糖尿病视网膜病变行玻璃体切割术患者的焦点解决短程治疗干预

Effect of short-term solution-focused brief therapy in patients with diabetic retinopathy undergoing vitrectomy

目的探讨焦点解决短程治疗用于糖尿病视网膜病变行玻璃体切割术患者的护理干预效果。方法将96例拟行玻璃体切割手术治疗的糖尿病视网膜病变患者随机分为对照组与观察组各48例。对照组给予眼科常规护理及心理护理,观察组在对照组基础上实施焦点解决短程治疗心理干预。采用焦虑自评量表、抑郁自评量表、视功能损害眼病患者生活质量量表及自制护理满意度量表对两组患者进行效果评价。结果干预后观察组焦虑、抑郁评分显著低于对照组,生活质量及护理满意度显著高于对照组(均P<0.01)。结论焦点解决短程治疗可改善糖尿病视网膜病变行玻璃体切割术患者负性情绪,提高其生活质量及护理满意度。

Objective To explore the effect of short-term solution-focused brief therapy in patients with diabetic retinopathy undergoing vitrectomy.Methods Ninety-six patients undergoing vitrectomy for diabetic retinopathy were randomized into two groups,with 48 cases in each group.The control group was given routine ophthalmic care and psychological nursing,while their counterparts in the intervention group additionally received short-term solution-focused brief therapy.The Zung Self-rating Anxiety Scale(SAS),Zung Self-rating Depression Scale(SDS),Scale of Quality of Life in Patients with Visual Impairment and self-designed patient satisfaction with nursing care questionnaire were utilized to evaluate the effect of the two groups.Results The intervention group had lower SAS score and SDS score,but higher quality of life and patient satisfaction with nursing care compared with the control group(P<0.01 for all).Conclusion Short-term solution-focused brief therapy can alleviate negative emotions of patients undergoing vitrectomy for diabetic retinopathy,enhance their quality of life and satisfaction with nursing care.