正念减压疗法对开角型青光眼患者药物治疗依从性的影响

Effects of mindfulness-based stress reduction on compliance in primary open angle glaucoma patients with topical medication

摘要:

目的：探讨正念减压疗法对青光眼患者焦虑情绪、依从性及视功能的影响。

方法：选取64例我院门诊确诊为原发性开角型青光眼(primary open angle glaucoma，POAG)并长期局部用药控制眼压的患者，随机分为观察组与对照组，各32例。对照组给予药物治疗和常规心理干预； 观察组在药物治疗和常规心理干预的同时进行正念减压疗法。评估两组患者焦虑情绪评分、治疗依从性以及平均视敏度缺损情况。

结果：观察组治疗后焦虑情绪评分显著低于对照组(P<0.01)； 观察组治疗后依从性显著高于对照组(P<0.01)。

结论：正念减压疗法能有效改善POAG患者的焦虑情绪，提高其治疗依从性。

Abstract:

AIM: To explore the effects of mindfulness-based stress reduction(MBSR)on anxiety, compliance and visual function in primary open angle glaucoma(POAG)patients.

METHODS:Totally 64 patients, who were treated with topical medication and were diagnosed with POAG in the department of ophthalmology at Shaanxi Provincial People's Hospital, were randomly divided into the intervention group(n=32)and the control group(n=32). Both groups received conventional mental health education while the intervention group was complemented with MBSR intervention. The patient's anxiety status, compliance rates and MD before and after the intervention were evaluated.

RESULTS:After the MBSR intervention, the scores of HAMA of the intervention group were significantly lower than that of the control group(P<0.01). The compliance of patients in intervention group was higher than that of the control group(P<0.01).

CONCLUSION:The MBSR intervention can effectively relieve the anxiety of patients and improve the compliance in primary open angle glaucoma patients. It can be promoted and put into clinical application.