视网膜再脱离患者焦虑相关因素的研究  

Study on relative factors of anxiety in patients with retinal re-detachment

作　　者：王红霞[1] 张瑞丽[2] 杨欣[1] 刘影[1] 戴丽[1] 吕兰[1] 王运仓[3] 

机构地区：[1]河北医科大学第二医院眼科,石家庄050000 [2]河北医科大学第四医院护理学院,石家庄050011 [3]河北医科大学第一医院胸外科,石家庄050031

出　　处：《中华现代护理杂志》2012年第7期756-758,共3页Chinese Journal of Modern Nursing

摘　　要：目的了解视网膜再脱离患者心理变化、精神压力及引发焦虑状态的相关因素，为视网膜再脱离患者的系统护理提供依据。方法·选取视网膜再脱离患者90例，运用一般情况调查表、视网膜再脱离患者心理问题关注度调查表及Zung焦虑自评量表（SAS）进行调查。结果本组患者SAS得分为（45．4±10．1）分，高于国内常模，两者比较差异有统计学意义（t=51．990，P〈0．01）。女性焦虑得分为（49．6±11．3）分高于男性（42．9±10．6）分，两组比较差异有统计学意义（F=11．64，P〈0．05）。在年龄、职业、文化程度及医疗费用支付方式方面比较，差异均有统计学意义（F分别为11．25，10．97，12．36，30．91；P〈0．05或P〈0．01）。患者对知识需求、手术安排、手术效果的关注度均为100％。结论尽早实施相关的护理措施，及时提供手术相关信息并制定系统的护理干预，以缓解患者的心理压力。Objective To understand the psychological change, mental pressure and relative factors of anxiety in patients with retinal re - detachment and to provide basis for systematic nursing. Methods Ninety patients with retinal re -detachment were selected and surveyed with general condition questionnaire, psychological state questionnaire and Zung＇ s Self - rating Anxiety Scale （SAS）. Results Their SAS score was （45.4 ± 10.1 ） points, with significant difference from the Chinese normal （t = 51. 990,P 〈 0. 01 ）. The anxiety value of female was significantly higher than that from male [ （49.6 ± 11.3） points vs. （42.9 ± 10.6） points, F = 11.64, P 〈 0. 05 ]. There were significant differences in terms of age, education background and mode of medical payment （ F ; 11.25,10.97,12.36,30.91, respectively; P 〈 0. 05 or P 〈 0. 01 ）. The patients were paying 100% attention to knowledge needs, operation schedule and operation effect. Conclusions Relative nursing measures should be implemented as soon as possible, operation information should he provided timely and systematic nursing intervention should be established to release the mental pressure of the patients.

关 键 词：焦虑 心理状态 护理干预 视网膜再脱离 

分 类 号：R473.77[医药卫生—护理学]