摘要
目的探讨贝克认知疗法对老年性白内障合并青光眼患者术前不良情绪及术中心理应激的影响。方法选择2020年3月—2021年3月在医院就医的70例白内障合并青光眼的老年患者作为研究对象,按组间基本特征具有可比性原则分为对照组与观察组,每组各35例。所有患者均行手术治疗,术前给予对照组常规护理,给予观察组贝克认知疗法护理,对两组患者术前的不良情绪、术中心理反应及认知程度进行比较。结果护理干预后,两组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,观察组的两项量表评分均低于对照组,差异有统计学意义(P<0.05)。经护理干预后,观察组患者术中10 min的收缩压、舒张压及心率均低于对照组,差异有统计学意义(P<0.05);并且观察组对白内障疾病、正确用眼方法、术后滴眼液使用方法、术后注意事项方面的认知评分均高于对照组,差异有统计学意义(P<0.05)。结论贝克认知疗法可以有效缓解老年性白内障合并青光眼患者的术前不良情绪,并降低其术中心理应激反应,同时提高患者对疾病相关知识的认知程度。
Objective To explore the effect of Beck cognitive therapy on preoperative negative emotions and intraoperative psychological stress in elderly cataract patients with glaucoma was as the study subject.Methods A total of 70 elderly patients with cataract and glaucoma who were treated in hospitals from March 2020 to March 2021 were selected as the research subjects.They were divided into a control group and an observation group based on the principle of comparability of basic characteristics between groups,with 35 cases in each group.All patients underwent surgical treatment,with routine care given to the control group before surgery and Beck cognitive therapy care given to the observation group.The preoperative adverse emotions,intraoperative psychological reactions,and cognitive level of the two groups of patients were compared.Results After nursing intervention,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing intervention,the systolic blood pressure,diastolic blood pressure,and heart rate of the observation group patients were lower than those of the control group at 10 minutes during surgery,the differences were statistically significant(P<0.05).The cognitive scores of the observation group on cataract disease,correct eye use,postoperative eye drops,and postoperative precautions were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Beck cognitive therapy can effectively alleviate the preoperative negative emotions of elderly cataract patients with glaucoma,reduce their psychological stress reactions during surgery,and improve their cognitive level of disease related knowledge.
作者
李文婷
胡莹
王平
LI Wenting;HU Ying;WANG Ping(The Second Affiliated Hospital of Nanchang University,Nanchang,330008,China)
出处
《护理实践与研究》
2023年第12期1836-1840,共5页
Nursing Practice and Research
关键词
贝克认知疗法
老年
白内障合并青光眼
术前不良情绪
心理应激
认知程度
Beck cognitive therapy
Old age
Cataract combined with glaucoma
Preoperative bad mood
Psychological stress
Degree of cognition
