团体心理疏导对原发性青光眼患者围手术期负性情绪及视觉相关生活质量的影响  

Effects of group psychological counseling on perioperative negative emotions and vision-related quality of life in patients with primary glaucoma

作　　者：马小青[1] 韩学青[2] 崔少娟 郭玉琴[3] 李璐[3] 李倩[1] Ma Xiaoqing;Han Xueqing;Cui Shaojuan;Guo Yuqin;Li Lu;Li Qian(Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Department of Physiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Mental Health Education Center,Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,100005 [2]首都医科大学附属北京同仁医院心理科,100005 [3]郑州大学心理健康教育中心,450001

出　　处：《中华现代护理杂志》2021年第24期3308-3311,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨团体心理疏导对原发性青光眼患者围手术期负性情绪和视觉相关生活质量的改善效果。方法:选取北京同仁医院眼科病房2018年6月—2019年12月行原发性青光眼手术患者96例,采用随机数字表法随机分为干预组(n=48)和对照组(n=48)。对照组给予青光眼围手术期常规护理,干预组在对照组基础上给予团体心理疏导。采用SAS、SDS、自制视觉相关生活质量问卷对患者进行测评。结果:干预组和对照组干预前的SAS评分分别为(56.79±1.86)分和(56.77±1.92)分,差异无统计学意义(P>0.05);干预后干预组和对照组的SAS评分分别为(41.31±3.37)分和(47.45±2.05)分,差异有统计学意义(P<0.01);干预组和对照组干预前的SDS评分分别为(66.97±3.27)分和(66.64±2.43)分,差异无统计学意义(P>0.05);干预后干预组和对照组的SDS评分分别为(44.91±2.04)分和(52.52±1.86)分,差异有统计学意义(P<0.01)。干预组患者的睡眠质量、自我护理能力均优于对照组,差异有统计学意义(P<0.05)。结论:团体心理疏导有助于降低患者的负性情绪,改善患者的睡眠质量和生活自理能力,提高其生活质量。Objective To explore the effect of group psychological counseling on the improvement of negative emotion and vision-related quality of life in patients with primary glaucoma during the perioperative period.Methods A total of 96 patients who underwent primary glaucoma surgery in Ophthalmology Ward of Beijing Tongren Hospital were selected from June 2018 to December 2019 and they were divided into the intervention group(n=48)and the control group(n=48)by the random number table method.The control group was given routine care during the perioperative period of glaucoma,while the intervention group was given group psychological counseling on the basis of the control group.Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and self-made Vision-related Quality of Life Questionnaire were used to evaluate the patients.Results The SAS score of the intervention group and the control group before intervention was respectively(56.79±1.86)and(56.77±1.92),and the difference was not statistically significant(P>0.05).After the intervention,SAS score of the intervention group and the control group was respectively(41.31±3.37)and(47.45±2.05),and the difference was statistically significant(P<0.01).The SDS score of the intervention group and the control group before intervention was respectively(66.97±3.27)and(66.64±2.43),and the difference was not statistically significant(P>0.05).After the intervention,SDS score of the intervention group and the control group was respectively(44.91±2.04)and(52.52±1.86),and the difference was statistically significant(P<0.01).The sleep quality and self-care ability in the intervention group were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Group psychological counseling can help to reduce negative emotions of patients,improve their sleep quality and self-care ability and improve their quality of life.

关 键 词：青光眼 团体心理疏导 原发性青光眼 负性情绪 生活质量 

分 类 号：R473.77[医药卫生—护理学]