Application of integrated medical care in elderly patients undergoing phacoemulsification cataract surgery

Abstract

Objective To explore the effect of integrated medical care in the treatment of senile patients undergoing phacoemulsification cataract surgery. Methods From March 2017 to March 2018, 826 patients who underwent phacoemulsification surgery in this hospital were randomly divided into control group and observation group, 413 cases of each group.The control group was treated with routine care, while the observation group adopted integrated nursing care.The length of hospital stay, hospitalization costs, the patients' psychological status, complications rate and satisfaction to the care service were compared between the two groups. Results The length of hospital stay and hospitalization expenses in the observation group were lower than those in the control group, and the differences were statistically significant (P 0.05). After operation, the scores of SAS and SDS in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The incidence of complications in the observation group was 5.57%(23/413), lower than that in the control group, which was 12.11%(50/413), with statistically significant difference (P<0.05). The satisfaction rate in the observation group was 97.58%(403/413), higher than the 92.98%(384/413) in the control group, and the difference was statistically significant (P<0.05). Conclusions The application of integrated nursing intervention in elderly patients undergoing phacoemulsification cataract surgery can effectively reduce their negative emotions and postoperative complications, improve patients' satisfaction with nursing to a certain extent, and shorten the clinical treatment time, so as to promote the improvement of the disease. Key words: Cataract; Phacoemulsification; Medical and care integration; Psychological state; Satisfaction to nursing