摘要
目的探讨焦点解决短期心理治疗对改善急性闭角型青光眼患者不良情绪及术后恢复的效果。方法选取2014年6月—2016年12月收治于宝鸡职业技术学院附属医院的急性闭角型青光眼患者94例,SCL-90症状量表均筛选为阳性,随机分为观察组(n=47)和对照组(n=47)。两组患者均行青光眼小梁切除术,对照组采用常规护理干预,观察组在此基础上给予焦点解决短期心理治疗,比较两组患者干预后焦虑自评量表(SAS)和抑郁自评量表(SDS)的评估结果、眼压控制情况、生存质量量表(SQOLDVT)评价结果及满意度。结果观察组焦虑和抑郁评分均低于对照组,差异有统计学意义(P<0.05)。观察组眼压控制情况、生活质量及就医满意度明显优于对照组,差异有统计学意义(P<0.05)。结论焦点解决短期心理治疗可改善急性闭角型青光眼患者不良情绪,改善患者眼压控制情况,提高患者的生活质量及就医满意度。
Objective To investigate the effect of solution-focused brief therapy(SFBT)on the improvement of adverse emotion and the postoperative recovery in patients with acute angle-closure glaucoma.Methods Totally94 patients with acute angle-closure glaucoma admitted in Affiliated Hospital of Baoji Vocational and Technical College,whose SCL-90 symptom scale results were positive were selected from June 2014 to December2016 and were randomly divided into observation group(n=47)and control group(n=47).Patients in both groups underwent glaucoma trabeculectomy.Routine care was delivered in control group after surgery.Both SFBT and routine care were given in observation group.Self-rating anxiety sale(SAS),self-rating depression scale(SDS),intraocular pressure(IOP)control,quality of life scale(SQOL-DVT)scores and patient satisfaction were compared between two groups.Results SAS and SDS scores in observation group were lower than those in control group.The difference was statistically significant(P<0.05).The IOP control,quality of life and patient satisfaction in observation group were significantly better than those in control group,and the differences were statistically significant(P<0.05).Conclusion Solution-focused brief therapy(SFBT)can improve negative emotion,IOP control,quality of life and patient satisfaction in patients with acute angle-closure glaucoma.
作者
李凤军
LI Fengjun(Medical College of Baoji Vocational Technical College,Baoji 721000,Shanxi Province,China)
出处
《上海护理》
2019年第5期9-12,共4页
Shanghai Nursing
基金
陕西省高职教育教学改革项目(201401364)
关键词
闭角型青光眼
情绪
术后恢复
焦点解决短期心理治疗
Closed-angle glaucoma
Emotions
Postoperative recovery
Solution-focused brief therapy(SFBT)
