基于动机激发的健康教育在青光眼患者中的应用效果分析

Health education based on motivational stimulation in glaucoma patients

目的：分析基于动机激发的护理干预模式在青光眼患者中的应用效果。方法选取2014年1—12月收治的青光眼患者120例，随机分为研究组与对照组各60例，研究组接受基于动机激发的健康教育，对照组接受常规健康教育，比较两组患者干预后遵医行为、平均眼压水平、视神经杯盘比、视野平均缺损值及生活质量。结果研究组遵医行为比例高于对照组，差异有统计学意义（P ＜0．05）；平均眼压水平、视神经杯盘比、视野平均缺损值，研究组均显著低于对照组，差异有统计学意义（P ＜0．05）；研究组生存质量总分为（75．95±7．52）分，显著高于对照组（65．77±8．52）分，差异有统计学意义（P ＜0．05）。结论基于动机激发的健康教育可改善青光眼患者的遵医行为，实现较好的疾病控制效果，提高患者生活质量。

Objective To explore the application of nursing intervention model based on motivational stimulation in glaucoma patients.Methods A total of 120 glaucoma patients selected from January 2014 to December 201 4 in our hospital were randomly divided into experimental group and control group on average. Patients in experimental group received nursing intervention based on motivational stimulation,while patients in control group received routine nursing care.Treatment compliance after nursing,average intraocular pressure, cup-to-disc ratio of optic nerve,mean defect and quality of life were compared between two groups.Results The ratio of treatment compliance in experimental group was significantly higher than the ratio in control group （P 〈0.05）.Average intraocular pressure,cup-to-disc ratio and mean defect in experimental group were significantly lower than those in control group （P 〈0.05）.Quality of life score in experimental group （75.95 ±7.52）was higher than （65.77 ±8.52）in control group （P 〈0.05）.Conclusions Nursing intervention model based on motivational stimulation could increase the ratio of treatment compliance so as to achieve better disease control and improve life quality in glaucoma patients.