Research on the application effect of the ORTCC model of refined management nursing in the perioperative period of elderly patients undergoing phacoemulsification for cataract
精细化管理ORTCC模式护理在老年性白内障超声乳化术患者围手术期的应用效果研究

摘要

目的 探讨精细化管理ORTCC模式护理在老年性白内障超声乳化术患者围手术期的应用价值。方法选取本院2024年4月-2025年12月收治的100例老年性白内障超声乳化术患者，运用随机数字表法分为两组。对照组实施围手术期常规护理，观察组采用精细化管理ORTCC模式护理。比较两组负性情绪、遵医依从性及术后并发症发生率。结果 相较于对照组，观察组在SAS与SDS评分上呈现出明显的偏低态势；与对照组相比，观察组遵医依从性更高；观察组总发生率低于对照组（P＜0.05）。结论 精细化管理ORTCC模式护理可有效改善老年性白内障超声乳化术患者围手术期负性情绪，提高遵医依从性，降低术后并发症发生率，值得临床推广。

Abstract

Objective To explore the application value of the ORTCC model of refined management nursing in the perioperative period of elderly patients undergoing phacoemulsification for cataract.
Methods A total of 100 patients with senile cataract who underwent phacoemulsification and were admitted to our hospital from April 2024 to December 2025 were selected and divided into two groups using the random number table method. The control group received routine perioperative care, while the observation group adopted the refined management ORTCC model for care. The negative emotions, compliance with medical advice and the incidence of postoperative complications were compared between the two groups.
Results Compared with the control group, the observation group showed a significantly lower trend in SAS and SDS scores. Compared with the control group, the observation group had a higher compliance with medical advice. The total incidence rate of the observation group was lower than that of the control group (P < 0.05).
Conclusion   The refined management of ORTCC model nursing can effectively improve the negative emotions of elderly patients undergoing phacoemulsification for cataract during the perioperative period, enhance compliance with medical advice, and reduce the incidence of postoperative complications. It is worthy of clinical promotion.