The application of hot compress in patients with lower position after vitrectomy
艾盐包穴位热敷在玻璃体切割术后面向下体位患者疼痛及睡眠中的应用研究

摘要

目的 探讨艾盐包穴位热敷在玻璃体切割术后患者采取面向下体位时的疼痛缓解和睡眠改善中的应用效果。方法 采用便利抽样方法，选取2023年7月至2025年2月期间在我院眼科接受视网膜脱离治疗并行玻璃体切割术的120例患者作为研究对象。其中，2023年7月至2024年7月的60例患者作为对照组，接受常规护理干预；2024年8月至2025年2月的60例患者作为观察组，在常规护理干预的基础上增加艾盐包穴位热敷护理。对两组患者的术后疼痛程度、睡眠质量、并发症发生率以及生活质量进行评估和比较。结果 观察组患者在术后疼痛程度方面显著低于对照组，睡眠质量显著优于对照组，术后并发症发生率显著低于对照组，且生活质量评分及患者对护理的满意度评分均显著高于对照组（P<0.05）。结论 在玻璃体切割术后患者采取面向下体位期间的护理过程中，结合艾盐包穴位热敷干预，能够有效提升临床护理服务的质量，显著减轻患者的术后疼痛，增强患者的身心舒适度，改善患者的睡眠质量，降低并发症的发生率，并提高患者的生活质量。

Abstract

Objective To study the effect of hot application in pain relief and sleep improvement in patients after vitrectomy.
Methods Using the convenience sampling method, 120 patients undergoing retinal detachment treatment and concurrent vitrectomy in the ophthalmology department of our hospital from July 2023 to February 2025 were selected as the study subjects. Among them, 60 patients from July 2023 to July 2024 served as control group and received routine care intervention; 60 patients from August 2024 to February 2025 served as observation group to increase the treatment. The degree of postoperative pain, sleep quality, complication rate, and quality of life were assessed and compared between the two groups.
Results Patients in the observation group were significantly lower than the control group in terms of postoperative pain, sleep quality was significantly better than that of the control group, the incidence of postoperative complications was significantly lower than that of the control group, and the quality of life score and patient satisfaction with care were significantly higher than that of the control group (P <0.05).
Conclusion   in vitrectomy postoperative patients to face the lower position during the nursing process, combined with ai salt package acupoint hot compress intervention, can effectively improve the quality of clinical nursing services, significantly reduce the postoperative pain, enhance the patient's physical and mental comfort, improve the patient's sleep quality, reduce the incidence of complications, and improve the patient's quality of life.