[1]周玲玲,戈晓华,何艳,等.头位角度预警器对视网膜脱离术后患者体位支持的效果分析[J].军事护理,2023,40(02):113-116.[doi:10.3969/j.issn.2097-1826.2023.02.028]
 ZHOU Lingling,GE Xiaohua,HE Yan,et al.Effect of Head Position Angle Early Warning Device on Posture Support of Patients After Retinal Detachment Surgery[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(02):113-116.[doi:10.3969/j.issn.2097-1826.2023.02.028]
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头位角度预警器对视网膜脱离术后患者体位支持的效果分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年02期
页码:
113-116
栏目:
技术与方法
出版日期:
2023-02-15

文章信息/Info

Title:
Effect of Head Position Angle Early Warning Device on Posture Support of Patients After Retinal Detachment Surgery
文章编号:
2097-1826(2023)02-0113-04
作者:
周玲玲1戈晓华2何艳1缪珏1
(1.上海交通大学医学院附属新华医院 眼科,上海 200092; 2.上海交通大学医学院附属新华医院 护理部)
Author(s):
ZHOU Lingling1GE Xiaohua2HE Yan1MIAO Jue1
(1.Ophthalmology Department,Xinhua Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200092,China; 2.Nursing Department,Xinhua Hospital Affiliated to Shanghai Jiao Tong University)
关键词:
预警器 体位支持 玻璃体切割术 视网膜脱离
Keywords:
early warning device postural support vitrectomy retinal detachment
分类号:
R473.77
DOI:
10.3969/j.issn.2097-1826.2023.02.028
文献标志码:
A
摘要:
目的 探讨头位角度预警器在视网膜脱离术后强迫体位患者中的应用效果,为提高患者体位准确率提供保障。方法 便利抽样法选取某医院眼科行单眼视网膜复位术的患者260例(260眼)为研究对象,按入院先后将2021年3-7月收治的130例患者和对应眼科护士28名作为对照组,采用常规的体位支持与目测监测法; 2021年8-12月收治的130例患者和对应护士28名作为观察组,采用头位角度预警器的体位支持与基于电子报警装置的监测法。评价并比较两组患者术后体位准确率和护士任务负荷程度。结果 观察组患者使用头位角度预警器后,术后连续48 h的强迫体位执行准确率高于对照组,差异有统计学意义(χ2=1039.680,P<0.001)。观察组护士任务负荷指数得分为(73.36±7.05)分,低于对照组[(86.07±5.50)分],差异亦有统计学意义(t=7.528,P<0.001)。结论 头位角度预警器替代传统的人工监测方式,发挥电子化监测方式的精确优势,有效解决体位护理难点,值得临床推广应用。
Abstract:
Objective To explore the effect of head position angle warning device in patients with forced posture after retinal detachment surgery and to improve the accuracy of patients' postures.Methods By convenience sampling method,a total of 260 patients(260 eyes)who underwent retinal reattachment surgery in the Department of Ophthalmology of a tertiary A hospital were selected.130 patients and 28 corresponding ophthalmic nurses who were admitted from March to July 2021 were selected as the control group,using the routine position support nursing methods and visual monitoring methods.From August to December 2021,130 patients and 28 corresponding nurses were selected as the observation group,using the posture support method of head position angle early warning device and the monitoring method based on intelligent alarm device.The accuracy of postoperative posture and the degree of nurses' task load were evaluated and compared between the two groups.Results After the use of the head Angle warning device,the accuracy of forced position execution for 48 consecutive hours after surgery in the observation group was higher than that in the control group,and the difference was statistically significant(χ2=1039.680,P<0.001).The task load index score of the observation group was(73.36±7.05),which was lower than that of the control group [(86.07±5.50)],and the difference was statistically significant(t=7.528,P<0.001).Conclusions The head position angle warning device replaces the traditional manual monitoring method,gives play to the accurate advantages of electronic monitoring method,and effectively solves the difficulties in position nursing.It is worthy of clinical application.

