基于案例分析的危机干预对上睑下垂矫正术患者心理状态和满意度的影响  

Effect of Case Analysis-based Crisis Intervention on Psychological State and Satisfaction in Patients Undergoing Ptosis Correction

作　　者：荣姝 黄晓云[1] 施琦乐 RONG Shu;HUANG Xiaoyun;SHI Qile(First Ward of Ophthalmology,Jiangsu Provincial People's Hospital,Nanjing 210003,Jiangsu,China)

机构地区：[1]江苏省人民医院眼科一病区,江苏南京210003

出　　处：《中国美容医学》2024年第12期84-88,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨基于案例分析的心理危机干预对上睑下垂矫正术患者的心理状态、满意度的影响。方法:选取2020年2月-2023年2月于笔者医院就诊的90例(109眼)上睑下垂拟行矫正术治疗的患者为研究对象,按随机数表法将其分为对照组(45例,55眼)和观察组(45例,54眼),对照组开展常规护理,观察组在常规护理的基础上给予基于案例分析的心理危机干预,比较两组患者干预前后的心理弹性量表(Connor-Davidson resilience scale,CDRISC)评分、简式简明心境问卷(Profile of mood states,POMS)评分、应对方式(Simplified coping style questionnaire,SCSQ)、期望偏差及护理满意度。结果:干预后,两组患者的坚韧、乐观、坚强量表评分及总分均升高,且观察组高于对照组(P<0.05);干预后,观察组POMS中紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝和迷惑-混乱评分均显著低于对照组(P<0.05),精力-活力评分均显著高于对照组(P<0.05);干预后,两组积极应对评分均显著升高(P<0.05),消极应对评分均显著降低(P<0.05),且干预后组间比较差异有统计学意义(P<0.05);干预后,观察组满意率(86.67%)高于对照组(64.44%)(P<0.05),观察组期望偏差发生率(2.22%)显著低于对照组(24.44%)(P<0.05)。结论:基于案例分析的心理危机干预应用于上睑下垂矫正术患者,可有效改善其不良情绪,提高其积极应对方式,提高满意度,降低期望偏差发生率,具有一定的临床应用价值。Objective To analyze the effect of case analysis-based psychological crisis intervention on psychological state and satisfaction in patients undergoing ptosis correction.Methods 90 patients with ptosis(109 eyes)who were admitted to the hospital from February 2020 to February 2023 and intended to receive correction surgery were selected as the study subjects,and were divided into control group(45 cases,55 eyes)and observation group(45 cases,54 eyes)according to the random number table method.The control group was given routine nursing,and the observation group was given case analysis-based psychological crisis intervention on the basis of routine nursing.The psychological resilience(CD-RISC)scores,Profile of Mood States-Short Form(POMS-SF)scores,coping style(MCMQ),expectation deviation and nursing satisfaction of the two groups were compared before and after intervention.Results After intervention,the scores of tenacity,optimism and toughness and total score were increased in both groups,and the scores in observation group were higher than those in control group(P<0.05).After intervention,the scores of tension-anxiety,depression-dejection,anger-hostility,fatigue-slowness and confusion-chaos of POMS-SF in observation group were significantly lower than those in control group(P<0.05),while the score of energy-vitality was significantly higher than that in control group(P<0.05).After intervention,the positive coping score of both groups was significantly risen(P<0.05),while the negative coping score was significantly declined(P<0.05),and the differences between the two groups were statistically significant(P<0.05).The satisfaction rate in observation group(86.67%)after intervention was higher than that in control group(64.44%)(P<0.05),while the incidence rate of expectation deviation(2.22%)was significantly lower than that in control group(24.44%)(P<0.05).Conclusion The application of case analysis-based psychological crisis intervention in patients with ptosis correction can effectively improve the negative emotions

关 键 词：案例分析 危机干预 上睑下垂矫正 心理状态 满意度 

分 类 号：R779.6[医药卫生—眼科]