目的:评价临床护理路径在超声乳化白内障吸除术联合人工晶状体植入术中治疗年龄相关性白内障的应用效果。方法:采用对照临床试验研究,将75例年龄相关性白内障分为应用临床护理路径的观察组和应用常规护理的对照组。评价指标包括:临床疗效、术前平均等待时间、平均住院日、平均住院费用、医疗护理质量和患者满意度。结果:临床疗效包括术后最佳矫正视力,两组无统计学差异(P>0.05);平均术前等待时间、平均住院时间、平均住院费用,观察组均显著少于对照组,差异有统计学意义(P<0.05);医疗护理质量包括疾病知识掌握率、健康知识掌握率和满意率,观察组亦显著高于对照组,差异有统计学意义(P<0.05)。结论:临床护理路径在超声乳化白内障吸除术联合人工晶状体植入术治疗年龄相关性白内障患者中应用,可有效缩短治疗时间,降低治疗费用,提高医疗护理质量及患者满意度。

AIM:To evaluate application effect of clinical nursing pathway combined with phacoemulsification surgery and intraocular lens implantation in the treatment of age-related cataract(ARC)·METHODS:Using controlled trials,75 cases of ARC were divided into observation group with clinical nursing pathway and control group with conventional care.Evaluation index include clinical efficacy,average waiting time before surgery,average inpatient time,average hospital costs,health care quality and patient satisfaction·RESULTS:Clinical efficacy including postoperative best-corrected visual acuity,the difference between the two groups was not statistically significant(P>0.05).The average waiting time before surgery,average inpatient time,average hospital costs of observation group were significantly less than those of control group,the difference was statistically significant(P<0.05).Health care quality including the rate of disease control knowledge,the rate of health knowledge and satisfaction in the observation group were also significantly higher than those in control group,the difference was statistically significant(P<0.05)·CONCLUSION:The application of clinical nursing pathway combined with phacoemulsification surgery and intraocular lens implantation for patients with ARC can effectively shorten treatment time,reduce treatment costs and improve health care quality as well as patient satisfaction.

R473.77