摘要
目的探讨细菌性角膜炎预后影响因素和护理对策。方法根据患者的预后将2010年10月-2012年10月在首都医科大学附属北京世纪坛医院眼科住院治疗的67例细菌性角膜炎患者分为A组(49例)和B组(18例),采用自编问卷收集患者的相关资料,采用描述性统计分析和二分类Logistic回归分析分别分析患者的影响因素,并为采取针对性的护理干预措施提供参考依据。结果在本研究入选的患者中,49例患者预后良好,预后良好率为73.13%,预后不良率为26.87%,多因素Logistic回归分析发现多种基础合并症和就诊前10 d内接触过类似症状者是细菌性角膜炎患者预后危险因素,而主要照顾者对细菌性角膜炎知识了解程度、主要照顾者文化水平和治疗及时是细菌性角膜炎患者预后的保护因素。结论细菌性角膜炎患者预后欠佳,且该病的预后同时受多方面因素的影响,应该采取针对性的干预措施有效改善患者的预后,提高患者的生活质量。
Objective To study the prognostic factors and nursing countermeasures of bacterial keratitis.Methods 67 patients with bacterial keratitis hospitalized in the ophthalmology department of our hospital from October 2010 to Oc tober 2012 were divided into group A and group B according to the prognosis.Self-made questionnaire was used to collect the patients＇ relevant informaton and the influencing factors were analyzed using the descriptive statistical anal ysis and binary logistic regression analysis.Specific nursing interventions were proposed.Results Of the 67 patients enrolled in this study,49 patients had good prognosis,with a good prognosis rate of 73.13% and an adverse prognosis of 26.87%.Multivariate logistic regression analysis found that a variety of underlying comorbidities and the contact with similar symptoms within the first 10 days prior to treatment were risk factors for the prognosis of patients with bacterial keratitis while the primary caretakers ’ knowledge of bacterial keratitis and cultural level and the treatment were protective factors for the prognosis of patients with bacterial keratitis.Conclusion The prognosis of patients with bacterial keratitis is poor and its prognosis is affected by many factors at the same time,therefore we should adopt spe cific interventions to effectively improve the patients ’ prognosis and improve their quality of life.
出处
《中国医药导报》
CAS
2013年第15期159-161,共3页
China Medical Herald
基金
江苏省"333工程"科研资助计划项目(编号:BRA2010173)
关键词
细菌性角膜炎
预后
影响因素
护理对策
Bacterial keratitis
Prognosis
Influencing factors
Nursing Strategy
