心理护理干预对青光眼手术患者负性情绪及满意度的影响

蔡明丽

【摘要】 目的：探讨实施心理护理干预对青光眼手术患者缓解负性情绪及提高满意度的效果。方法：选取在笔者所在医院眼科病房住院手术治疗的青光眼患者60例，将其随机分为观察组与对照组，各30例。对照组实施常规护理，观察组在常规护理基础上实施心理护理干预，对比两组负性情绪和满意度。结果：观察组患者焦虑、抑郁评分显著低于对照组，差异有统计学意义（P<0.05）。观察组护理后满意度高于对照组，差异有统计学意义（P<0.05）。结论：对青光眼手术患者采用心理护理干预可使患者减轻焦虑、抑郁等负性情绪，提高患者多护理的满意度，具有临床实际应用价值。

【关键词】 心理护理 青光眼 焦虑 抑郁 满意度

doi：10.14033/j.cnki.cfmr.2020.10.043 文献标识码 B 文章编号 1674-6805（2020）10-0-03

The Influence of Psychological Nursing Intervention on Negative Emotion and Satisfaction of Patients with Glaucoma Surgery/CAI Mingli. //Chinese and Foreign Medical Research， 2020， 18（10）： -106

[Abstract] Objective： To explore the effect of psychological nursing intervention on relieving negative emotions and improving satisfaction of patients with glaucoma surgery. Method： A total of 60 patients with glaucoma who were operated in our ophthalmic ward were randomly divided into observation group and control group， 30 cases in each group. The control group was given routine nursing， and the observation group was given psychological nursing intervention on the basis of routine nursing. Compared the negative emotions and the satisfaction. Result： The anxiety and depression score of the observation group were significantly lower than those of the control group， the differences were statistically significant （P<0.05）. The satisfaction of the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. Conclusion： Psychological nursing intervention for patients， the differences were statistically significant with glaucoma surgery can reduce the negative emotions such as anxiety and depression， and improve the satisfaction of patients with multiple nursing， which has clinical application value.

[Key words] Psychological nursing Glaucoma Anxiety Depression Satisfaction

First-authors address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China

作為眼科的常见急症，原发性青光眼的发生原因主要是由于眼压指数过高，同时出现了病理性的变化，或者是视乳头血流灌注障碍合并视觉功能障碍造成了这一病症发生[1]。原发性青光眼的主要临床表现为：眼压指标高、视乳头出现了萎缩及凹陷的情况，同时视力降低，一旦不能够及时对原发性青光眼患者及时救治，将造成患者眼部视力受损，甚至导致失明，其临床发病率约为1%[2]，由于患者缺乏对疾病的认知，加之担心手术治疗的效果，容易产生焦虑、紧张、不安等负面情绪，也阻碍治疗的顺利进程。本研究对青光眼患者术前实施心理护理干预，帮助患者减轻顾虑，调整心态，使其获得相关知识，提高对手术的应激能力，减少并发症的发生，促进康复，在临床上有实际应用价值，现报告如下。

1 资料与方法

1.1 一般资料

选择2016年7月-2017年6月某三级甲等医院眼科病房住院的青光眼患者共60例，纳入标准：均符合青光眼诊断标准，对本次研究均知情同意，并或医院伦理委员会批准。……