臨床護理
心理護理在急性閉角型青光眼患者中的作用
周陽陽
【摘要】 目的 探究心理護理模式應用于急性閉角型青光眼患者護理中對其行為、認知以及心理狀態的影響。方法 本研究選取2017年6月至2018年12月時間段到我院就診的62例急性閉角型青光眼患者為此次研究的研究對象。以不同的護理方式將其分為參照組(共30例,采取常規護理)和護理組(共32例,采取心理護理)。通過漢密頓焦慮量表(HAMA)以及漢密頓抑郁量表(HAMD)分別兩組研究對象心理狀態進行評分并對比,同時對比兩組對疾病的認知、依從情況以及生活質量。
【關鍵字】 心理護理,急性閉角型青光眼,心理狀態,生活質量
中圖分類號:文獻標識碼:文章編號:
[Abstract] Objective To explore the effect of psychological nursing mode on behavior, cognition and mental state of patients with acute angle closure glaucoma. Methods In this study, 62 patients with acute angle-closure glaucoma who visited our hospital from June 2017 to December 2018 were selected as the subjects of this study. According to different nursing methods, they were divided into the reference group (a total of 30 cases, taking routine care) and the nursing group (a total of 32 cases, taking psychological care). The mental states of the two groups of research subjects were scored and compared by the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD), and the two groups’ cognition, compliance and quality of life were compared at the same time. Results Before nursing, there was no significant difference in the mental state of the two groups of patients (P>0.05). After nursing, the HAMA score and HAMD score of the nursing group were lower than those of the reference group (P<0.05). The awareness rate of the clinical features, prevention and treatment of the disease in the nursing group was significantly higher than that in the reference group (P<0.05). The compliance rate of the nursing group (93.75%) was significantly higher than that of the reference group (66.67%) (P<0.05). Before nursing, there was no significant difference in the quality of life between the two groups (P>0.05). After nursing, the scores of various quality of life indicators in the nursing group were significantly higher than those in the reference group (P<0.05).
急性閉角型青光眼是眼科常見的疾病之一,主要是由人體前房角突然關閉造成的眼壓急劇升高現象,引起急性閉角型青光眼的原因是因為房水流出通道堵塞,造成堵塞的原因則是眼部的前房角狹窄。急性閉角型青光眼多發于四十歲以上女性群體,病情發展較快,患者會有不同程度的眼痛、發熱、惡心嘔吐等癥狀,還會感覺到頭暈,視力也會大幅度出現下降的情況,最低會到0.1,而且還是在很短的時間之內。如果未及時接受治療,可能會影響眼部功能,但目前該疾病的發病機制還未明確,為臨床有效治療帶來了阻礙[1-2]。臨床治療該疾病原則上先把眼壓控制住再做手術,如果眼壓控制不住的可以做前房穿刺,再降眼壓,如果眼壓控制不住,也可以做手術,但手術風險會稍微大點,因此大部分患者伴隨不同程度的心理障礙,影響治療效果。為更好的改善病情,需給予有效的心理護理干預[3]?;诖?,本文選擇62例急性閉角型青光眼患者作為研究對象,探究心理護理模式應用于急性閉角型青光眼患者護理中的臨床效果,為臨床護理提供參考意見。
1 資料與方法
1.1 一般資料 本研究選取2017年6月至2018年12月時間段到我院就診的62例急性閉角型青光眼患者作為研究對象,以不同的護理方式將其分為參照組和護理組。參照組30例,其中男性患者11例、女性患者19例,年齡在36~78歲,平均年齡為(62.21±7.11)歲;病程0.5~4 d,平均(2.91±0.85)d;眼壓45.3~92.1 mm Hg,平均(71.46±4.46)mm Hg;其中左眼發病患者14例、右眼發病患者16例;視力<0.5的患者21例、視力≥0.5的患者9例。護理組32例,男性患者14例、女性患者20例,年齡在39~77歲,平均年齡為(62.15±7.06)歲;病程1~5 d,平均(2.98±0.81)d;眼壓48.5~90.5 mm Hg,平均(71.02±4.37)mm Hg;其中左眼發病患者15例、右眼發病患者17例;視力<0.5的患者22例、視力≥0.5的患者10例。兩組研究對象的年齡、性別、病程、眼壓等基本資料對比保持均衡性(P>0.05),提示具有可比性。知情同意并簽署知情同意書,本研究已獲得我院倫理委員會的批準。