心身放松疗法对青光眼患者术后眼压及心理状况的影响  

Effect of mind-body relaxing therapy on the eye pressure and physiological status of patients with glaucoma after surgery

作　　者：戴彩云[1] 周美英[1] 温秀娟[1] 钟艳秋[1] 

机构地区：[1]广东医学院附属医院眼科,湛江524001

出　　处：《中华现代护理杂志》2012年第26期3120-3122,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨心身放松疗法对青光眼术后患者眼压及心理状况的影响。方法将86例青光眼术后患者随机分为观察组和对照组各43例。对照组患者给予手术及常规药物治疗，观察组在此基础上给予心身放松疗法措施干预，术前、术后6个月分别采用症状自评表（SCL-90）测定两组患者的心理状况，同时测量两组患者的眼压情况，并进行对照比较。结果观察组青光眼术后患者SCL-90评定总分、总均分、阳性项目数、躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分分别为（128．98±37．08），（1．59±0．41），（23．93±17．12），（1．35±0．81），（1．79±0．68），（2．25±0．91），（2．23±0．92），（1．68±0．82），（2．32±0．92），（1．88±0．90），（1．96±0．92）分，均低于对照组的（154．35±37．82），（1．88±0．42），（35．92±17．56），（1．90±0．88），（2．25±0．71），（2．88±0．95），（2．96±0．96），（2．26±0．88），（2．98±0．98），（2．59±0．93），（2．66±0．95）分，差异均有统计学意义（“分别为3．14，3．24，3．21，3．01，3．07，3．14，3．60，3．16，3．22，3．60，3．47；P均〈0．01）；观察组青光眼术后患者眼压为（18．10±2．56）mmHg，明显低于对照组的（22．20±2，68）mmHg，差异有统计学意义（u=7．25，P〈0．01）。结论心身放松疗法可明显消除青光眼术后患者的心理障碍，使眼压降低，增强其治疗的信心，从而促进康复，达到最大限度地维护患者健康的目的。Objective To discuss the effect of mind-body relaxing therapy on the eye pressure and physiological status of patients with glaucoma after surgery. Methods 86 patients with glaucoma were randomly divided into the research group and the control group, each with 43 eases. The control group received conventional medication treatment, while the research group received mind-body relaxing therapy in addition. SCL-90 was used to test two groups＇ physiological status, and their eye pressure was also measured and compared. Results The total score, average score, positive item quantity, body, press, depression, anxiety, opposition, horror, crankiness and lunacy score of SCL-90 of the research group were respectively （128.98 ± 37.08） ,（1.59 ±0.41） ,（23.93 ±17.12） ,（1.35 ±0.81）,（1.79 ±0.68）,（2.25 ±0.91）,（2.23 ±0.92）, （ 1.68 ± 0.82 ）, （ 2.32 ± 0.92）, （ 1.88 ± 0.90）, （ 1. 96 ± 0.92）, all of which were lower than those of the control group [ （ 154.35 ± 37.82）, （ 1.88 ± 0.42 ）, （ 35.92 ± 17.56 ）, （ 1.90 ± 0.88 ）, （ 2.25 ± 0.71 ）, （ 2.88 ± 0.95）, （2.96 ±0.96）, （2.26 ±0. 88）, （2.98 ±0.98）, （2.59 ±0.93）, （2.66 ±0.95） ], and the differences were statistically significant （ u = 3. 14, 3. 24,3.21,3.01,3.07,3. 14,3.60, 3. 16, 3.22,3. 60, 3.47, respectively ;P 〈 0.01 ）. The eye pressure of the research group was （ 18.10 ± 2.56 ）mm Hg, obviously lower than that of the control group which was （22.20 ± 2.68 ）mm Hg, and the difference was statistically significant （ tt = 7. 25, P 〈 0. 01 ）. Conclusions The mind-body relaxing therapy can evidently eliminate patients ＇ psychological barrier to recover their eye pressure and increase their confidence in the treatment, so as to promote their recovery and maintain their health to the maximum extend.

关 键 词：青光眼 眼内压 心身放松疗法 心理状况 

分 类 号：R473.71[医药卫生—护理学]