Application effect of nursing intervention based on knowledge-attitude-practice model in position care for patients after vitrectomy combined with intraocular filling
10.3969/j.issn.1671-8283.2024.10.006
- VernacularTitle:基于知信行模式的护理干预在玻璃体切除联合眼内填充术后患者中的应用
- Author:
Huiying TANG
1
;
Wei WANG
;
Li RONG
;
Mengyan ZHANG
;
Pengfei ZHANG
Author Information
1. 安徽省铜陵市人民医院眼科,244000
- Publication Type:Journal Article
- Keywords:
vitrectomy;
intraocular filling;
position;
nursing;
knowledge-attitude-practice model;
comfort
- From:
Modern Clinical Nursing
2024;23(10):37-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of knowledge-attitude-practice(KAP)model based nursing interventions on positional care in patients after vitrectomy combined with intraocular filling.Methods A total of 62 patients who underwent vitrectomy combined with intraocular silicone filling,between February 2022 and November 2023,in the Department of Ophthalmology of a Grade ⅢA hospital in Tongling were selected as the study subjects.The patients were randomly divided into a control group(n=32)and an intervention group(n=32).The control group received routine nursing care,while the intervention group received KAP-model based nursing care.The two groups were compared in terms of the time of positional maintenance,the average time per day for maintaining a head-down face-down position in the first 3 days after surgery,general comfort questionnaire(GCQ),postural compliance,numerical rating scale(NRS)for pains,self-rating anxiety scale(SAS)and incidence of postoperative complications.Results In comparison with the control group,the intervention group had a longer positional maintenance time and longer average time per day for maintaining a head-down face-down position in the first 3 days after surgery(13.25±1.25 vs 15.86±1.36,20.87±1.04 vs 17.56±1.29,both P<0.001).The overall postural compliance rate in the intervention group was significantly higher(96.88％vs 76.67％,P<0.001).GCQ scores of the intervention group were higher(87.96±5.15 vs 70.24±4.89,P<0.001).NRS scores in the intervention group were significantly lower(2.41±0.26 vs 3.34±0.34,P<0.001).SAS scores in the intervention group were significantly lower(37.26±4.21 vs 44.37±4.71,P<0.001).The total incidence of postoperative complications in the intervention group was lower(3.12％vs 23.33％,P<0.05).Conclusion After vitrectomy combined with intraocular silicone filling,the implementation KAP-model based nursing care interventions prolongs the time of positional maintenance in the patients,improves positional comfort and compliance,reduces pains and relieve anxiety,as well as reduces the incidence of postoperative complications.
