心理护理干预对眼科患者负性情绪及生活质量的影响

Effects of psychological nursing intervention on negative emotion and quality of life of ophthalmic patients

目的：探讨心理护理干预对眼科疾病患者抑郁、焦虑等负性情绪及生活质量的影响。方法将116例眼科住院患者随机分为对照组与观察组，每组58例，对照组给予眼科常规护理，观察组在常规护理的基础上，按心理护理四原则进行心理护理干预。比较入院时、出院前两组 SDS、SAS 评分及生存质量评分。结果两组入院时抑郁自评量表（ SDS）、焦虑自评量表（ SAS）评分差异未见统计学意义（ P ＞0.05）；出院时两组 SDS、SAS 评分均较前降低，降低幅度以观察组明显，差异有统计学意义（ P ＜0.05）。入院时两组 SF-36生存质量表评分比较差异未见统计学意义（ P ＞0.05）；出院前1 d 观察组生理、社会功能、心理状态、躯体健康、生活质量总分等指标评分均优于对照组，差异有统计学意义（ P ＜0.05）。结论心理护理干预应用于眼科疾病患者可有效缓解负性情绪，提高治疗效果，改善生活质量。

Objective To explore the effects of psychological nursing intervention on negative emotion such as de-pression,anxiety,and quality of life of ophthalmic patients. Methods Randomly divided 116 ophthalmic patients who were hospitalized into control group and observation group,with 58 patients in each group. The patients in control group were treated with ophthalmology routine nursing and the patients in observation group were treated with ophthalmology rou-tine nursing plus the psychological nursing intervention according to the four principles of psychological nursing. The SDS, SAS and quality of life scores of the patients in the two groups were compared when they were hospitalized and before left the hospital. Results The self - rating depression scal（SDS）and self - rating anxiety scale（SAS）scores of the patients when they were hospitalized had no significant difference（P 〉 0. 05）,and the scores was lowered when they left the hospi-tal,the lowered range was obvious in observation group,there was a significant difference between the two groups（P 〈0. 05）. The SF-36 quality of life scores had no significant difference（P 〉 0. 05）in the two groups when the patients were hospitalized,1d before the patients left the hospital,the physiology,social function,psychological states,physical health, the living quality total points and other indexes of the patients in the observation group was superior to that in control group, and there was significant differences between the two groups（P 〈 0. 05）. Conclusions The psychological nursing inter-vention used on ophthalmic patients can remit their negative emotion,enhance the therapeutic effect and improve the quality of life effectively.