正念放松训练对青光眼患者术前焦虑及术后并发症的影响  

Effect of mindfulness relaxation training on preoperative anxiety and postoperative complications of glaucoma patients

作　　者：孙晓敏[1] 李维欣[1] 聂玉娇 Sun Xiaomin;Li Weixin;Nie Yujiao(The First Affiliated Hospital of Zhengzhou University,450000 Zhengzhou,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2022年第3期85-89,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨正念放松训练对青光眼患者术前焦虑及术后并发症的影响。方法将104例青光眼患者按照随机数字表法分为研究组与对照组,各52例。两组均给予常规护理,研究组在此基础上给予正念放松训练。入院时及手术前1 d采用汉密顿焦虑量表及焦虑自评量表评定两组焦虑情绪,手术前及术后1个月末比较两组基础泪液分泌量及眼部压力,比较两组术后并发症发生率。结果手术前1 d两组汉密顿焦虑量表及焦虑自评量表评分均显著高于入院时(P<0.05或0.01),研究组显著低于对照组(P<0.01)。手术前1 d研究组汉密顿焦虑量表及焦虑自评量表评分分布与入院时比较差异无统计学意义(P>0.05),对照组评分分布与入院时比较差异显著(P<0.01),研究组与对照组比较差异显著(P<0.05或0.01)。术后1个月末两组眼部压力及基础泪液分泌量均显著低于手术前(P<0.01),研究组显著低于对照组(P<0.01)。研究组术后并发症发生率显著低于对照组(P<0.01)。结论正念放松训练能有效缓解青光眼手术患者术前焦虑情绪,降低术后并发症发生率,有助于患者的治疗与恢复。Objective To explore the effect of mindfulness relaxation training on preoperative anxiety and postoperative complications of glaucoma patients.Methods A total of 104 glaucoma patients were divided into study group and control group according to random number table method,with 52 cases in each group.Both groups were given routine nursing care,and the study group was given mindfulness relaxation training on this basis.On admission and 1 d before surgery,the anxiety of the two groups was assessed by the Hamilton anxiety scale(HAMA)and self-rating anxiety scale(SAS).The basal tear secretion and eye pressure were compared between the two groups before operation and one month after operation,and the incidence of postoperative complications was compared between the two groups.Results The HAMA and SAS scores in the two groups at 1 d before surgery were significantly higher than those at admission(P<0.05 or 0.01),and the study group was significantly lower than the control group(P<0.01).There was no significant difference in the distribution of HAMA and SAS scores in the study group 1 d before surgery and at admission(P>0.05),the score distribution of the control group was significantly different from that at admission(P<0.01).There was significant difference between the study group and the control group(P<0.05 or 0.01).One month after operation,the eye pressure and basal tear secretion in the two groups were significantly lower than those before surgery(P<0.01),and the study group was significantly lower than the control group(P<0.01).The incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.01).Conclusions Mindfulness relaxation training can effectively relieve preoperative anxiety in patients with glaucoma surgery,reduce the incidence of postoperative complications,and contribute to the treatment and recovery of patients.

关 键 词：青光眼 正念放松训练 手术 焦虑 并发症 

分 类 号：R775[医药卫生—眼科]