认知信念行为模式对青光眼患者生存质量及自我管理的影响

Effects of cognitive belief behavior pattern on quality of life and self-management in patients with glaucoma

目的探讨认知信念行为模式对青光眼患者情绪、生存质量及自我管理能力的影响。方法前瞻性选取济南市第二人民医院2022年3月至2023年3月收治的162例青光眼手术患者为研究对象,随机数字表法将其分为观察组和对照组,各81例。对照组男50例,女31例,年龄(58.06±3.03)岁;观察组男48例,女33例,年龄(58.85±7.01)岁。对照组在住院期间实施常规护理,观察组在住院期间于常规护理的基础上采用认知信念行为模式。观察并比较两组患者护理干预前(入院时)、干预后(出院时)对患者情绪、生存质量及自我管理能力的影响。计量资料采用t检验,计数资料χ^(2)检验。结果干预后,观察组90项症状自评量表(SCL-90)评分为(13.74±3.06)分、焦虑自评量表(SAS)评分(12.29±4.16)分、抑郁自评量表(SDS)评分(15.41±6.02)分,均低于对照组[(15.46±3.30)分、(14.33±3.68)分、(17.98±7.01)分],两组比较差异均有统计学意义(t=3.440、3.306、2.503,P<0.001、P<0.001、P=0.013);观察组症状和视功能评分(87.27±9.36)分、身体机能评分(79.15±5.93)分、社会活动评分(63.83±7.70)分,均高于对照组[(69.16±8.74)分、(73.13±7.36)分、(59.35±8.13)分],两组比较差异均有统计学意义(t=12.728、5.732、3.601,均P<0.001);观察组合理饮食及一次性大量饮水评分(87.27±9.23)分,遵医用药及依从性评分(79.15±5.91)分、眼部护理技巧(63.83±7.07)分、健康知识掌握度(69.15±3.01)分、眼部不适及时就诊意识(80.21±4.76)分,均高于对照组[(69.16±8.74)分、(73.13±7.36)分、(59.35±7.19)分、(60.12±3.16)分、(76.55±5.32)分],两组比较差异均有统计学意义(t=12.822、5.740、3.999、18.622、4.614,均P<0.001)。结论认知信念行为模式应用于青光眼患者,能改善其康复效果,提高患者情绪、生存质量及自我管理能力。

Objective To investigate the effects of cognitive belief behavior pattern on onemotion,quality of life,and self-management ability in patients with glaucoma.Methods Onehundred and sixty-two patients taking glaucoma surgery in Jinan Second People's Hospital fromMarch 2022 to March 2023 were selected for the prospective control study,and were divided an observation group and a control group by the random number table method,with 81 cases in each group.There were 50 males and 31 females in the control group;they were(58.06±3.03)years old.There were 48 males and 33 females in the observation group;they were(58.85±7.01)years old.During the hospitalization,the control group took conventional nursing;inaddition,the observation group took cognitive belief behavior pattern.The effects of nursing intervention on the patients'emotions,quality of life,and self-management ability before(at admission)and after(at discharge)the intervention were observed and compared between the two groups.The measurement data were compared by t test,and the count data by χ^(2) test.Results After the intervention,the scores of Symptom Checklist 90(SCL-90),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group[(13.74±3.06)vs.(15.46±3.30),(12.29±4.16)vs.(14.33±3.68),(15.41±6.02)vs.(17.98±7.01)],with statistical differences between the two groups(t=3.440,3.306,and 2.503;P<0.001,P<0.001,and P=0.013).The scores of symptom and visual function,physical function,socialactivity,and psychology in the observation group were higher than those in the control group[(87.27±9.36)vs.(69.16±8.74),(79.15±5.93)vs.(73.13±7.36),(63.83±7.70)vs.(59.35±8.13)],with statistical differences between the two groups(t=12.728,5.732,3.601;all P<0.001).The scores of rational diet or one-time drink lots of wate,compliance to medication,eye care skills,health knowledge mastery,and awareness of timely treatmentwith eye discomfort in the observation group were higher than those in the control group[(87.27±9.23)vs.(69.16±8.74),(79.15±5.91)vs.(73.13±7.36),(63.83±7.07)vs.(59.35±7.19),(69.15±3.01)vs.(60.12±3.16),(80.21±4.76)vs.(76.55±5.32)],with statistical differences between the two groups(t=12.822,5.740,3.999,18.622,and 4.614;all P<0.001).Conclusion Cognitive belief behavior pattern for patients with glaucoma can improve the rehabilitation effect,and significantly improve their mood,quality of life,and self-management ability.