摘要
目的:探讨静默疗法在急性闭角型青光眼急性发作期患者中的效果。方法:选择2019年7月至2020年5月在佛山市第二人民医院眼科住院的急性闭角型青光眼患者80例,采用随机分组的方式将患者分为实验组和对照组,各40例。两组均按急性闭角型青光眼护理常规进行护理,立即进行局部滴眼药水及全身用药以最快速度降低眼压,防止持续性高眼压对视神经产生的严重损害,最大程度的保留患者的视功能,提高生存质量。实验组在常规临床护理的基础上采用静默疗法干预,比较两组患者入院时和住院1天的眼压、疼痛、焦虑、抑郁的波动。结果:两组间入院时眼压、疼痛评分、焦虑、抑郁评分波动差异无统计学意义(P>0.05);住院1天,实验组眼压、焦虑、抑郁、疼痛评分均低于对照组,差异有统计学意义(P<0.05)。结论:静默疗法有助于缓解患者焦虑、抑郁等负面情绪,降低生理应急状态,降低疼痛感,从而迅速降低眼压,最大程度地保留患者的视功能,提高生活质量。
Objective:To investigate the efficacy of silent therapy in patients with acute angle-closure glaucoma.Methods:Eighty patients with acute angle-closure glaucoma,who were admitted to our hospital from July 2019 to May 2020,were randomly divided into the experimental and control groups(n=40 in each group).Routine clinical nursing was given according to acute angle-closure glaucoma in two groups,including immediate local eye drops and systemic medication to reduce the intraocular pressure(IOP)as soon as possible,prevent the damage of optic nerve and retain the visual function of patients,which was caused by persistent high IOP,aiming to improve the quality of life.In the experimental group,besides routine clinical nursing,silent therapy was delivered.The fluctuation of IOP,pain,anxiety and depression at admission and 1 day after admission were compared between two groups.Results:There was no significant difference in the fluctuation of IOP,pain scores,anxiety and depression scores on admission between two groups(all P>0.05).The scores of IOP,anxiety,depression and pain in the experimental group were significantly lower than those in the control group on the first day of hospitalization(all P<0.05).Conclusion:Silent therapy can relieve patients’anxiety,depression and other negative emotions,reduce their physiological emergency state,mitigate their pain,rapidly lower the IOP,retain their visual function to the greatest extent,and improve their quality of life.
作者
邓嘉静
DENG Jiajing(Department of Ophthalmology,Second People’s Hospital of Foshan,Foshan Guangdong 528000,China)
出处
《眼科学报》
2020年第3期204-209,共6页
Eye Science
关键词
静默疗法
急性闭角型青光眼
护理
silent therapy
acute angle-closure glaucoma
nursing
