实施心理干预对抗青光眼术后患者焦虑和皮质醇的影响

Effects of mental intervention for the anxious morale and cortisol in patient with glaucoma

目的 观察心理干预对青光眼手术患者情绪焦虑、皮质醇及术后前房恢复的影响。方法 将入选住院病人 68例随机分为治疗组和对照组 ,2组病人均给予常规降低眼压和青光眼手术治疗 ,治疗组同时实施支持性心理干预和放松训练等 ,观察治疗前后 2组病人的焦虑情绪和血皮质醇变化及术后前房恢复情况。结果 治疗组患者术后焦虑情绪和血皮质醇较对照组明显降低 ,前房恢复较快。结论 心理干预可降低手术应激引起的青光眼患者情绪焦虑和血皮质醇的分泌增加 ,促进青光眼患者术后的好转。

Objective To observe the effect of mental intervention for the anxious morale and cortisol and anterior chamber postoperationly recovery in patient with glaucoma. Methods The patient with glaucoma were divided to two groups which were treated in common, but the mental intervention was only used in treatment group at the same time.The anxious morale and cortisol in plasm and anterior chamber postoperationly recovery were detected in two groups. Results The anxious morale and cortisol in treatment group were decreased to that of control group,and recovery times of postoperationly anterior chamber had also been shorten in treatment group. Conclusion The mental intervention might decreased anxious morale and raised cortisol duing to stress reaction in patient with glaucoma and impel glaucoma to recovery.