心理干预在视乳头水肿行视神经鞘减压术患者中的应用  

Psychotherapy in patients with optic papilledema undergoing optic nerve sheath fenestration

作　　者：杨文艺[1] 张晶瑶[1] 张旭乡[1] 赵楠 李雨 Yang Wenyi;Zhang Jingyao;Zhang Xuxiang;Zhao Nan;Li Yu(Ophthalmology Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院眼科,北京100053

出　　处：《中华现代护理杂志》2018年第32期3921-3923,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨心理干预在视乳头水肿行视神经鞘减压术(ONSF)患者中的应用效果。方法采用便利抽样法,选取2013-2017年就诊于首都医科大学宣武医院眼科诊断为颅内压增高合并视乳头水肿行ONSF术的患者64例为研究对象。随机分为对照组和观察组,每组各32例患者。对照组患者按照给予眼科常规护理,观察组患者在此基础上进行6步心理干预法,采用SAS分别于患者入院2d内、出院前对患者进行评估。结果出院前观察组患者SAS评分(46.28±4.48)分,低于对照组的(56.84±8.25)分,差异有统计学意义(t=6.363,P<0.01)。结论进行相关心理干预对患者的焦虑情绪有改善作用,使患者能够很好地配合治疗,值得临床推广应用。Objective To explore the effect of psychotherapy in patients with optic papilledema undergoing optic nerve sheath fenestration (ONSF).Methods Using convenience sampling method,a total of 64 patients with intracranial hypertension and optic papillary edema who were diagnosed by Ophthalmology Department of Xuanwu Hospital of Capital Medical University from 2013 to 2017 were selected as the subjects of study.All the subjects were randomly divided into two groups,with 32 patients in each group.Patients in the control group received routine ophthalmic nursing.The patients in the observation group were given six-step psychological intervention.Self-rating Anxiety Scale (SAS)were applied within 2 days after admission and before discharge to evaluate the patients.Results The score of SAS before discharge in the observation group was (46.28±4.48),which was lower than that in the control group (56.84±8.25),and the difference was statistically significant (t=6.363,P <0.01).Conclusions Relevant psychotherapy can improve the anxiety of patients,so that patients can cooperate well with the treatment,which is worthy of clinical application.

关 键 词：心理疗法 视乳头水肿 视神经鞘减压术 颅内压增高 

分 类 号：R473.77[医药卫生—护理学]