眼科护理

板层角膜移植日间病房模式的管理

Management of Lamellar Keratoplasty in Day-care Unit

:122-124
 
目的:总结了日间病房收治 8 例板层角膜移植手术的管理及其效果。
方法:回顾分析8例日间病房模式下行角膜移植手术患者的工作流程和病历资料。
结果:8例患者术后恢复理想,其中1例真菌性角膜溃疡的患者术后2个月感染复发行常规住院治疗。
结论:板层角膜移植日间病房模式的管理重点包括详细制定并不断完善工作流程,对患者入选条件、术前后护理、出院后随访这些关键环节进行质控,并简化护理文书、加强心理护理和医护合作,提高工作效率。
Purpose:The management and efficacy of lamellar keratoplasty of 8 patients in day-care unit were summarized.
Methods:The work flow and medical record of 8 cases undergoing corneal transplantation in day-care unit were retrospectively analyzed.
Results:Eight patients were fully recovered.One case with fungal keratohelcosis was re-infected at postoperative 2 months and hospitalized.
Conclusion:During lamellar keratoplasty in day-care unit, the work flow should be explicitly established and modified. The quality of patient selection, preoperative and postoperative nursing, follow-up after discharge should be carefully assured.In addition, nursing paperwork should be simplified, psychological nursing should be strengthened, and doctors and nurses should cooperate closely to enhance work efficiency. 
论著

感染性角膜炎的隔离管理

Isolation and management of infectious keratitis

:88-90
 
目的:规范感染性角膜炎的隔离管理。方法:回顾性分析感染性角膜炎患者在住院期间发生交叉感染的危险因素,探讨现行的隔离管理措施是否有效。结果:隔离管理到位,5年的院感发生率为0.08%。结论:规范感染性角膜炎的隔离管理,能有效地预防医院感染。
Objective: To standardized the isolation and management of infectious keratitis. Methods: Risk factors of cross-infection of patients with infectious keratitis during their hospitalization were retrospectively reviewed to investigate whether the current isolation management is effective. Results: The current isolation management is effective since the incidence of hospital infection was 0.08% in past 5 years. Conclusion: Standardized the isolation management of infectious keratitis can prevent hospital infection efficaciously. 
论著

泪道成形+义管植入日间手术患者的延续性护理

Continuous care of the patients with day surgery of lacrimal duct formed combined tube implantation

:84-87
 
目的:探讨完善泪道成形+义管植入日间手术患者的延续性护理对预防义管意外脱管的重要作用。方法:收集我科2016年1月至12月实施了标准延续性护理的泪道成形+义管植入日间手术患者的意外脱管情况。结果:泪道成形+义管植入日间手术患者随访期间没有发生医源性脱管,有9例9眼带管期间在院外发生脱管,意外脱管率为2.6%。结论:做好泪道成形+义管植入日间手术患者的延续性护理,有效降低义管意外脱出率,有利于患者康复。
Objective: To explore the important role of continuous nursing of the patients with day surgery of lacrimal duct forming combined tube implantation in the aspect of accident prevention to take off the tube. Methods: The information of the patients from Jan. to Dec. 2016 with accident the tube’s takeoff after carrying out the standard continuity of care were collected. Results: There was no iatrogenic but 9 eyes of 9 patients accidentally take off the tube during follow-up period. Accidental decannulation rate was 2.6%. Conclusion: Continuous care of the patients with day surgery of lacrimal duct forming combined tube implantation can effectively reduce the tube accidentally removal rate and be beneficial to patients’ recovery.

飞秒激光辅助角膜移植术的护理

Nursing care of patients undergoing femtosecond laser assisted corneal transplantation

:40-43
 
      总结32例飞秒激光辅助角膜移植术患者的护理,认为做好心理护理、术前完善眼部检查和做好充分的准备,术后严密观察敷料、眼压和角膜植片的情况,做好特殊体位和角膜接触镜的护理,并做好出院指导是提高手术的成功率及预防并发症的关键。
This paper summarized the nursing care of 32 patients received femtosecond laser assisted corneal transplantation. The key points to increase the success rate of surgery and prevent complications were psychological nursing, preoperative examinations and fully prepared, postoperative observation of dressing, intraocular pressure and corneal glass, care of special position and corneal contact lens, and discharge guidance.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
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