摘要
目的探讨基于认知行为干预的术前访视结合固视训练对白内障患者手术中眼位移动及恐惧情绪的影响。方法选取2020年4月至2022年4月收治的96例白内障手术患者为研究对象,按照随机数字表法将其分为对照组与观察组,各48例。对照组采用常规护理干预,观察组在对照组基础上加基于认知行为干预的术前访视结合固视训练。比较两组的护理效果。结果观察组的主动调整眼位、术中眼位未偏移占比高于对照组(P<0.05)。干预后,观察组的恐惧视觉模拟评分(FAVS)、焦虑自我评估量表(SAS)及抑郁自我评价量表(SDS)评分低于对照组(P<0.05)。干预后,观察组的低视力者生活质量量表(LVQOL)各维度评分高于对照组(P<0.05)。结论基于认知行为干预的术前访视结合固视训练不仅能够减少白内障患者手术中眼位移动情况,还能减轻其恐惧情绪,改善其术后生活质量,值得推广。
Objective To investigate the effects of preoperative visit based on cognitive behavioral intervention combined with fixation training on eye position movement and fear in cataract patients during surgery.Methods A total of 96 patients with cataract surgery admitted from April 2020 to April 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 48 cases in each group.The control group was adopted routine nursing intervention,and the observation group was adopted preoperative visit based on cognitive behavior intervention combined with fixation training on the basis of the control group.The nursing effects of the two groups were compared.Results The proportion of active adjustment of eye position and no deviation of eye position during surgery in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Fear Visual Simulation Scale(FAVS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).After intervention,the Low Vision Quality-of-Life Questionnaire(LVQOL)scores of each dimension in the observation group were higher than those in the control group(P<0.05).Conclusion Preoperative visit based on cognitive behavioral intervention combined with fixation training can not only reduce the eye position movement in cataract patients during surgery,but also reduce their fear and improve their quality of life after surgery,which is worthy of promotion.
作者
王雅
王蓓
WANG Ya;WANG Bei(Operating Room,Xi'an XD Group Hospital,Xi'an 710000,China;Ophthalmology Department,Xi'an XD Group Hospital,Xi'an 710000,China)
出处
《临床医学研究与实践》
2024年第16期186-189,共4页
Clinical Research and Practice
关键词
基于认知行为干预的术前访视
固视训练
白内障手术
眼位移动
恐惧情绪
preoperative visit based on cognitive behavioral intervention
fixation training
cataract surgery
eye position movement
fear
