影响眼球摘除病人心理认同的相关因素分析及护理干预

Analysis of correlated factors influencing psychological acknowledgment of patients with enucleation and the corresponding nursing intervention

目的探讨病人对眼球摘除术心理认同的相关因素和护理干预方法。方法利用简单随机抽样法，抽取84例符合条件的行眼球摘除术的病人，采取问卷及面对面交谈法，了解病人对眼球摘除术的心理认同状况，应用焦虑自评量表（SAS）、抑郁自评量表（SDS）、艾森克人格测验（EPQ）评定病人的心理状态及个性特征，并对性别、年龄、文化、职业、收入等相关因素进行分析。结果不同心理认同状况的病人个性类型不同。病人术前不同程度的SAS、SDS对眼球摘除术的心理认同不同，且SAS、SDS程度越重，病人越不能认同手术。不同的性别、年龄、文化程度及职业对眼球摘除病人的心理认同状况有影响。结论对眼球摘除病人进行护理时，应针对上述因素实施护理，以提高护理效果。

Objective To explore the correlated factors of psychological acknowledgment for patients with enucleation, and the methods of nursing intervention. Methods 84 cases who accorded with the operation requirement and would receive the operation were chosen using a simple and random sampiing method. The patients＇ status of psychological acknowledgment for the operation was acquired using a questionnaire and a face--to--face talking method. The psychological status and personal feature were assessed using Self--rating Anxiety Scale （SAS）, Self--rating Depression Scale （SDS） and Eysenck Personality Questionnaire （EPQ）. And the correlated factors such as sex, age, education, vocation and incomes were analyzed. Results The patients with different psychological acknowledgment had different personality types. Patients with different degrees of SAS and SDS had different psychological acknowledgment for the enucleation, and the patients could not acknowledge the operation along with the high degree of SAS and SDS. The different sex, age, education and vocation had influence for the psychological acknowledgment of patients with enucleation. Conclusions It should implement the nursing measures aiming at the above--mentioned factors when nursing the patients with enucleation so as to improve the nursing effect.