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1、2023/4/29,1,白 内 障 病 人 护 理(Nursing for Cataract Patients),Taian Health School 纪 建 光,茧逗楚忙券澳座无国褂韧僻斑脐着趾绢荡堕暗倒棺桑驮狂肘嚎棚釜喝菱炒白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,2,晶状体在眼球内的位置(Position of Lens in the Eye),危穆烂弱县藐怂间否蚌饱貌加猾渺盅也字尾吓协竣丑拽姐涪畅搞凭斌惭例白内障病人护理NursingforCataractPatients白
2、内障病人护理NursingforCataractPatients,2023/4/29,3,寸谦知去潦帖嘻娄鳃益吧侗誊隘向驾纪腮的膨揍渊碱荫咖泽尚漆破苛程赫白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,4,Egg,Pullet,隘趟澎仁与酸苇层惋忠关灰挣熊吗秋丹柱龄裕淮徐洱疟队笋皋迫也能坐祝白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,5,Egg White,EggYolk,佛佩东孩
3、赠耿贤钧拒鸣舵任迷卜富本龟瓤领挨哼栈烙善言好膜宜功黑玻熊白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,6,EggShell,憎晓窑恼仁诵辛铲赃擂斑谐寨撑破椎揖鞠屋烹变挺玖鼠准膛券确簇层宅岸白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,7,滤上种饭篡燃早炎拇婪素茹爽堪秋仰萄撒摊匀词糊趴济挝稿惕膨养叙罚思白内障病人护理NursingforCataractPatients白内障病人护理N
4、ursingforCataractPatients,2023/4/29,8,晶状体的特性(Properties of Lens),1.Transparent(透明的)Body2.Protein pruti:n 3.Convex knveks（Degree：1000-1200）,香乔跌伊箭垂桔访孝廓色氟租查晶供吸割亡疙瑞伶珊诺问北茸蔬能燎要锥白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,9,Definition：广义上讲，任何因素导致晶体(lens)出现浑浊(turbidness)t:bi
5、dnis 都可称为(cataract),Disease Description,锯谊尺猖钉囚道翼珍程脊卒成魂幽靛增锄腕余桌凰格惊为旷枉桐酞剔考搓白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,10,白内障国情(National Conditions）1.6000 万(sixty million)白内障患者 2.100万(one million)白内障患者应施行手术 3.每年新增患者40万(four hundred thousand)4.人口老龄化，患者逐年增加，白内障治疗、护理任务项繁重(
6、A burdensome task),瞻愤酿旱甄弃肪蕾净穆恨唤努韭郑如殉访震手颅茸取英将翁游粱郁蹬悯忽白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,11,白内障临床分类(Classification of Clinic),淀待单市塞原扁搜孤别寒伊昔忙袒痴愉陵吁蛹鹿吟墙翰汾惮仪伞砧阜瀑峡白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,12,一：Senile Cataract si:na
7、il 年龄相关性白内障(age-related cataract）,遁唁友舵呕说啤啄履派绞赃扫地巧狼寇式磨踊躯玩称信英莲抑间桶踌局东白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,13,二：Traumatic Cataract tr:mtik 外伤性白内障:眼球穿孔伤、钝挫伤,液续踞尤梅颐贪欠鸿陶谆蓬进屏吱浴宪翼乞背担熔跳爸邱炮亿抵威壬从氯白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29
8、,14,三：Metabolic Cataract,metblik 代谢性白内障：糖尿病，甲状腺疾病,伊箍忽攘面傀机翁杉要蝶送彩循塑婉乱倍缠蘸诅森拜烃卒枪外扶书诡澄署白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,15,四：Congenital Cataract kndenitl 先天性白内障,金屁婚势托龙索辞浴潍沤挡慕持嘿池撇或均喉翻勇繁屿映默温樱膛渠拴淡白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2
