认知行为护理模式对青光眼患者的临床影响
The Clinical Effects of Cognitive Behavior Nursing Model on Glaucoma Patients
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摘要: 目的 探讨认知行为护理模式在青光眼患者中的护理效果及对自我管理行为及远期疗效的影响.方法选择2014年6月至2017年7月自愿到科室接受治疗的青光眼患者102例, 随机数字法分为对照组 (n=51例) 和观察组 (n=51例) .对照组采用常规方法护理, 观察组采用认知行为护理模式, 采用焦虑自评表 (SAS) 和抑郁自评表 (SDS) 对2组心理情绪进行评估;采用自我护理能力量表对2组护理不同时间点自护责任感、健康知识掌握度、自我护理技巧、综合评分等对自我管理行为进行干预, 比较2组护理效果及对自我管理行为、远期疗效的影响.结果 观察组护理后焦虑自评表及抑郁自评表评分均低于对照组 (P<0.05) ;观察组护理后自我管理行为, 均高于对照组 (P<0.05) ;2组护理前视力水平比较差异无统计学意义 (P>0.05) ;观察组护理后3个月、6个月视力均高于对照组 (P<0.05) .结论 将认知行为护理模式用于青光眼患者治疗过程中有助于提高自我管理行为能力, 能改善患者远期疗效, 值得推广应用.Abstract: Objective To explore the nursing effects of cognitive behavior nursing model in glaucoma patients and its influence on self-management behavior and long-term efficacy. Me thods 102 cases of glaucoma patients who were admitted to the Department of-2017 in June 2014 July were randomly divided into the control group (n=51 cases) and the observation group (n =51 cases) . The control group received conventional nursing, the observation group with cognitive behavioral nursing mode. The Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to evaluate the 2 groups members' psychological and emotional factors. Self Management Behavior Scale was used in the 2 groups at different time points to intervene patients' s self responsibility, health knowledge, self care skills, general grading and self-managing ability, so as to compare the nursing effect of the 2 groups and the long-term curative effects. Re s ults the Self-rating Anxiety Scale and Self-rating Depression Scale scores of the observation group were lower than those of the control group (P<0.05) ; the Self Management Behavior Scores of the observation group after nursing were higher than that of the control group (P<0.05) ; the visual acuity of both groups before nursing was not statistically significant (P >0.05) ; the visual acuities with nursing in the observation group after 3 months, 6 months were higher than the control group (P <0.05) .Conclus ion the cognitive behavior nursing model used in the treatment of glaucoma patients can improve the self-management behavior ability, improve the long-term effect of patients, and is worthy of popularization and application.
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Key words:
- Cognitive behavior nursing model /
- Glaucoma /
- Nursing effect /
- Self-management /
- Long-term effect
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