| 李凤军.焦点解决短期心理治疗对急性闭角型青光眼患者不良情绪改善及术后恢复的影响[J].上海护理,2019,19(5): |
| 焦点解决短期心理治疗对急性闭角型青光眼患者不良情绪改善及术后恢复的影响 |
| The effects of solution-focused brief therapy (SFBT) on the improvement of adverse mood and postoperative recovery of patients with acute closed Angle glaucoma |
| DOI： |
| 中文关键词: 闭角型青光眼 焦点解决短期心理治疗 不良情绪 生活质量 |
| 英文关键词:closed Angle glaucoma solution-focused brief therapy (SFBT) Adverse emotions The quality of life |
| 基金项目:陕西省高职教育教学改革项目,“高职—本科一体化护理专业教学标准研究与实践”(NO.201401364) |
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| 中文摘要: |
| 【】目的 探讨焦点解决短期心理治疗对急性闭角型青光眼患者焦虑、抑郁等不良情绪改善,以及对患者眼压控制、生活质量、就医满意度的影响。方法 将94例SCL-90症状量表初筛为阳性的急性闭角型青光眼患者以随机数字表法分为观察组和对照组,每组各47例,两组患者均采用相同的青光眼小梁切除术,护理方面对照组患者采取常规护理干预,观察组患者给予焦点解决短期心理治疗,即根据患者眼压波动规律调整给药及心理咨询时间,观察两组患者经干预后焦虑自评量表(SAS)和抑郁自评量表(SDS)的心理评估结果,同时对比两组患者眼压控制情况、生存质量量表(SQOL-DVT)评价结果,及两组患者满意度。结果 与对照组相比,观察组患者焦虑和抑郁评分均明显偏低,差异具有统计学意义(P＜0.05)。观察组患者眼压控制情况、生活质量及患者就医满意度明显优于对照组,差异具有统计学意义(P＜0.05)。结论 根据急性闭角型青光眼患者症状特点给予焦点解决短期心理治疗,可消除患者的不良情绪,改善眼压控制情况,提高患者的生活质量及就医满意度,适合临床推广。 |
| 英文摘要: |
| Objective to investigate the focus solve psychological counseling for patients with acute angle-closure glaucoma adverse emotions such as anxiety, depression, improve, and intraocular pressure control, the quality of life for patients, treatment satisfaction.Methods 94 cases of early symptoms of SCL - 90 scale screening positive for patients with acute angle-closure glaucoma with random number table method was divided into observation group and control group, each group of 47 cases, two groups of patients were in the same glaucoma trabeculectomy, care control group adopts the traditional drug and psychological nursing in patients with routine nursing intervention, such as observation group patients give the focus solve psychological counseling, namely according to the laws of the patients with intraocular pressure fluctuations adjust dosage and duration of psychological counseling, observe two groups of patients after intervention of self-evaluation of anxiety scale (SAS) and depression self rating scale (SDS) of psychological assessment results, at the same time, compared two groups of patients with intraocular pressure (iop) control, quality of life scale (SQOL - DVT) the evaluation results, and two groups of patients satisfaction. Results the anxiety and depression scores were significantly lower in the observation group than in the control group, and the difference was statistically significant (P < 0.05).In the observation group, the intraocular pressure control, quality of life and patient care satisfaction were significantly better than the control group, and the difference was statistically significant (P < 0.05).Conclusion according to the laws of the time of acute angle-closure glaucoma intraocular pressure fluctuations and the blood drug concentration change law science, giving patients in a timely manner to resolve the psychological consultation, nursing and focus can eliminate the patient's bad mood, improve the intraocular pressure (iop) control, to improve the patient's quality of life and satisfaction, is suitable for clinical promotion. |
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