Clinical nursing effect, knowledge mastery and adverse events in patients after vitreoretinal microsurgery by multi-stage health education / 中国实用护理杂志

ABSTRACT

Objective To analyze the clinical nursing effect of multi-stage health education in patients after vitreoretinal microscopy and its effects on their knowledge mastery and the adverse events. Methods The clinical data of 100 patients who had received vitreoretinal microsurgery between April 2015 and April 2017 were analyzed. These patients were divided into 2 groups by random digits table method.The 50 cases given routine nursing were taken as the control group,whereas the other 50 given both routine nursing and multi-stage health education as the observation group.The clinical nursing effect, knowledge mastery and adverse events were compared between the two groups. Results The position holding time and the length of hospital stay was respectively(171.45±25.36)min and(8.10±1.05)d in the observation group,and was respectively(90.20±24.10)min and(10.40±2.31)d in the control group,with the difference between the two groups being statistically significant (t =16.422, 6.409, P<0.05). The percentages of relevant skills and knowledge mastery was respectively 92.00% (46/50) and 96.00% (48/50) in the observation group, and was respectively 60.00% (30/50) and 64.00% (32/50) in the control group,with statistically significant difference shown between the two groups(χ2=14.035,16.000,P<0.05). Patients with increased intraocular pressure, impaired vision and sore eyes in the observation group accounted for 24.00% (12/50), 26.00% (13/50) and 26.00% (13/50) respectively, whereas those with increased intraocular pressure,impaired vision and sore eyes in the control group was respectively 82.00%(41/50),80.00%(40/50)and 86.00%(43/50),the difference was significant(χ2=33.762,29.265,36.560,P<0.05). Conclusions For patients who had undergone vitreoretinal microsurgery, multi-stage health education can prolong the duration of position holding,shorten the length of hospital stay,and improve the patients'knowledge mastery and reduce the incidence of adverse events.