心理干预在视网膜脱离患者围术期的应用

Application of psychological intervention in patients with retinal detachment during operation period

目的研究心理干预对视网膜脱离患者手术前后心理反应及术后康复效果的影响。方法随机将56例视网膜脱离患者分为试验组和对照组,每组28例,试验组在常规治疗护理的基础上,采用心理行为干预,对照组仅进行常规治疗和护理指导,两组术后的护理程序完全一致。住院当天,术前1 d和术后2 d分别对两组患者进行心理测试,术后第2、7天分别对两组患者进行满意度评价,并比较心理干预前后视网膜脱离患者围术期的焦虑程度。结果试验组和对照组在住院当天行心理干预前SAS评分差异无统计学意义(P>0.05)。实施心理干预后,试验组在术前1 d、术后2 d SAS评分低于对照组(P<0.05)。术后第2、7天试验组患者满意度显著高于对照组(P<0.05)。结论加强心理干预可降视网膜脱离患者围术期的焦虑程度,有效提高患者满意度及手术疗效,对视网膜成功复位起到保障作用。

Objective To research the influence of psychological interference on psychological reaction and postoperative rehabilitation in patients with retinal detachment before and after operation. Methods 56 patients with retinal detachment were randomly divided into the experimental group （28 cases） and the control group （28 eases）.Normal treatment, nursing and psychological interference were performed in the experimental group; the control group was only given normal treatment and nursing. Postoperative nursing procedure was the same in the two groups. The psychologi- eat state of two groups on the day of entering hospital, one day before operation, two days after operation was tested separately.： The satisfaction of two groups after operation on the second and seventh day was tested. Results At the day of ~ntering hospital, the SAS of two groups was not significantly different （P〉0.05）. The SAS scores of experimental group in one day before operation and two days after operation were lower than control group（P〈0.05）. The satisfaction of the experimental group was higher than the control group on the second and seventh day after operation （P〈0.05）. Conclusion Psychological interference can not only release anxiety of retinal detachment patients before and after operation, but also improve the satisfaction of patients and operation efficacy, which can protect the reattached retina.