[1]王丽娟,柴　冰,李秀娇.心理护理联合眼球按摩对青光眼小梁切除术患者焦虑情绪及治疗依从性的影响[J].新乡医学院学报,2019,36(7):690-693.[doi:10.7683/xxyxyxb.2019.07.023]
　WANG Li-juan,CHAI Bing,LI Xiu-jiao.Effect of psychological nursing combined with eyeball massage on anxiety and treatment compliance of glaucoma patients undergoing trabeculectomy[J].Journal of Xinxiang Medical University,2019,36(7):690-693.[doi:10.7683/xxyxyxb.2019.07.023]
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心理护理联合眼球按摩对青光眼小梁切除术患者焦虑情绪及治疗依从性的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年7
页码:
690-693
栏目:
护理研究
出版日期:
2019-07-05

文章信息/Info

Title:
Effect of psychological nursing combined with eyeball massage on anxiety and treatment compliance of glaucoma patients undergoing trabeculectomy
作者:
王丽娟; 柴　冰; 李秀娇
（新乡医学院第三附属医院眼科一病区，河南　新乡　453000）
Author(s):
WANG Li-juan; CHAI Bing; LI Xiu-jiao
(The First Ward of Department of Ophthalmology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,Henan Province,China)
关键词:
青光眼; 小梁切除术; 心理护理; 眼球按摩; 护理质量
Keywords:
glaucoma; trabeculectomy; psychological nursing; eyeball massage; nursing quality
分类号:
R473.77
DOI:
10.7683/xxyxyxb.2019.07.023
文献标志码:
A
摘要:
目的　探讨心理护理联合眼球按摩对青光眼小梁切除术患者焦虑情绪及治疗依从性的影响。方法　选择2016年1月至2018年1月于新乡医学院第三附属医院行小梁切除术的64例青光眼患者为研究对象，根据护理措施将患者分为观察组和对照组，每组32例。观察组患者给予心理护理联合眼球按摩，对照组患者给予眼球按摩。术后1个月评估患者的治疗依从性；术前及术后1个月，采用焦虑自评量表（SAS）评估患者焦虑情绪，采用匹兹堡睡眠质量指数（PSQI）量表评估患者睡眠质量，采用SERVQUAL量表评估护理质量；观察2组患者术后并发症发生情况。结果　观察组和对照组患者治疗依从率分别为96.88%（31/32）、81.25%（26/32），观察组患者治疗依从率大于对照组（χ2=4.010，P<0.05）。治疗前2组患者SAS评分及PSQI评分比较差异无统计学意义（P>0.05），2组患者术后1个月SAS评分和PSQI评分显著低于术前（P<0.05）；术后1个月，观察组患者SAS评分和PSQI评分显著低于对照组（P<0.05）。观察组和对照组患者术后并发症发生率分别为6.25%（2/32）、15.63%（5/32），2组患者术后并发症发生率比较差异无统计学意义（χ2=1.444，P>0.05）。术后1个月，观察组患者SERVQUAL各维度评分均高于对照组（P<0.05）。结论　心理护理联合眼球按摩有助于改善青光眼小梁切除术患者治疗依从性，缓解其焦虑情绪，改善其睡眠质量，显著提高护理质量。
Abstract:
Objective　To investigate the effect of psychological nursing combined with eyeball massage on anxiety and treatment compliance of glaucoma patients undergoing trabeculectomy.Methods　Sixty-four glaucoma patients undergoing trabeculectomy in the Third Affiliated Hospital of Xinxiang Medical University from January 2016 to January 2018 were selected as the study subjects.The patients were divided into observation group and control group according to the nursing measures,with 32 cases in each group.The patients in the observation group were given psychological nursing combined with eyeball massage,and the patients in the control group were given eyeball massage.The treatment compliance was evaluated at one month after surgery.Before and one month after operation,the anxiety was evaluated by self-rating anxiety scale (SAS),and the sleep quality was evaluated by Pittsburgh sleep quality index (PSQI),and the nursing quality was evaluated by SERVQUAL scale.The incidence of postoperative complication was observed in the two groups.Results　The treatment compliance rate in the observation group and control group was 96.88% (31/32) and 81.25% (26/32),respectively;the treatment compliance rate in the observation group was greater than that in the control group (χ2=4.010,P<0.05).There were no significant difference in the SAS score and PSQI score of patients between the two groups before treatment (P>0.05),but the SAS score and PSQI score at one month after operation were significantly lower than those before operation in the two groups(P<0.05).The SAS score and PSQI score in the observation group were significantly lower than those in the control group at one month after operation (P<0.05).The incidence of postoperative complication in the observation group and control group was 6.25% (2/32) and 15.63% (5/32),respectively;there was no significant difference in the incidence of postoperative complication between the two groups (χ2=1.444,P>0.05).The SERVQUAL scores in the observation group were higher than those in the control group at one month after operation (P<0.05).Conclusion　Psychological nursing combined with eyeball massage can improve the treatment compliance of glaucoma patients undergoing trabeculectomy,alleviate their anxiety,improve their sleep quality,and significantly improve the quality of nursing.

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更新日期/Last Update: 2019-07-05