CAJ | 학술논문

目的：探讨护理干预对眼外伤眼球摘除术患者负性情绪及睡眠质量的影响。方法：选择符合标准的患者50例，随机分为观察组25例，对照组25例，两组患者均给予常规护理，观察组加用护理干预，入院时、手术前1d和出院前采用汉密尔顿焦虑量表－14项（ HAMA－14）评价焦虑、汉密尔顿抑郁量表－21项（HAMD－21）评价抑郁、匹兹堡睡眠质量指数调查问卷（PSQI）评价睡眠质量。结果：入院时，两组患者HAMA－14、HAMD－21及PSQI 评分相似，差异均无统计学意义（ P＞0．05）；手术前1d，两组患者HAMA－14、HAMD－21及PSQI评分较入院时均增加，但观察组增加幅度较小，差异均有统计学意义（ P＜0．05）；出院前，两组患者HAMA－14、HAMD－21及PSQI评分较入院时均下降，但观察组下降幅度更大，差异均有统计学意义（ P＜0．05）。结论：护理干预能有效减轻眼外伤眼球摘除术患者负性情绪，改善睡眠质量，为患者术后康复奠定良好的基础。
목적：탐토호리간예대안외상안구적제술환자부성정서급수면질량적영향。방법：선택부합표준적환자50례，수궤분위관찰조25례，대조조25례，량조환자균급여상규호리，관찰조가용호리간예，입원시、수술전1d화출원전채용한밀이돈초필량표－14항（ HAMA－14）평개초필、한밀이돈억욱량표－21항（HAMD－21）평개억욱、필자보수면질량지수조사문권（PSQI）평개수면질량。결과：입원시，량조환자HAMA－14、HAMD－21급PSQI 평분상사，차이균무통계학의의（ P＞0．05）；수술전1d，량조환자HAMA－14、HAMD－21급PSQI평분교입원시균증가，단관찰조증가폭도교소，차이균유통계학의의（ P＜0．05）；출원전，량조환자HAMA－14、HAMD－21급PSQI평분교입원시균하강，단관찰조하강폭도경대，차이균유통계학의의（ P＜0．05）。결론：호리간예능유효감경안외상안구적제술환자부성정서，개선수면질량，위환자술후강복전정량호적기출。
Objective:To investigate the effects of nursing intervention on the quality of sleep and nega-tive emotions in patients with abscission bulbi for ocular injury .Method:A total of 50 eligible patients were selected , and randomly divided into observation group and control group , with 25 patients in each group .The patients of both groups were given with usual care , while the patients of the observation group were given with nursing intervention additionally , and Hamilton anxiety scale -14 items ( HAMA-14) , Hamilton's depres-sion scale -21 items (HAMD-21), and Pittsburgh sleep quality index (PSQI) scores on admission, at 1 day before the surgery , and before discharge were used to evaluate the anxiety , depression , and quality of sleep, respectively.Result:On admission, the patients of the two groups had similar HAMA-14, HAMD-21, and PSQI scores , and all the differences were statistically insignificant ( P >0.05) .At 1 day before the surgery, the patients of both groups had increased HAMA-14, HAMD-21 and PSQI scores when compared with those on admission , but the patients of the observation group had smaller increasing extents , and all the differences were statistically significant ( P<0.05) .And before discharge , the patients of both groups had de-creased HAMA-14, HAMD-21 and PSQI scores when compared with those on admission , but the patients of the observation group had greater decreasing extents , and all the differences were statistically significant ( P<0.05 ) .Conclusion: Nursing intervention can effectively lighten the negative emotions , improve the quality of sleep , and lay a good foundation for postoperative rehabilitation in patients with abscission bulbi because of ocular injury .