RESUMO
PURPOSE: To investigate the effect of diplopia on the daily life of patients after strabismus surgery and to explore appropriate nursing care measures. METHODS: A total of 200 patients who developed postoperative diplopia underwent telephone follow-up to evaluate the influence of diplopia on their daily lives. SPSS 19.0 statistical software was utilized for data analysis. RESULTS: Postoperative diplopia affected patients' physical activity (49%), attention (39.2%), work and study (24.5%), emotions (19.5% ), and housework performance (17% ), whereas it did not influence the quality of sleep. Potential risk factors associated with diplopia, such as duration of diplopia, gender, and age, were analyzed by uni- and multivariate regression analysis. Quality of life was significantly and negatively correlated with the duration of diplopia, but not correlated with gender or age. CONCLUSION: Postoperative diplopia affects the quality of life in partial patients. The nursing staff should provide nursing care, health education, and explicit instructions to the patients after discharge. In addition, nursing care should be sustained by subsequent telephone follow-up.
Assuntos
Atividades Cotidianas , Diplopia/complicações , Complicações Pós-Operatórias , Qualidade de Vida , Estrabismo/cirurgia , Diplopia/enfermagem , Humanos , Complicações Pós-Operatórias/enfermagem , Fatores de RiscoRESUMO
The diagnosis and treatment of adult diplopia is challenging. Having a thorough and complete history of the patient can make this difficult process easier. This article describes the most important questions to ask when taking the history of a patient with diplopia and explains why a particular question is essential. Tips of what to search for in the patient's answers are also provided.
Assuntos
Diplopia/enfermagem , Anamnese/métodos , Avaliação em Enfermagem/métodos , Adulto , Diplopia/diagnóstico , Diplopia/etiologia , HumanosRESUMO
1. Diplopia may require a simple change in the patient's glasses, various types of surgical correction, or even treatment for a life-threatening condition. Your job is to determine the urgent nature of the problem and have the patient scheduled in your office, clinic, or hospital appropriately. 2. When questions of diplopia arise, establish whether the diplopia is still present when either the right or left eye is covered (monocular or binocular diplopia). 3. Monocular diplopia is most always optical in nature. Binocular diplopia is caused by either aniseikonia (a difference in the relative sizes of the retinal images perceived by the patient) or, more commonly, misalignment of the visual axes.