神经肌肉放松训练对慢性闭角型青光眼患者心理和生活质量的影响  

Effect of progressive muscle relaxation training on psychological health and quality of life in patients with chronic angle-closure glaucoma

作　　者：刘萍[1,2] 薛艳[1,3] 张俊峰[1,3] 

机构地区：[1]暨南大学医学院第三附属医院 [2]珠海市人民医院精神心理科,广东珠海519000 [3]珠海市人民医院眼科,广东珠海519000

出　　处：《新乡医学院学报》2013年第11期883-886,共4页Journal of Xinxiang Medical University

基　　金：广东省卫生厅医学科研立项资助课题(编号:A2011579)

摘　　要：目的探讨神经肌肉放松训练对慢性闭角型青光眼患者焦虑、抑郁状态和生活质量的影响。方法 89例慢性闭角型青光眼患者分为观察组43例和对照组46例,对照组患者给予常规对症支持治疗和手术治疗,观察组患者在常规治疗和手术治疗的基础上进行神经肌肉放松训练。分别于训练前和训练3、6个月进行汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和健康调查简表(SF-36)测定。结果 2组患者训练前HAMA及HAMD总分比较差异均无统计学意义(P>0.05);对照组患者训练3、6个月后HAMA和HAMD总分与训练前比较差异均无统计学意义(P>0.05);观察组患者训练3、6个月后HAMA和HAMD总分显著低于训练前(P<0.05)。训练3、6个月后观察组患者HAMA和HAMD总分显著低于对照组(P<0.05)。2组患者训练前SF-36得分比较差异无统计学意义(P>0.05)。观察组患者训练3、6个月后躯体疼痛(BP)、活力(VT)、情感角色(RE)、心理卫生(MH)和总的健康状况(GH)得分显著高于训练前(P<0.05);观察组患者训练3、6个月后社会功能(SF)、躯体功能(PF)和躯体角色(RP)得分与训练前比较差异无统计学意义(P>0.05)。对照组患者训练6个月后BP、SF和RE得分显著低于训练前(P<0.05);对照组患者训练6个月后PF、RP、GH、VT和MH得分与训练前比较差异无统计学意义(P>0.05)。训练3个月后观察组患者BP、GH、VT、SF、RE和MH得分显著高于对照组(P<0.05);训练6个月后观察组患者SF-36量表得分显著高于对照组(P<0.05)。结论神经肌肉放松训练可有效地改善慢性闭角型青光眼患者的焦虑、抑郁状态和生活质量。Objective To study the effect of progressive muscle relaxation training on anxiety, depression and quality of life in patients with chronic angle-closure glaucoma. Methods . A total of 89 patients with chronic angle-closure glaucoma were divided into observation group （n = 43 ） and control group（ n =46 ）, the patients in control group were treated with routine sup- portive treatment and operation, based on these, the patients in observation group were treated with progressive muscle relaxa- tion training. All the patients were evaluated with Hamilton anxiety scale （HAMA） , Hamilton depression scale （HAMD） and short form 36 health survey questionnaire （SF-36） before and 3,6 months after progressive muscle relaxation training. Results There was no significant difference in the HAMA, HAMD and SF-36 total scores before progressive muscle relaxation training between the two groups （ P 〉 0.05 ）. There was no statistical difference in the total scores of HAMA and HAMD between pre- training and 3,6 months later. The total scores of HAMA and HAMD after training of 3 and 6 months were significantly lower than those before training in observation group （ P 〈 0.05 ）. The total scores of HAMA and HAMD after training of 3 and 6 months in observation group were significantly lower than those in control group （P 〈0. 05 ）. There was no significant difference in SF-36 score before training between the two groups （P 〉 0.05 ）. The scores of bodily pain （BP） , vitality（VT） , role emotional （ RE）, mental health （ MH ） and general health （ GH ） after 3,6 months training were significantly higher than those beforetraining in observation group （ P 〈 0.05 ）. There was no significant difference in the scores of social function （ SF）, physical function （PF） and role physical （RP） between pre-training and 3,6 months training later in observation group （ P 〉 0.05 ）. The scores of BP, SF and RE after training of 3,6 months were significantly lower than tho

关 键 词：神经肌肉放松训练 慢性闭角型青光眼 焦虑 抑郁 生活质量 

分 类 号：R775.2[医药卫生—眼科]