ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-058 护理学研究 2026, 2(07): 229-232

围手术期精细化护理在飞秒激光白内障手术中的应用及对预后的影响

运城眼科医院

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摘要

目的 探讨对飞秒激光白内障手术患者在围手术期采取精细化护理模式的应用效果,分析其对患者预后的影响。方法 研究对象为120例于2025年3月至2025年12月进行飞秒激光白内障手术患者,利用随机数字表法将患者分为对照组(60例)与观察组(60例)。对照组常规围手术期护理,观察组采用常规围手术期护理+围手术期精细化护理干预,比较两组患者术后视力恢复(裸眼视力、矫正视力)、面部表情疼痛量表(FPS-R)疼痛评分、并发症、患者满意度评分以及配合度评分。结果 观察组术后1周的裸眼视力、矫正视力高于对照组,差异有统计学意义(P<0.05)。观察组护理后FPS-R疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为5.00%,低于对照组16.67%,差异有统计学意义(P<0.05)。观察组患者满意度评分以及配合度评分高于对照组,差异有统计学意义(P<0.05)。结论 在飞秒激光白内障手术中采取围手术期精细化护理干预措施,对患者的视力恢复、疼痛、并发症、护理服务质量均有积极影响,依靠精细化护理干预可满足白内障患者多维度的护理要求,是一种有效的围手术期护理干预模式。

Abstract

Objective To explore the application effect of a refined nursing model for patients undergoing femtosecond laser cataract surgery and analyze its impact on patient outcomes. Methods A total of 120 patients who underwent femtosecond laser cataract surgery between March and December 2025 were enrolled. Using a random number table method, they were divided into a control group(60 cases) and an observation group(60 cases). The control group received conventional perioperative nursing care, while the observation group received conventional perioperative nursing care plus refined nursing intervention. The following parameters were evaluated: postoperative visual recovery(uncorrected visual acuity, corrected visual acuity), Faces Pain Scale–Revised(FPS-R) pain scores, complication rates, patient satisfaction scores, and cooperation scores. Results At one week postoperatively, the observation group exhibited significantly higher uncorrected visual acuity and corrected visual acuity than the control group(P<0.05). The FPS-R pain scores in the observation group were significantly lower than those in the control group(P<0.05). The complication rate in the observation group(5.00%) was significantly lower than that in the control group(16.67%)(P<0.05). The patient satisfaction scores and cooperation scores in the observation group were significantly higher than those in the control group(P<0.05). Conclusion Implementing refined nursing interventions in femtosecond laser cataract surgery has a positive impact on visual recovery, pain management, complication rates, and the quality of nursing services. This refined nursing approach effectively meets the multidimensional care requirements of cataract patients and serves as an effective perioperative nursing intervention model.

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[1]徐冰.围手术期精细化护理在飞秒激光白内障手术中的应用及对预后的影响[J].疾病预防与控制,2026,2(07):229-232.