认知行为护理在青光眼术后患者中的应用效果  

Application effects of cognitive behavioral nursing in patients after glaucoma surgery

作　　者：柳姗姗[1] LIU Shanshan(Department of Ophthalmology of the 4th People’s Hospital of Shenyang,Shenyang 110000 Liaoning,China)

机构地区：[1]沈阳市第四人民医院眼科,辽宁沈阳110000

出　　处：《中国民康医学》2023年第21期180-182,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察认知行为护理在青光眼术后患者中的应用效果。方法:选取2019年2月至2020年2月该院收治的100例青光眼患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。两组均接受激光虹膜切除术治疗,术后对照组给予常规护理,观察组在对照组基础上给予认知行为护理。比较两组护理前后自护能力[自我护理能力量表(ESCA)]评分、视野缺损、眼压、视力水平和护理满意度。结果:护理后,两组健康知识、自我概念、自我责任感、自我护理技能等各项ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组视野缺损、眼压均低于护理前,且观察组低于对照组,两组视力水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为98.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论:认知行为护理应用于青光眼术后患者,可提高其自护能力,改善视力和眼压,减轻视野缺损,提高护理满意度,效果优于单纯常规护理。Objective:To observe application effects of cognitive behavioral nursing in patients after glaucoma surgery.Methods:A prospective study was conducted on 100 glaucoma patients admitted to the hospital from February 2019 to February 2020.They were divided into control group and observation group according to the random number table method,50 cases in each.Both groups received laser iridectomy.The control group was given routine nursing after the surgery,while the observation group was given the cognitive behavioral nursing on the basis of that of the control group.The scores of self-care ability[exercise of self-care agency scale(ESCA)],the visual field defect,the intraocular pressure,the visual acuity,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the ESCA scores of health knowledge,self-concept,self-responsibility and self-care skills in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The visual field defect and the intraocular pressure of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group;the visual acuity levels of the two groups were higher than that those before the nursing,that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.00%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The cognitive behavioral nursing applied to the glaucoma patients can improve their self-care abilities,improve the visual acuity and the intraocular pressure,reduce the visual field defects,and improve the nursing satisfaction.Moreover,it is superior to the routine nursing.

关 键 词：认知行为护理 青光眼 自我护理能力 视力 视野缺损 护理满意度 

分 类 号：R473.77[医药卫生—护理学]