摘要
目的评估森田疗法对糖尿病视网膜病变患者焦虑、抑郁的作用。方法选取2020年1月至2023年2月在河北省眼科医院就诊并住院的85例增殖期糖尿病视网膜病变患者,随机分为阅读组(n=41)与对照组(n=44)。阅读组患者通过阅读森田疗法图书或由图书馆工作人员通过讲书的方式把森田疗法理念讲给患者,护理人员每日查房引导并督促阅读组患者按照森田疗法理念行动,对照组患者不做任何干预。两组患者均在入院和出院时使用焦虑自评量表、抑郁自评量表给自己的情绪状况进行打分。比较两组患者各自入院和出院时焦虑、抑郁情绪评分和血压值变化,高血糖发生人次的差别。结果阅读组患者出院时焦虑和抑郁评分均低于入院评分,差异有统计学意义(P<0.05)。对照组患者出院焦虑、抑郁评分和入院评分比较,差异无统计学意义(P>0.05)。阅读组患者出院收缩压和舒张压均低于入院收缩压和舒张压,差异有统计学意义(P<0.05)。阅读组空腹高血糖发生人次低于对照组,差异有统计学意义(P<0.05)。结论阅读森田疗法图书并在生活中按森田疗法理念行动,对糖尿病视网膜病变患者的焦虑、抑郁情绪改善有效,值得临床推广。
Objective To evaluate the effect of Morita therapy on anxiety and depression in patients with diabetes retinopathy.Methods A total of 85 patients with proliferative diabetes retinopathy who were hospitalized in Hebei Eye Hospital from January 2020 to February 2023 were randomly divided into reading group(n=41)and control group(n=44).The reading group patients were taught the Morita therapy concept through reading Morita therapy books or by library staff through lectures.Nursing staff conducted daily rounds to guide and supervise the reading group patients to follow Morita therapy concepts,while the control group patients did not receive any intervention.Both groups of patients used the self-rating anxiety scale and self-rating depression scale to rate their emotional status at admission and discharge.The scores of anxiety and depression,the changes of blood pressure and the number of times of hyperglycemia were compared between the two groups at admission and discharge.Results The scores of anxiety and depression in reading group at discharge were lower than those at admission,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the anxiety at discharge,depression scores,and scores at admission of the control group patients(P>0.05).The systolic and diastolic blood pressure at discharge of the reading group patients were lower than those at admission,and the difference was statistically significant(P<0.05).The incidence of fasting hyperglycemia in the reading group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Reading Morita therapy books and acting according to Morita therapy ideas in life are effective in improving anxiety and depression of patients with diabetes retinopathy,which is worthy of clinical promotion.
作者
郭军芳
景玉敏
甄纪红
冯英
赵宇
申兴彩
路美倩
GUO Junfang;JING Yumin;ZHEN Jihong;FENG Ying;ZHAO Yu;SHEN Xingcai;LU Meiqian(Department of Ophthalmology,Hebei Eye Hospital,Hebei Eye Disease Treatment Center,Hebei,Xingtai 054001,China;Library,Hebei Eye Hospital,Hebei Eye Disease Treatment Center,Hebei,Xingtai 054001,China)
出处
《中国医药科学》
2024年第17期186-189,共4页
China Medicine And Pharmacy
基金
河北省卫生健康委科研基金项目(20200844)。