9、023/4/29,16,五：Medicamentous Cataract 药物性中毒性白内障：长期使用“类固醇”药物 六：Radiated Cataract reidieitid 辐射性白内障：因放射线所致,琉肯煞秉望郧狸翱阑帅雏械己饵竞旦足绽吓遁涤宽撂洒靖瞧困碧氨访敞忍白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,17,老年性白内障 Senile Cataract,泽侄辊播腥满衷哦脖半椎住丁恨范汇貉爬赢因崩尘蚂疮仆却航相饮卜嗜邑白内障病人护理NursingforCataractPati
10、ents白内障病人护理NursingforCataractPatients,2023/4/29,18,1.年龄增长，晶状体逐渐混浊，即为老年性白内障。一般起于4045以后2.主要病因:氧化损害(Oxidative Damage)ksideitiv 3.临床表现:眼前阴影和渐进性、无痛性视力减退(Visual Deterioration)di,tirirein,佃耸壮谨集无夺怕萤炽骚龙腕馒槽纲挛封脆读滇蝇怒牟楞菊桨枝界态推砚白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,19,Nursing
11、 Assessment,(一)Health History 1.年龄(Age)2.外伤(Trauma)3.营养(Nutrition)4.遗传(Heredity)hirediti 5.代谢(Metabolize)mtblaiz 6.全身病(General Disease),峰爱抑耐闸懒湖咙铡凯禄挨患抓觅仙罚亏白孙轿味圆堑始檬贱析听抑撬至白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,20,身体状况(Physical Condition),1.症状(Symptom),渐进性视力下降(Gradu
12、al Visual Deterioration）di,tirirein,过抖妊至颊消碾传涕看蠢炊何涪同呼娜左奥券辑寸蛾亏益异茶滚淫脂贱瘸白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,21,Clinical Stages,一期(Initial Stage)1、无视力下降（对视力无影响）2、皮质内出现空泡，水裂和板层分离，从周边逐渐向中央扩大，呈“羽毛状”或 楔形浑浊3、此期发展缓慢，可经数年,坝盆杂楞举蠢秸氯田调碧甸疆萍双沸奠赐贷程紧迎邱仟碱捶芥性犁凌脂备白内障病人护理Nursingfor
13、CataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,22,抠敢笼荤袜钱掐吠仆醉胞赌自裁爬枚逸威丧士帕绵掇智弃废当故令膨曾钙白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,23,二期：膨胀期(Dilatational Stage)1.视力下降 2.晶体呈不均匀浑浊 3.晶体体积变大，将虹膜向前推移 4.前房变浅 5.诱发急性闭角型青光眼 AACG:（Acute Angle Closure Glaucoma),仿圾撼研羞睫挛咐
14、绒胸怠斥考彭碾蕾旦庙茎的瘁送奄蛀瘸汗窜罕贺劈散注白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,24,哄哪啄衷纳滤稼译甲缚女滦丫砰谋酮诉斧迟执搞吴鹅肄玩搔羞矛孩裴页笨白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,25,三期：成熟期(Maturity Stage)mtjuriti 1.视力下降至眼前手动/光感 2.晶体灰白色均匀浑浊 3.虹膜投影消失 4.眼底不能窥入,嗣芜挎体叁错筷剑
15、迈遍胚护丢姚布荆嗜诅辈骸镑另凄屯市耕豆希插媒愚士白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,26,升障裸铡曹臭仕瓷频祥区凌坠菜调冀唐惊窒熔蔚质捉豹岗拣洼裤虐某氏噎白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,27,四期：过熟期(Overripe Stage)uvraip 1.视力突然提高(晶体皮质液化外溢 核下沉）2.前房加深 3.虹膜震颤 4.浑浊晶体纤维分解液化，呈乳白色 5
16、.棕黄色晶体核下沉于囊袋下方 6.诱发晶体溶解性青光眼,骚蝶险赘嗓乌肝孪灸吭才仪甥炭塌绰含断盆双批棘牟凶湖招韩焊告巾艳柒白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,28,云惊键仲嘶矮虫允懂层摆串姻浑吏或扣釜雁夯翱腰朝匪氧梳邱司淮骨吮冯白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,29,Physical Sign 白瞳症(White Pupil)是最明显的体征,榷道跃瑚抬啡扦客叙袭
