±4．66）分（P〈0．05）；QOL量表中的自理能力、活动能力、社交、心理状态和QOL总分分别为（83．48±4．88）、（61．88±7．18）、（45．96±7．46）、（80．48±5．94）和（266．20±26．50）分，显著高于对照组的（78．72±8．04）、（56．56±7．38）、（39．56±6．79）、（75．52±7．34）和（247．92±29．59）分（P〈0．05）。结论临床护理路径显著能改善老年白内障手术患者的心理健康，提高其生活质量。

Influence of clinical nursing path on mental health and life quality in elderly patients undergoing cataract surgery

[ Objective] To investigate the influence of clinical nursing path on mental health and life quality in elderly patients un- dergoing cataract surgery. [ Methods]50 patients with senile cataract, who were given the phacoemulsification and intraocular lens implantation under local anesthesia, were randomly divided into the observation group and the control group. The control group was given the perioperative routine care, and the observation group received the clinical nursing path. The mental health [ Zung~ self- rating anxiety scale （SAS） and Zung~ self-rating depression scale （SDS） ] and quality of life [ Quality of life （QOL） ] before and after nursing were observed in two groups. [ Results ] Before nursing, there were no significant differences in scores of SAS, SDS and QOL between two group （ P 〉 0.05 }. After nursing, the scores of SAS （ 39.52 ± 5.11 ） and SDS （40.36 ± 4.48 ） in the obser- vation group were lower than those in the control group （43.16 ± 5.30 and 43.44 ±4.66） significantly （P 〈 0.05）. The scores of self-care ability, activity ability, social intercourse and psychological state in QOL, as well as total scores of QOL in the observation group were respectively 83.48 ±4.88, 61.88 ± 7.18, 45.96 ± 7.46, 80.48 ± 5.94 and 266.20 ± 26.50, which were higher than those in the control group （ 78.72 ± 8.04, 56.56 ± 7.38, 39.56 ± 6.79, 75.52 ± 7.34 and 247.92 ± 29.59 ） significantly （P 〈 0.05}. [ Conclusion] Clinical nursing path can significantly improve the mental health and promote quality of life in elderly patients undergoing cataract surgery. Key words：