参考文献/References:

[1] SUZUKIK,SHIMADA Y,SENOY,et al.Adherence to the face-down positioning after vitrectomy and gas tamponade:a time series analysis[J/OL].[2022-04-30].https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-018-3257-1.DOI:10.1186/s13104-018-3257-1.
[2] XIA S,ZHAO X Y,WANG E Q,et al.Comparison of face-down posturing with nonsupine posturing after macular hole surgery:a meta-analysis[J/OL].[2022-04-30].https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-019-1047-8.DOI:10.1186/s12886-019-1047-84.
[3] OTSUKA K,IMAI H,MIKI A,et al.Impact of postoperative positioning on the outcome of pars plana vitrectomy with gas tamponade for primary rhegmatogenous retinal detachment:comparison between supine and prone positioning[J].Acta Ophthalmological,2018,96(2):e189-e194.
[4] RABINA G,AZEM N,BAREQUET D,et al.Silicone oil tamponade effect on macular layer thickness and visual acuity[J].Retina,2020,40(5):998-1004.
[5] MAYYALI H,TEKIN B,KAYIKCIOGLU O R,et al.Evaluation of the effect of body position on intra-ocular pressure measured with rebound tonometer[J].Turk J Ophthalmol,2019,49(1):6-9.
[6] YE T,YU JG,LIAO L,et al.Macular hole surgery recovery with and without face-down posturing:meta-analysis of randomized controlled trials[J/OL].[2022-04-30].https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-019-1272-1.DOI:10.1186/s12886-019-1272-1.
[7] FANG Y,LONG Q,WANG X,et al.Intraocular pressure 1 year after vitrectomy in eyes without a history of glaucoma or ocular hypertension[J].Clin Ophthalmol,2017(11):2091-2097.
[8] 孔德菊,于旭辉.硅油填充术后继发高眼压的相关危险因素[J].国际眼科杂志,2018,18(11):2003-2006.
[9] NAJMANOVA E,PLUHACEK F,HAKLOVA M.Intraocular pressure response affected by changing of sitting and supine positions[J].Acta Ophthalmol,2020,98(3):e368-e372.
[10]周玲玲,戈晓华.人工智能时代下眼底术后体位支持的现状与发展趋势[J].护士进修杂志,2021,36(5):428-431.
[11]周玲玲,戈晓华,何艳.基于多功能辅助器的体位支持在玻璃体切割术后患者中的应用[J].解放军护理杂志,2019,36(11):83-86.
[12]梁丽玲,赵丽,邓娟,等.NASA-TLX 量表的汉化及信效度检验[J].护理研究,2019,33(5):734-737.
[13]BRODIE F L,RAMIREZ D A,PANDIAN S,et al.Novel positioning sensor with real-time feedback for improved postoperative positioning:pilot study in control subjects[J].ClinOphthalmol,2017(11):939-944.
[14]LEITRITZ MA,ZIEMSSEN F,VOYKOV B,et al.Usability of a gravity-and tilt-compensated sensor with data logging function to measure posturing compliance in patients after macular hole surgery:a pilot study[J].Graefes Arch Clin Exp Ophthalol,2014,252(5):739-744.
[15]WU Q,ZHAO L,YE X C.Shortage of healthcare professionals in China[J/OL].[2022-04-30].https://www.bmj.com/content/354/bmj.i4860.long.DOI:10.1136/bmj.i4860.
[16]谢金柱,胡银环,鲁春桃,等.医生工作负荷测量研究进展[J].中国医院,2018,22(6):43-45.
[17]钟琴,朱静,王迪,等.基于人因工程理论的护理工作负荷测量方法研究进展[J].护理学杂志,2018,33(11):107-110.

备注/Memo

备注/Memo:
【 收稿日期 】 2022-06-29 【 修回日期 】 2022-11-21
【 基金项目 】 上海新华医院院级护理创新项目(XHHLCX202001); 上海新华医院护理学科人才项目(HLXKRC006)
【 作者简介 】 周玲玲,硕士,副主任护师,电话:021-25078505
【 通信作者 】 戈晓华,电话:021-25076123
更新日期/Last Update: 2023-02-15