前瞻性护理干预对眼科门诊行眼底荧光造影检查患者的应用效果

目的 探讨前瞻性护理干预对眼科门诊行眼底荧光造影(FFA)检查患者的应用效果，为今后眼科临床护理提供参考。 方法 选取2017年6月—2019年3月于绍兴市人民医院眼科门诊诊治的140例行FFA检查的患者为研究对象。将患者按照随机编号法分为观察组和对照组，每组70例。对照组患者应用常规护理干预，观察组在对照组的基础上应用前瞻性护理干预。对比2组患者造影后不良反应发生情况、心理状态评分、护理质量评分及护理满意度。 结果 观察组患者造影后不良反应发生率为10.0%(7/70)，低于对照组的25.7%(18/70)，差异有统计学意义(χ2=5.892,P<0.05)；护理干预前2组患者SAS、SDS评分差异均无统计学意义(P>0.05)；护理干预后观察组SAS、SDS评分分别是(14.52±2.13)分、(15.37±2.81)分，明显低于对照组的(17.66±2.85)分、(18.26±2.76)分(t=7.384、6.139，均P<0.05)。观察组患者护理质量各项评分均明显高于对照组(P<0.05)。观察组护理满意度为95.7%(67/70)，高于对照组的82.9%(58/70),差异有统计学意义(χ2=6.048，P<0.05)。 结论 前瞻性护理干预可有效降低眼科门诊行FFA检查患者造影后不良反应的发生率，有利于缓解患者不良情绪，提高护理质量及护理满意度，值得临床应用。 

Application effect of prospective nursing intervention on patients with FFA examination in ophthalmology clinic

Objective To investigate the effect of prospective nursing intervention on fundus fluoroscopy (FFA) in ophthalmology clinics and to provide reference for clinical nursing of ophthalmology. Methods A total of 140 patients who underwent FFA examination in the ophthalmology clinic from June to September 2019 were enrolled in the study. According to the random number table method, 70 patients were divided into observation group and control group. Patients in the control group were treated with routine nursing intervention, and the observation group was treated with prospective nursing intervention on the basis of the control group. The incidence of adverse reactions after contrast, the psychological status scores of the two groups before and after intervention, the quality of nursing score and the satisfaction of nursing were compared. Results The incidence of adverse reactions after angiography in the observation group was 10.0% (7/70), which was lower than that in the control group (25.7%, 18/70), χ2=5.892, P<0.05. Before the nursing intervention, the mental state scores of the two groups (SAS, SDS)had no statistical significance, P>0.05. After nursing intervention, the SAS and SDS scores of the two groups were lower, but the scores of the observation group were significantly lower than those of the control group(14.52±2.13) vs.(17.66±2.85), (15.37±2.81) vs. (18.26±2.76)], t=7.384, 6.139, all P<0.05. Compared with the control group, the nursing satisfaction of the observation group was 95.7% (67/70), which was higher than that of the control group (82.9%,58/70), χ2=6.048, P<0.05. Conclusion Prospective nursing intervention can effectively reduce the incidence of post-contrast adverse reactions in patients with FFA examination in ophthalmology clinics, which is beneficial to alleviate patients' bad mood, improve nursing quality and nursing satisfaction, and is worthy of clinical application.