目的 探讨心身放松疗法对青光眼术后患者眼压及心理状况的影响.方法 将86例青光眼术后患者随机分为观察组和对照组各43例.对照组患者给予手术及常规药物治疗,观察组在此基础上给予心身放松疗法措施干预,术前、术后6个月分别采用症状自评表(SCL-90)测定两组患者的心理状况,同时测量两组患者的眼压情况,并进行对照比较.结果 观察组青光眼术后患者SCL-90评定总分、总均分、阳性项目数、躯体化、强迫、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分分别为( 128.98±37.08),(1.59±0.41),(23.93±17.12),(1.35 ±0.81),(1.79±0.68),(2.25±0.91),(2.23 ±0.92),(1.68±0.82),(2.32 ±0.92),(1.88±0.90),(1.96±0.92)分,均低于对照组的(154.35±37.82),(1.88±0.42),(35.92±17.56),(1.90±0.88),(2.25±0.71),(2.88±0.95),(2.96±0.96),(2.26±0.88),(2.98±0.98),(2.59±0.93),(2.66±0.95)分,差异均有统计学意义(u分别为3.14,3.24,3.21,3.01,3.07,3.14,3.60,3.16,3.22,3.60,3.47;P均＜0.01)；观察组青光眼术后患者眼压为(18.10±2.56) mm Hg,明显低于对照组的(22.20±2.68)mm Hg,差异有统计学意义(u =7.25,P＜0.01).结论 心身放松疗法可明显消除青光眼术后患者的心理障碍,使眼压降低,增强其治疗的信心,从而促进康复,达到最大限度地维护患者健康的目的.
目的 探討心身放鬆療法對青光眼術後患者眼壓及心理狀況的影響.方法 將86例青光眼術後患者隨機分為觀察組和對照組各43例.對照組患者給予手術及常規藥物治療,觀察組在此基礎上給予心身放鬆療法措施榦預,術前、術後6箇月分彆採用癥狀自評錶(SCL-90)測定兩組患者的心理狀況,同時測量兩組患者的眼壓情況,併進行對照比較.結果 觀察組青光眼術後患者SCL-90評定總分、總均分、暘性項目數、軀體化、彊迫、抑鬱、焦慮、敵對、恐怖、偏執、精神病性評分分彆為( 128.98±37.08),(1.59±0.41),(23.93±17.12),(1.35 ±0.81),(1.79±0.68),(2.25±0.91),(2.23 ±0.92),(1.68±0.82),(2.32 ±0.92),(1.88±0.90),(1.96±0.92)分,均低于對照組的(154.35±37.82),(1.88±0.42),(35.92±17.56),(1.90±0.88),(2.25±0.71),(2.88±0.95),(2.96±0.96),(2.26±0.88),(2.98±0.98),(2.59±0.93),(2.66±0.95)分,差異均有統計學意義(u分彆為3.14,3.24,3.21,3.01,3.07,3.14,3.60,3.16,3.22,3.60,3.47;P均＜0.01)；觀察組青光眼術後患者眼壓為(18.10±2.56) mm Hg,明顯低于對照組的(22.20±2.68)mm Hg,差異有統計學意義(u =7.25,P＜0.01).結論 心身放鬆療法可明顯消除青光眼術後患者的心理障礙,使眼壓降低,增彊其治療的信心,從而促進康複,達到最大限度地維護患者健康的目的.
목적 탐토심신방송요법대청광안술후환자안압급심리상황적영향.방법 장86례청광안술후환자수궤분위관찰조화대조조각43례.대조조환자급여수술급상규약물치료,관찰조재차기출상급여심신방송요법조시간예,술전、술후6개월분별채용증상자평표(SCL-90)측정량조환자적심리상황,동시측량량조환자적안압정황,병진행대조비교.결과 관찰조청광안술후환자SCL-90평정총분、총균분、양성항목수、구체화、강박、억욱、초필、활대、공포、편집、정신병성평분분별위( 128.98±37.08),(1.59±0.41),(23.93±17.12),(1.35 ±0.81),(1.79±0.68),(2.25±0.91),(2.23 ±0.92),(1.68±0.82),(2.32 ±0.92),(1.88±0.90),(1.96±0.92)분,균저우대조조적(154.35±37.82),(1.88±0.42),(35.92±17.56),(1.90±0.88),(2.25±0.71),(2.88±0.95),(2.96±0.96),(2.26±0.88),(2.98±0.98),(2.59±0.93),(2.66±0.95)분,차이균유통계학의의(u분별위3.14,3.24,3.21,3.01,3.07,3.14,3.60,3.16,3.22,3.60,3.47;P균＜0.01)；관찰조청광안술후환자안압위(18.10±2.56) mm Hg,명현저우대조조적(22.20±2.68)mm Hg,차이유통계학의의(u =7.25,P＜0.01).결론 심신방송요법가명현소제청광안술후환자적심리장애,사안압강저,증강기치료적신심,종이촉진강복,체도최대한도지유호환자건강적목적.
Objective To discuss the effect of mind-body relaxing therapy on the eye pressure and physiological status of patients with glaucoma after surgery.Methods 86 patients with glaucoma were randomly divided into the research group and the control group, each with 43 cases. The control group received conventional medication treatment,while the research group received mind-body relaxing therapy in addition.SCL-90 was used to test two groups' physiological status,and their eye pressure was also measured and compared.Results The total score,average score,positive item quantity,body,press,depression,anxiety,opposition,horror,crankiness and lunacy score of SCL-90 of the research group were respectively (128.98 ±37.08),(1.59 ±0.41),(23.93 ±17.12),(1.35 ±0.81),(1.79 ±0.68),(2.25 ±0.91),(2.23 ±0.92),( 1.68 ± 0.82),(2.32 ± 0.92),( 1.88 ± 0.90),( 1.96 ± 0.92 ),all of which were lower than those of the control group [ ( 154.35 ± 37.82),( 1.88 ± 0.42 ),( 35.92 ± 17.56 ),( 1.90 ± 0.88 ),( 2.25 ± 0.71 ),( 2.88 ±0.95 ),(2.96 ± 0.96),( 2.26 ± 0.88 ),(2.98 ± 0.98 ),( 2.59 ± 0.93 ),(2.66 ± 0.95 ) ],and the differences were statistically significant ( u =3.14,3.24,3.21,3.01,3.07,3.14,3.60,3.16,3.22,3.60,3.47,respectively;P ＜0.01 ).The eye pressure of the research group was (18.10± 2.56)mm Hg,obviously lower than that of the control group which was ( 22.20 ± 2.68 ) mm Hg,and the difference was statistically significant ( u =7.25,P ＜ 0.01 ).Conclusions The mind-body relaxing therapy can evidently eliminate patients 'psychological barrier to recover their eye pressure and increase their confidence in the treatment,so as to promote their recovery and maintain their health to the maximum extend.
