目的:探讨心理护理在原发性青光眼患者治疗过程中的作用,评价心理护理的临床意义。方法:采用随机分组,平行对照的研究方法,将我院2004-01/2008-12连续收治的原发性青光眼患者275例,随机分成试验组(137例)和对照组(138例),两组患者接受常规治疗和护理;试验组患者在此基础上由专科培训的责任护士遵循护理程序在围手术期进行心理护理,患者出院后通过建立档案、家庭随访、举办学习班等措施继续实施心理护理,针对患者的眼内压、并发症和视力预后和生存生活质量进行评价分析。结果:试验组术后出院时眼压恢复正常者占83.9%(115/137),对照组眼压恢复正常者占73.9%(102/138),χ2=4.15,P<0.05,有统计学差异。试验组手术并发症发生率25.7%(28/109)明显低于对照组45.3%(43/95),χ2=4.126,P<0.05,有统计学差异。试验组手术后3mo患者的生存生活质量明显优于对照组,经比较有显著统计学差异(χ2>3.84,P<0.05)。结论:心理护理能够有效地促进原发性青光眼患者恢复正常眼内压,减少手术并发症的发生率,促进患者视功能恢复,尤其有利于培养患者树立治疗疾病的信心,提高患者的生存生活质量,具有重要的临床应用价值。

·AIM:To investigate the effect and clinical significance of psychological care for primary glaucoma.·METHODS:A randomized,parallel control study was applied.275 consecutive patients with primary glaucoma from January 2004 to December 2008 were randomly divided into experimental group,137 cases with specialist psychological care and control group,138 cases with routine treatment.After discharge,through the establishment of archives,family follow-up,hold classes and other measures,mental care was performed and the intraocular pressure(IOP),complications,visual prognosis and the quality of life were evaluated.·RESULTS:The postoperative IOP returned to normal accounted for 83.9%(115/137)in experiment group and 73.9%(102/138)in control group(χ2=4.15,P<0.05),there was significant difference in both groups.Operative complication rate(28/109,25.7%)in experimental group was significantly lower than that in control group(43/95,45.3%)(χ2=4.126,P<0.05).The quality of life in experimental group was significantly better than that in control group 3 months after surgery(χ2>3.84,P<0.05).·CONCLUSION:The psychological care can promote the recovery of normal IOP and visual function,reduce the incidence of complications in patients with primary glaucoma,especially it is beneficial to cultivate the confidence and improve the quality of life of patients,and has important clinical value.·

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