结构化指导对老年白内障手术患者焦虑和自我护理依从性的影响  

Effect of structured preoperative instruction on anxiety and self-care compliance in elderly patients with cataract surgery

作　　者：黄平平[1] 柳玲[1] 杨素玉[1] 

机构地区：[1]武汉大学人民医院,湖北武汉430060

出　　处：《现代临床护理》2014年第7期60-63,共4页Modern Clinical Nursing

摘　　要：目的探讨结构化指导对老年白内障手术患者焦虑和自我护理依从性的影响。方法将80例60岁以上的老年白内障手术患者,按随机数字表法分为试验组与对照组,每组各40例。试验组实施结构化指导,对照组实施常规护理。干预前后分别采用焦虑自评量表(self-rating anxiety scale,SAS)和自行设计自我护理依从性评定量表对两组患者进行测评。结果干预后试验组患者SAS得分低于对照组;自我护理依从性评定量表得分高于对照组,两组比较,差异均有统计学意义(P<0.01)。结论结构化指导可降低老年白内障手术患者的焦虑情绪,提高治疗依从性。Objective To investigate the effect of structured preoperative instruction on anxiety and self-care compliance in elder patients with cataract surgery.Methods Eighty patients over the age of 60 years undergoing cataract surgery were randomly assigned into experiment group and control group with 40 cases in each group. The experiment group received structured guidance preoperative intervention and the control group wtih routine care.SA（Self-Rating Anxiety Scale）and self-designed self-care compliance scale were used before and after interuention,postoperative patients’anxiety and self-care compliance were assessed 1d before and after surgery.Result There were significant differences between the two groups in the postoperative state anxiety （all P﹤0.01）and the postoperative self-care compliance score was higher than the control group.Conclusion Structured preoperative instruction reduces preoperative anxiety and improve compliance in elderly patients with senile cataract.

关 键 词：白内障 焦虑 自我护理 结构化指导 

分 类 号：R473.77[医药卫生—护理学]