心理干预在青光眼围手术期护理中的应用研究

Study on effects of psychological intervention in perioperative nursing for treatment of patients with glaucoma

目的探讨心理干预对青光眼患者眼压和术后视力的影响。方法把100例临床明确诊断为急性闭角型青光眼的患者随机分为实验组(n=50)和对照组(n=50),实验组给予常规药物、手术治疗和护理的同时进行心理干预,对照组仅给予常规药物、手术治疗和护理。观察两组患者的眼压变化情况和术后视力恢复情况。结果与对照组比较,实验组患者经心理干预后眼压下降显著(P<0.05),术后视力恢复好(P<0.05)。结论心理干预能明显降低患者的眼压,有利于术后视力恢复,心理干预在青光眼围手术期护理中具有重要的临床应用价值。

Objective To study the effects of psychological intervention on intraocular pressure and eyesight of patients with glaucoma after surgical operation. Methods 100 patients with ＂acute angle - closure glaucoma＂ were randomly allocated into experimental group （n = 50） and control group （ n = 50 ）, Patients in experimental group got psychological intervention besides drug treatment and surgical operation as in control group. Detection of changes in intraocular pressure and the condition of eyesight recovery was carried out in patients of these two groups, Results The intraocular pressure of patients in experimental group decreased markedly（ P 〈 0.05 ） in comparison with that of patients in control group. Furthermore, the condition of eyesight recovery in patients of experimental group was better than that of patients in control group （ P 〈 0, 05 ）. Conclusion Psychological intervention can decrease intraocular pressure of patients with glaucoma. The eyesight of these patients was obviously improved after surgical operation. Psychological intervention plays an important role in perioperative nursing for patients with glaucoma.