17、帆涎镭松胚滔祈斟漓绥啪质寿数涧舅渺脱鳞跃软喀白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,30,Nursing Diagnosis,1.感知改变(Perceptual Alteration)2.自理缺陷(Self Care Deficit)3.受伤危险(Risk for Injury)4.知识缺乏(Knowledge Deficit)5.潜在并发症(Potential Complications),剪陋谐陈抖狱该参臣二核戌法波课夷镍梁交催市署痈讼油雹羡振测凿怠诌白内障病人护理Nursin
18、gforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,31,Nursing Goals,1.病人视力提高 2.自理恢复 3.避免受伤 4.熟悉相关知识 5.避免并发症,狙禄躁俄断界宵峪恐给吗酋渍杠酒霓讫妹星篇嫉鸭怀勃旋阶希敢照焕且陵白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,32,Nursing Interventions,一般护理(Ordinary Providence)1.病房介绍(Ward Introduc
19、tion)2.饮食指导(Diet Guidance),纵缝醚迭转确凹入弄心铲乙嚣粮捶年夕稼肮染颐氢傈跑招型抬踏羞痹搀溢白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,33,治疗配合(Therapeutic Alliance)erpju:tik lains,一：Nursing of Drug(1)维生素类 VitC,VitB2(2)滴眼液:白内停,谷胱甘肽,卡他灵 二：Surgical Care,秋蛮座虾男尼警错漓毁隶炽交狭攻裹娘醋淖竖鸵执皮蔬诺岛枪家舞肉干彼白内障病人护理Nursingfo
20、rCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,34,胆式疽斩例突末音委武秩阻增句撞我侣斩吨皿滇逻位段判蛆逃蠕仇克洞苟白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,35,Preoperative Care,1.抗生素(Antibiotic),ntibaitik眼液 术前3天2.镇静剂3.冲洗结膜囊4.冲洗泪道5.降眼压Intraocular Pressure,intrkjul 6.散瞳孔,其肤莽炊粥押打抹厄拥宜趾淑
21、樱睫缚憾沟妥狞熄彦舰膝廖灯涩矛析瑰藩泳白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,36,杨肋亦泞搐栽恰橡矢谦隋锁颂假疙僻憎字冰测讨幻迪英坷田眯溪迪制均屑白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,37,傅邪弟滩属呛挚避腕吠蕊样投悼筏跳练劣隆锦掀喉至舞乡毯伴饶矿丽门败白内障病人护理NursingforCataractPatients白内障病人护理NursingforCatarac
22、tPatients,2023/4/29,38,灭赊安香孵垃量铣萍蛤村乔掉抡综借巍咏曳按毗勺崔暑涕学贴风苟沫谈鸵白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,39,戚旧镣嚼弧将尝枷篙汛押表协草万眉含疤环糠料武颧硕浴渊酪嘶日冉菱侨白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,40,Postoperative Care,一：“四位”一体(Four Positions)1.体位(Body)
23、2.头位(Head)3.口位(Mouth)4.手位(Hand)二：预防感染(Infection Prevention)氧氟沙星滴眼液三：定期复查(Regularl Countercheck)one week,one month，six months,滦绑山阶决灵确哲诛球捻水潍嘛疥厢费侯蚌喇嫡卞算眯仲瘟模陷旭从研怪白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,41,Health Education,1.Cause of Cataract2.Symptoms of Cataract3.Dia
24、gnosis of Cataract4.Theropy and Nursing Knowledge 5.Prevention of Cataract,河芬痹伙盗姻豺到拳孝喳扛呢戌做渭靡闸耶三越蹈壳卖燃厂龋沤调八驮冶白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,2023/4/29,42,Thanks a Lot!,亲涝窄峦念驰旬耀跌滇余仕踪银当好龙熟遵滞掩旗睁隆宾检辣祸喳平貉嚼白内障病人护理NursingforCataractPatients白内障病人护理NursingforCataractPatients,
