MDT联合认知行为干预对眼外肌麻痹患者的影响研究

Study on the effect of MDT combined with cognitive behavioral intervention on patients with external ophthalmoplegia

目的 研究MDT联合认知行为干预对眼外肌麻痹患者的影响。方法 回顾性选取2020年1月~2021年7月江西省九江市第一人民医院眼外肌麻痹患者40例,依据干预方法分为MDT联合认知行为干预组(观察组)、常规护理模式组(对照组)两组,统计分析两组患者的临床疗效、视力情况、心理状态、疾病认知程度、术后并发症发生情况。结果 观察组患者的总有效率为95.00%(19/20),显著高于对照组75.00%(15/20)(χ^(2)=12.830,P<0.05)。观察组患者的HAMA评分显著低于对照组(t=6.965,P<0.05),视力、疾病认知程度评分均显著高于对照组(t=4.303、4.541,均P<0.05)。观察组患者的术后并发症发生率为10.00%(2/20),显著低于对照组35.00%(7/20)(χ^(2)=14.450,P<0.05)。结论 MDT联合认知行为干预较常规护理模式更能有效提升眼外肌麻痹患者的临床疗效、视力、疾病认知程度,改善患者心理状态及改善预后,减少患者术后并发症的发生,值得推广。

Objective To study the effect of MDT combined with cognitive behavioral intervention son patients with external ophthalmoplegia. Methods A total of 40 patients with external ophthalmoplegia in our hospital from January2020 to July 2021 were retrospectively selected and were divided into the MDT combined with cognitive behavioral intervention group(the observation group) and the routine nursing mode group(the control group) according to the intervention method. The clinical efficacy, visual acuity, psychological state, disease cognition, and postoperative complications of the two groups of patients were statistically analyzed. Results The total effective rate of patients in the observation group(19/20 cases, 95.00%) was significantly higher than that in the control group(15/20 cases, 75.00%)(χ^(2)=12.830, P<0.05). The HAMA score of the observation group was significantly lower than that of the control group(t=6.965, P<0.05), and the scores of visual acuity and disease cognition in the observation group were significantly higher than those in the control group(t=4.303, 4.541, all P<0.05). The incidence of postoperative complications in the observation group(2/20 cases, 10.00%) was significantly lower than that in the control group(7/20 cases, 35.00%)(χ^(2)=14.450, P<0.05). Conclusion MDT combined with cognitive behavioral intervention can effectively increase the clinical efficacy, visual acuity and disease cognition, improve the psychological state and prognosis, and reduce the incidence of postoperative complications in patients with external ophthalmoplegia. Therefore, it is worth promoting.