Chang Meisong, Wang Hailin, Niu Tongtong
Department of Ophthalmology, Shenyang Fourth People's Hospital Shenyang, Liaoning Province, China.
Am J Transl Res. 2021 Jul 15;13(7):8415-8420. eCollection 2021.
To investigate the influence of psychological nursing on negative emotion and sleep quality of glaucoma trabeculectomy patients.
Ninety glaucoma patients treated in our hospital were obtained as research participants and were randomly divided into the control group (45 cases, adopted eyeball massage) and the observation group (45 cases adopted eyeball massage with psychological nursing). The negative emotions (Hamilton Anxiety and Depression Scale (HAMA, HAMD)), sleep quality (PSQI scale), quality of life (GQOLI-74 scale), vision (national standard visual acuity chart) and complications were compared between the two groups.
The scores of HAMA, HAMD and PSQI of patients in both groups decreased when they were discharged from hospital, especially in the observation group (all P<0.05). One month and 3 months after operation, BCVA of affected eyes in both groups was significantly higher than that before operation, and that of the control group was higher than that in the observation group (all P<0.05). The scores of GQOLI-74 in both groups were increased, and the scores of the control group were higher than those in the observation group (all P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05).
Psychological nursing on the basis of eyeball massage can effectively relieve the bad psychology of glaucoma patients after trabeculectomy, improve their sleep quality and life quality, and have less postoperative complications and good vision recovery.
探讨心理护理对青光眼小梁切除术患者负性情绪及睡眠质量的影响。
选取我院收治的90例青光眼患者作为研究对象，随机分为对照组（45例，采用眼球按摩）和观察组（45例，采用眼球按摩联合心理护理）。比较两组患者的负性情绪（汉密尔顿焦虑量表和抑郁量表（HAMA、HAMD））、睡眠质量（PSQI量表）、生活质量（GQOLI - 74量表）、视力（国家标准视力表）及并发症情况。
两组患者出院时HAMA、HAMD及PSQI评分均下降，观察组下降更明显（均P<0.05）。术后1个月及3个月，两组患眼的最佳矫正视力（BCVA）均显著高于术前，且对照组高于观察组（均P<0.05）。两组GQOLI - 74评分均升高，且对照组高于观察组（均P<0.05）。观察组并发症发生率低于对照组（P<0.05）。
在眼球按摩基础上实施心理护理，可有效缓解青光眼小梁切除术后患者的不良心理，提高其睡眠质量和生活质量，减少术后并发症，视力恢复良好。
