认知行为护理在青光眼手术患者中的应用价值(1)
[摘要]目的 分析认知行为护理在青光眼手术患者中的应用价值。方法 选取2018年1月～2019年5月我院收治的78例青光眼手术患者为研究对象，按随机单双数法分为对照组和观察组，每组各39例。对照组进行常规护理，观察组给予认知护理，比较两种不同护理方式的干预效果。结果 观察组的健康知识水平、自护责任感、自护技能和自护效果评分高于对照组，差异均有统计学意义(P<0.05)。两组护理前心理状况评分比较，差异无统计学意义(P>0.05);观察组护理后的焦虑、抑郁评分低于对照组，差异有统计学意义(P<0.05);两组护理后的焦虑、抑郁评分低于护理前，差异有统计学意义(P<0.05);观察组的治疗总有效率为97.44%(38/39)，高于对照组的79.49%(31/39)，差异有统计学意义(P<0.05)。结论 为青光眼手术患者进行认知行为干预不仅可有效提升患者知识掌握度，也可提升患者治疗效果，有临床应用价值。
[关键词]认知行为;青光眼;自我护理能力;认知水平
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)9(a)-0250-03
[Abstract] Objective A total of To analyze the application value of cognitive behavior nursing in patients with glaucoma surgery. Methods A total of 78 cases of glaucoma surgery patients admitted to our hospital from January 2018 to May 2019 were selected as the research objects. They were divided into control group (n=39) and observation group (n=39) according to random single and even number method. The control group received routine nursing， the observation group was given cognitive nursing. The intervention effect of two different nursing methods were compared. Results The scores of health knowledge， self-care responsibility， self-care skills and self-care effect in the observation group were higher than those in the control group， the differences were statistically significant (P<0.05). There was no significant difference in the scores of psychological status between the two groups before nursing (P>0.05). The scores of anxiety and depression in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The total effective rate of the observation group was 97.44% (38/39) higher than that of the control group， 79.49% (31/39)， the difference was statistically significant (P<0.05). Conclusion Cognitive behavioral intervention for glaucoma surgery patients can not only effectively improve the knowledge of patients， but also improve the treatment effect of patients， which has clinical application value.
[Key words] Cognitive behavior; Glaucoma; Self-care ability; Cognitive level
青光眼為视乳头萎缩、视野缺损及视力下降为特征性疾病，也为临床常见疾病，患者早期出现视力下降，眼睛疲劳等症状，严重甚至出现失明等问题，直接影响患者正常生活。该病的主要发病原因和视神经供血异常、眼压异常提升有关，使患者视神经功能异常，极易致盲。现阶段主要为药物、手术治疗，但患病后多数患者出现恐惧和焦虑等情绪，不仅对疾病治疗产生影响，也会影响患者预后恢复效果。因此在疾病治疗时常以药物干预为主但辅助以基础性知识讲解护理，但患者知识掌握程度较低，并未起到良好效果。认知行为干预为提升患者疾病知识掌握度的重要护理方式，不仅可降低治疗风险，也可优化患者恢复效果[1]。现对两种干预方式的结果进行研究，现报道如下。, http://www.100md.com(王晓霞)
[关键词]认知行为;青光眼;自我护理能力;认知水平
[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721(2020)9(a)-0250-03
[Abstract] Objective A total of To analyze the application value of cognitive behavior nursing in patients with glaucoma surgery. Methods A total of 78 cases of glaucoma surgery patients admitted to our hospital from January 2018 to May 2019 were selected as the research objects. They were divided into control group (n=39) and observation group (n=39) according to random single and even number method. The control group received routine nursing， the observation group was given cognitive nursing. The intervention effect of two different nursing methods were compared. Results The scores of health knowledge， self-care responsibility， self-care skills and self-care effect in the observation group were higher than those in the control group， the differences were statistically significant (P<0.05). There was no significant difference in the scores of psychological status between the two groups before nursing (P>0.05). The scores of anxiety and depression in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The total effective rate of the observation group was 97.44% (38/39) higher than that of the control group， 79.49% (31/39)， the difference was statistically significant (P<0.05). Conclusion Cognitive behavioral intervention for glaucoma surgery patients can not only effectively improve the knowledge of patients， but also improve the treatment effect of patients， which has clinical application value.
[Key words] Cognitive behavior; Glaucoma; Self-care ability; Cognitive level
青光眼為视乳头萎缩、视野缺损及视力下降为特征性疾病，也为临床常见疾病，患者早期出现视力下降，眼睛疲劳等症状，严重甚至出现失明等问题，直接影响患者正常生活。该病的主要发病原因和视神经供血异常、眼压异常提升有关，使患者视神经功能异常，极易致盲。现阶段主要为药物、手术治疗，但患病后多数患者出现恐惧和焦虑等情绪，不仅对疾病治疗产生影响，也会影响患者预后恢复效果。因此在疾病治疗时常以药物干预为主但辅助以基础性知识讲解护理，但患者知识掌握程度较低，并未起到良好效果。认知行为干预为提升患者疾病知识掌握度的重要护理方式，不仅可降低治疗风险，也可优化患者恢复效果[1]。现对两种干预方式的结果进行研究，现报道如下。, http://www.100md.com(王晓霞)