基于IMB模型的认知行为联合团体心理疏导应用于原发性青光眼患者的效果

Effect of IMB Model Based Cognitive-behavioral Combined Group Psychological Counseling in Patients with Primary Glaucoma

目的:探讨基于信息-动机-行为技巧(IMB)模型的认知行为联合团体心理疏导应用于原发性青光眼患者的效果。方法:选取2021年3月—2022年3月中国人民解放军联勤保障部队第九一〇医院90例原发性青光眼患者为研究对象,按照随机数表法将分其分为两组。对照组45例,接受常规眼科护理。观察组45例,在对照组基础上接受基于IMB模型的认知行为联合团体心理疏导。观察比较两组干预前、干预后原发性青光眼患者的眼压、视力、心理状态、睡眠质量及用药依从率。结果:干预后,两组眼压均降低,视力均升高,且观察组眼压较对照组低,观察组视力较对照组高,差异有统计学意义(P<0.05)。干预后,两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均降低,且观察组SDS评分、SAS评分较对照组低,差异有统计学意义(P<0.05)。干预后,两组匹兹堡睡眠质量指数(PSQI)评分均降低,用药依从率均升高,且观察组PSQI评分低于对照组,用药依从率高于对照组,差异有统计学意义(P<0.05)。结论:基于IMB模型的认知行为联合团体心理疏导可以有效降低原发性青光眼患者的眼压,改善视力,改善心理状态,提高睡眠质量及用药依从率。

Objective:To investigate the effects of information motivation behavioral skills(IMB)model based on cognitive-behavioral combined group psychological counseling in patients with primary glaucoma.Method:A total of 90 patients with primary glaucoma in the 910th Hospital of Joint Logistics Support Force of the PLA from March 2021 to March 2022 were selected and divided into two groups according to the random number table method.The control group of 45 cases received routine eye care,and the observation group of 45 cases received IMB model based cognitive-behavioral combined group psychological counseling.The intraocular pressure,visual acuity,mental state,sleep quality and medication compliance rate of the two groups of patients with primary glaucoma before and after intervention were observed and compared.Result:After the intervention,the intraocular pressure of both groups decreased and the visual acuity increased,and the intraocular pressure of the observation group was lower than that of the control group,the visual acuity of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).After intervention,the self-rating depression scale(SDS)scores and self-rating anxiety scale(SAS)scores of both groups were decreased,and the SDS scores and SAS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the Pittsburgh sleep quality index(PSQI)scores of both groups decreased,and the medication compliance rate increased,the PSQI score of the observation group was lower than that of the control group,and the medication compliance rate was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The IMB model based cognitive-behavioral combined group psychological counseling can effectively reduce intraocular pressure,improve vision,improve mental state,improve sleep quality and medication compliance rate of patients with primary glaucoma.