摘要
目的探讨心理护理干预对行玻璃体切割术的增殖型糖尿病性视网膜病变(PDR)患者心理状况和生活质量的影响。方法将140例拟行玻璃体切割术的PDR患者随机分为对照组和观察组各70例。对照组接受常规治疗和护理,观察组在此基础上实施心理护理干预。采用焦虑相关因素问卷调查表调查两组患者术前和术后焦虑相关因素的分布情况。比较两组患者干预前后的汉密顿(HAMA)焦虑评分和视功能损害眼病患者生存质量各维度的评分。结果术前焦虑相关因素中以惧怕术后俯卧位带来躯体不适为主,而术后则以俯卧位带来生理上的不适为主。经心理护理干预后,观察组的焦虑评分明显低于对照组,差异有统计学意义(t=9.169,P<0.01),而症状与视功能、身体机能、社会活动和精神心理等视功能相关生活质量维度评分明显增高,差异有统计学意义(均t=2.725,2.713,4.704,4.850,P<0.01)。结论心理护理干预有利于缓解PDR患者的焦虑情绪,改善其视功能的相关生存质量。
Objective To investigate the influence of the mental nursing interventions on mental status and quality of life in patients with proliferative diabetic retinopathy scheduled for vitrectomy. Methods A total of 140 cases of proliferative diabetic retinopathy scheduled for vitrectomy were randomly assigned to the control and observation group, each consisting of 70 cases. The former received routine therapy and nursing care,while the latter was treated with the mental nursing interventions besides routine therapy and nursing care. The questionaire survey was performed in both groups for anxiety-related factor distribution pre- and-postoperation. And the scores of HAMA anxiety scale and visual function related quality of life were compared between both groups. Results The main anxiety-related factors were the worry about body complaint induced by postoperative prone position preoperation and the psychological complaint by prone position. After intervention, the anxiety socre was markedly lower in the observation group than that in the control group, with a significant difference between two groups （t = 9.169,P 〈 0.01 ）,while the dimensions of the vision-related quality of life such as symptom and vision fucntion,body function,social activity and psyeholoy were considerably increased, all P 〈 0.01 （ t = 2.725,2.713,4.704, and 4.850 respectively ）. Conclusion The mental nursing interventions can relieve the anxiety and improve the vision-related quality of life in patients with proliferative diabetic retinopathy.
出处
《中国现代医生》
2009年第21期32-34,共3页
China Modern Doctor
