CAJ | 학술논문

目的：探讨自制多功能俯卧床在视网膜脱离行玻璃体切除联合眼内填充术后患者体位护理中的应用效果。方法选择玻璃体切除联合硅油或气体填充术后需取俯卧位的患者165例，按随机数字法随机分为对照1组55例，对照2组55例和观察组55例。对照1组采用传统U型软枕护理，对照2组采用眼孔床＋U型枕护理，观察组采用多功能俯卧床护理，比较3组患者日平均体位维持时间、日平均入睡时间、头位偏移发生率、不良反应及视网膜脱离复发情况。结果观察组患者的术后俯卧位日平均体位维持时间和日平均入睡时间分别为（19.23±2.36）h和（8.42±0.32）h，均较对照组增加，差异有统计学意义（F分别为69.806，75.332；P＜0.01）；观察组患者不良反应发生情况均较少，术后3个月内视网膜脱离复发率为1.82％，低于对照组，差异有统计学意义（χ2＝10.573，P＜0.05）。结论玻璃体切除联合填充术后使用自制多功能俯卧床可提高患者俯卧位的依从性，减少术后不良反应和并发症的发生，更精准地调整头位，促进视网膜复位，提高手术成功率。
목적：탐토자제다공능부와상재시망막탈리행파리체절제연합안내전충술후환자체위호리중적응용효과。방법선택파리체절제연합규유혹기체전충술후수취부와위적환자165례，안수궤수자법수궤분위대조1조55례，대조2조55례화관찰조55례。대조1조채용전통U형연침호리，대조2조채용안공상＋U형침호리，관찰조채용다공능부와상호리，비교3조환자일평균체위유지시간、일평균입수시간、두위편이발생솔、불량반응급시망막탈리복발정황。결과관찰조환자적술후부와위일평균체위유지시간화일평균입수시간분별위（19.23±2.36）h화（8.42±0.32）h，균교대조조증가，차이유통계학의의（F분별위69.806，75.332；P＜0.01）；관찰조환자불량반응발생정황균교소，술후3개월내시망막탈리복발솔위1.82％，저우대조조，차이유통계학의의（χ2＝10.573，P＜0.05）。결론파리체절제연합전충술후사용자제다공능부와상가제고환자부와위적의종성，감소술후불량반응화병발증적발생，경정준지조정두위，촉진시망막복위，제고수술성공솔。
Objective To investigate the application effect of homemade multifunctional prone bed in position nursing for patients with retinal detachment who undergoing vitrectomy with intraocular tamponade .Methods One hundred and sixty-five patients who needed to take the prone position after vitrectomy with silicone oil or gas tamponade were selected and randomly divided into 3 groups:55 patients in the control group1 with the traditional U-shaped soft pillow,55 patients in the control group 2 with the hole bed and U-shaped pillow,55 patients in the experimental group with the homemade multifunctional prone bed .The daily average duration of position, the daily average sleep time,the incidence of head-bit offset, the occurrence of adverse reactions , and the recurrence of retinal detachment were observed and compared among the three groups .Results In the experimental group, the daily average time of maintaining prone position and sleeping was (19.23 ±2.36)h and (8.42 ±0.32)h, respectively, both of which were longer than those in the two control groups , the differences were statistically significant (F=69.806,75.332,respectively;P<0.01).The occurrence of adverse reactions in the experimental group were less than that in the two control groups .The recurrence rate of retinal detachment within 3 months after operation in the experimental group was 1.82%, and lower than that in the two control groups, the difference was statistically significant (χ2 =10.573,P<0.05).Conclusions The application of homemade multifunctional prone bed in patients undergoing vitrectomy with intraocular tamponade can significantly improve the patients'adherence to the prone position, effectively reduce the incidence of postoperative adverse reactions and complications , and more accurately adjust the head position , which can help to promote retinal reattachment and improve success rate of operate .