心理弹性重塑在青光眼患者抗压能力和局部用药依从性中的作用  

Role of resilience remodeling in psychological anti-pressure ability and topical medication adherence of glaucoma patients

作　　者：连美燕 吴亚林[1] 李惠娜[1] 赖钟祺 LIAN Mei- yan WU Ya- lin LI Hui- na LAI Zhong- qi(Department of Ophthalmology, the 180＇h Hospital of PLA , Quanzhou 362000, China)

机构地区：[1]解放军第180医院眼科,福建泉州362000

出　　处：《现代医学》2017年第2期274-277,共4页Modern Medical Journal

摘　　要：目的:探讨心理弹性重塑在青光眼患者抗压能力和局部用药依从性中的作用。方法:选取在本院门诊随诊的120例青光眼患者并随机分为实验组和对照组(各60例),实验组进行心理弹性重塑,对照组不进行,采用心理弹性量表(CD-RISC)、抑郁-焦虑-压力量表(DASS-21)和局部用药依从性量表进行调查分析。结果:CD-RISC得分与DASS-21呈负相关,与局部用药依从性呈正相关(r值分别为-0.942、0.883,均P<0.05);DASS-21得分与局部用药依从性呈负相关(r=-0.861,P<0.05)。心理弹性重塑前两组之间CDRISC、DASS-21和局部用药依从性得分的差异均无统计学意义(t值分别为-0.826、0.850、-0.718,均P>0.05);重塑后两组间各量表得分的差异均具有统计学意义(t值分别为6.978、-7.091、7.946,均P<0.05)。实验组重塑前后CD-RISC、DASS-21和局部用药依从性得分差异均具有统计学意义(t值分别为-14.418、35.087、-9.960,均P<0.05)。对照组前后两次量表评分差异均无统计学意义(t值分别为-1.426、-1.191、-0.651,均P>0.05)。结论:心理弹性重塑可提升青光眼患者的抗压能力和局部用药依从性,改善视觉生活质量。Objective： To investigate the role of resilience remodeling in psychological anti-pressure ability and topical medication adherence of glaucoma patients. Methods： 120 glaucoma patients who have been followed-up in the 180^th Hospital of PLA were randomly divided into treatment and control groups.Treatment group received resilience remodeling,while control group did not.Connor-Davidson Resilience Scale（CD-RISC）,depression-anxiety-stress scale（DASS-21） and topical medication adherence scale were used to investigate and analyze.Results： CD-RISC was negatively correlated with DASS-21 and positively correlated with topical medication adherence（P〈0.05）. DASS-21 was negatively correlated with topical medication adherence（P〈0.05）. The differences of CD-RISC, DASS-21 and topical medication adherence between treatment group and control group were not statistically significant before resilience remodeling（P〉0.05）,but were statistically significant after resilience remodeling（P〈0.05）.There were statistically significant differences in CD-RISC, DASS-21 and topical medication adherence between before and after resilience remodeling in treatment group（P〈0.05）,while there were not in control group（P〉0.05）.Conclusion： Resilience remodeling can promote glaucoma patients’s psychological anti-pressure ability and topical medication adherence. Vision-related quality of life is improved also.

关 键 词：心理弹性重塑 青光眼 抗压能力 用药依从性 

分 类 号：R775[医药卫生—眼科]