Research on safety nursing intervention for elderly patients with cataract during the postoperative period
高龄白内障患者围手术期的安全护理干预研究

摘要

目的 探究安全护理干预应用在高龄白内障患者围手术期的效果。方法 抽选本院收治并开展手术治疗共110例高龄白内障患者（时段2024年5月~2025年5月），随机数字表法划分2组各55例，对照组采用常规围手术期护理，观察组采用安全护理干预。根据手术不良事件、心理应激反应、并发症对2组干预效果综合评价。结果 与对照组手术不良事件（手术器械缺陷、手术时间延迟、仪器使用不当、医疗文件不全、监护不当等）比较，观察组总发生率显著降低（P＜0.05）。与对照组干预后心理状态评分[焦虑自评量表（SAS）、抑郁自评量表（SDS）]比较，观察组总发生率显著降低（P＜0.05）。与对照组并发症（角膜水肿、眼内出血、高眼压、眼内炎等）比较，观察组总发生率显著降低（P＜0.05）。结论 安全护理干预应用在高龄白内障患者围手术期有助于减少护理不良事件，减轻患者心理应激反应，降低并发症风险。

Abstract

Objective To explore the effect of safety nursing intervention in the perioperative period of elderly patients with cataract.
Methods A total of 110 elderly patients with cataract who were admitted to our hospital and underwent surgical treatment (from May 2024 to May 2025) were selected. They were randomly divided into two groups, with 55 cases in each group. The control group received routine perioperative care, while the observation group received safety nursing intervention. The intervention effect of the two groups was evaluated based on the total occurrence of surgical adverse events, psychological stress response, and complications.
Results Compared with the control group in terms of surgical adverse events (such as surgical instrument defects, delayed surgery time, improper use of instruments, incomplete medical documents, improper monitoring, etc.), the total incidence rate in the observation group was significantly lower (P < 0.05). Compared with the control group after intervention in terms of psychological state scores [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS)], the total incidence rate in the observation group was also significantly lower (P < 0.05). Compared with the control group in terms of complications (such as corneal edema, intraocular hemorrhage, high intraocular pressure, endophthalmitis, etc.), the total incidence rate in the observation group was also significantly lower (P < 0.05).
Conclusion   Safety nursing intervention applied in the perioperative period of elderly patients with cataract can help reduce nursing adverse events, alleviate patients' psychological stress response, and reduce the risk of complications.