Nursing countermeasures and clinical experience of common complications in double eyelid surgery
重睑手术常见并发症的护理对策与临床体会

摘要

目的 探究针对性护理干预在降低重睑手术常见并发症发生率及提升患者满意度中的应用效果。方法 选取2023年1月-2024年1月在我院接受重睑手术的120例患者作为研究对象，采用随机数字表法将其分为对照组和实验组，各60例。对照组实施常规护理，包括术前健康宣教、术中配合及术后基础护理等；实验组在常规护理基础上实施针对性护理干预，涵盖术前个性化评估与心理疏导、术中精细化操作配合、术后并发症预防护理及康复指导等。比较两组患者术后并发症（血肿、感染、瘢痕增生、重睑不对称）发生率及患者满意度。结果 实验组术后并发症发生率为6.67%（4/60），显著低于对照组的23.33%（14/60），（χ²=6.982，P=0.008）；实验组患者满意度为96.67%（58/60），明显高于对照组的81.67%（49/60），（χ²=6.491，P=0.011）。结论 针对性护理干预可有效降低重睑手术患者术后并发症发生率，提高患者满意度，具有较高的临床应用价值。

Abstract

Objective To explore the application effect of targeted nursing intervention in reducing the incidence of common complications of double eyelid surgery and improving patient satisfaction.
Methods A total of 120 patients who underwent double eyelid surgery in our hospital from January 2023 to January 2024 were selected as the research objects. They were divided into a control group and an experimental group by random number table method, with 60 cases in each group. The control group received routine nursing, including preoperative health education, intraoperative cooperation and postoperative basic nursing; on the basis of routine nursing, the experimental group implemented targeted nursing intervention, covering preoperative personalized assessment and psychological counseling, intraoperative refined operation cooperation, postoperative complication prevention nursing and rehabilitation guidance. The incidence of postoperative complications (hematoma, infection, scar hyperplasia, eyelid asymmetry) and patient satisfaction were compared between the two groups.
Results The incidence of postoperative complications in the experimental group was 6.67%(4/60),which was significantly lower than 23.33%(14/60)in the control group, and the difference was statistically significant(χ2=6.982, P=0.008);the patient satisfaction in the experimental group was 96.67%(58/60),which was significantly higher than 81.67%(49/60)in the control group, and the difference was statistically significant(χ2=6.491, P=0.011).
Conclusion   Targeted nursing intervention can effectively reduce the incidence of postoperative complications in patients undergoing double eyelid surgery, improve patient satisfaction, and has high clinical application value.