老年青光眼患者焦虑和抑郁等异常心境状态的临床对策

Methods to improve the psychological symptoms of glaucoma patients in the elderly with anxiety and depression

目的探究老年青光眼患者焦虑和抑郁等异常心境状态的临床对策。方法随机选取100例伴有焦虑和抑郁等异常心境状态的老年青光眼患者,将这些患者随机分为实验组和对照组,每组50例。实验组对患者采用临床心理治疗,对照组不进行心理治疗。观察临床处置对于老年青光眼患者焦虑和抑郁的改善情况。结果实验组的焦虑自评量和抑郁自评量分别为39.8和40.1,对照组的焦虑自评量和抑郁自评量分别为51.2和53.4。6个月后,实验组的焦虑自评量和抑郁自评量分别为41.3和42.5,对照组的焦虑自评量和抑郁自评量分别为53.2和52.9。实验组的患者满意率为90%,对照组的患者满意率为50%(P<0.05)。结论临床心理治疗可以明显改善老年青光眼患者的焦虑和抑郁等异常心境状态,改善效果可以在一定时间内保持。

Objective To explore the methods to improve psychological symptoms of glaucoma patients in the elderly with anxiety and depression.Methods Authors selected 100 elder glaucoma patients who presented with apparent anxiety and depression.These patients were randomly divided into two groups.The experimental group received psychotherapies in addition to medical treatments.Authors analyzed the effects of the psychotherapy on these glaucoma patients.Results Among the patients who received psychotherapy,self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） were 39.8 and 40.1,respectively.In contrast,among those who did not receive psychotherapy,SAS and SDS were 51.2 and 53.4,respectively.Two years later,SAS and SDS were still significantly lower in patients whose received psychotherapy（P〈0.05）.Conclusion Psychotherapy can significantly improve psychological symptoms in elder glaucoma patients with anxiety and depression.