青光眼患者围术期护理中阶段性认知行为干预的应用效果

Application of phased cognitive behavioral intervention in perioperative nursing of glaucoma patients

目的探讨阶段性认知行为干预在青光眼患者围术期护理中的应用效果。方法选取徐州医科大学附属徐州市立医院接受手术治疗的青光眼患者,从2022年9月至2023年2月中随机抽取51例纳入对照组,提供常规护理干预;另从2023年3月至2023年8月期间随机抽取52例纳入研究组,提供阶段性认知行为干预。观察阶段性认知行为干预在青光眼患者围术期护理中的应用价值。结果入院当日,两组患者简化版青光眼患者用药自我效能量表(Glaucoma Medication Self-Efficacy Scale,GMSES)中用药依从性的自我效能、用药不良反应应对的自我效能、滴眼液用药技术的自我效能评分、量表总分及健康促进生活方式量表Ⅱ(Health Promoting Lifestyle-Ⅱ,HPLP-Ⅱ)中运动锻炼、营养、健康责任、自我实现、压力管理、人际关系评分对比,组间差异无统计学意义(P>0.05);出院前1 d,两组患者用药自我效能量表各项评分均高于干预前,研究组更高,组间对比差异有统计学意义(P<0.05);出院前1 d,两组患者健康行为各项评分均高于干预前,研究组更高,组间对比差异有统计学意义(P<0.05)。结论青光眼患者围术期护理中应用阶段性认知行为干预,提高患者用药自我效能,改善患者健康行为。

Objective To explore the application of phased cognitive behavior intervention in perioperative nursing of patients with glaucoma.Methods The subjects included in this study were all glaucoma patients undergoing surgical treatment in the hospital,and 51 cases were randomly selected from September 2022 to February 2023 to be included in the control group to provide routine nursing intervention.A total of 52 patients were randomly selected from March 2023 to August 2023 to be included in the study group to provide phased cognitive behavioral intervention.The application value of phased cognitive behavioral intervention in perioperative nursing of glaucoma patients was observed.Results On the day of admission,there were no statistically significant differences of the self-efficacy of medication compliance,the self-efficacy of adverse drug reactions,the self-efficacy scores of eye drop medication techniques and the total score of the scale of the Glaucoma Medication Self-Efficacy Scale(GMSES)and the scores of exercise,nutrition,health responsibility,self-actualization,stress management and interpersonal relationship of the Health Promoting Lifestyle-Ⅱ(HPLP-Ⅱ)between the two groups(P>0.05).One day before discharge,all scores of medication self-efficacy scale in 2 groups were higher than before intervention,and those in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).One day before discharge,all health behavior scores in 2 groups were higher than before intervention,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusions The application of stage cognitive behavior intervention in perioperative nursing of glaucoma patients can improve the self-efficacy of medication and health behavior of patients.