健康教育与认知行为干预对老年性白内障患者术前焦虑及睡眠质量的影响  

To Explore the Effect of Preoperative Health Education Combined with Cognitive Behavioral Intervention on Preoperative Anxiety and Sleep Quality in Senile Cataract Patients

作　　者：张瑞英[1] ZHANG Ruiying(Department of Otolaryngology,Jinjiang Hospital of Fujian,Quanzhou 362200,China)

机构地区：[1]福建省晋江市医院眼耳鼻喉科,泉州362200

出　　处：《世界睡眠医学杂志》2023年第7期1543-1545,共3页World Journal of Sleep Medicine

摘　　要：目的:探究术前健康教育结合认知行为干预对老年性白内障患者术前焦虑及睡眠质量的影响。方法:选取2021年9月至2023年3月于福建省晋江市医院接受手术治疗的老年性白内障患者100例作为研究对象,按照随机数字表法随机分为观察组与对照组,每组50例。对照组接受常规护理干预,观察组接受术前健康教育结合认知行为干预。对2组患者干预前后焦虑抑郁情绪、睡眠质量、自我效能等的评分、护理满意度进行比较。结果:护理前,2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、睡眠障碍量表(SDRS)、自我效能评分比较,差异均无统计学意义(均P>0.05),护理后,观察组患者SAS、SDS、SDRS评分均低于对照组(均P<0.05),自我效能评分高于对照组(P<0.05),同时观察组护理满意度高于对照组(P<0.05)。结论:对老年性白内障患者手术治疗患者开展术前健康教育联合认知行为干预可以显著缓解其焦虑抑郁情绪,提高患者自我效能水平和睡眠质量,并能提高其护理满意度,具有一定的推广应用价值。Objective:To explore the effect of preoperative health education combined with cognitive behavioral intervention on preoperative anxiety and sleep quality of senile cataract patients.Methods:A total of 100 patients with senile cataract who underwent surgery in our hospital from September 2021 to March 2023 were selected as the research objects.According to the random number table method,they were divided into the observation group(n=50),received preoperative health education combined with cognitive behavioral intervention and the control group(n=50,received routine nursing intervention).The differences in anxiety and depression scores,sleep quality scores and self-efficacy scores before and after the intervention were compared between the two groups,and the differences in nursing satisfaction between the two groups were compared.Results:There was no significant difference in the scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Sleep Dysfunction Rating Scale(SDRS)and self-efficacy between the two groups before nursing intervention(P s>0.05).After nursing,the scores of SAS,SDS and SDRS in the study group were lower than those in the control group,and the score of self-efficacy was higher than that in the control group(P s<0.05).The nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion:Preoperative health education combined with cognitive behavioral intervention for senile cataract patients can significantly relieve their anxiety and depression,improve their self-efficacy level and sleep quality,and improve their nursing satisfaction,which has certain promotion and application value.

关 键 词：术前健康教育 认知行为干预 老年性白内障 焦虑抑郁 睡眠质量 自我效能 

分 类 号：R776.1[医药卫生—眼科] R338.63[医药卫生—临床医学]