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认知信念行为模式对青光眼患者生存质量及自我管理的影响

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目的 探讨认知信念行为模式对青光眼患者情绪、生存质量及自我管理能力的影响。方法 前瞻性选取济南市第二人民医院2022年3月至2023年3月收治的162例青光眼手术患者为研究对象,随机数字表法将其分为观察组和对照组,各81例。对照组男50例,女31例,年龄(58。06± 3。03)岁;观察组男48例,女33例,年龄(58。85±7。01)岁。对照组在住院期间实施常规护理,观察组在住院期间于常规护理的基础上采用认知信念行为模式。观察并比较两组患者护理干预前(入院时)、干预后(出院时)对患者情绪、生存质量及自我管理能力的影响。计量资料采用t检验,计数资料x2检验。结果 干预后,观察组90项症状自评量表(SCL-90)评分为(13。74±3。06)分、焦虑自评量表(SAS)评分(12。29±4。16)分、抑郁自评量表(SDS)评分(15。41±6。02)分,均低于对照组[(15。46±3。30)分、(14。33±3。68)分、(17。98±7。01)分],两组比较差异均有统计学意义(t=3。440、3。306、2。503,P<0。001、P<0。001、P=0。013);观察组症状和视功能评分(87。27±9。36)分、身体机能评分(79。15±5。93)分、社会活动评分(63。83±7。70)分,均高于对照组[(69。16±8。74)分、(73。13±7。36)分、(59。35±8。13)分],两组比较差异均有统计学意义(t=12。728、5。732、3。601,均P<0。001);观察组合理饮食及一次性大量饮水评分(87。27±9。23)分,遵医用药及依从性评分(79。15±5。91)分、眼部护理技巧(63。83±7。07)分、健康知识掌握度(69。15±3。01)分、眼部不适及时就诊意识(80。21±4。76)分,均高于对照组[(69。16±8。74)分、(73。13± 7。36)分、(59。35±7。19)分、(60。12±3。16)分、(76。55±5。32)分],两组比较差异均有统计学意义(t=12。822、5。740、3。999、18。622、4。614,均P<O。CO1)。结论 认知信念行为模式应用于青光眼患者,能改善其康复效果,提高患者情绪、生存质量及自我管理能力。
Effects of cognitive belief behavior pattern on quality of life and self-management in patients with glaucoma
Objective To investigate the effects of cognitive belief behavior pattern on onemotion,quality of life,and self-management ability in patients with glaucoma.Methods Onehundred and sixty-two patients taking glaucoma surgery in Jinan Second People's Hospital fromMarch 2022 to March 2023 were selected for the prospective control study,and were divided an observation group and a control group by the random number table method,with 81 cases in each group.There were 50 males and 31 females in the control group;they were(58.06±3.03)years old.There were 48 males and 33 females in the observation group;they were(58.85±7.01)years old.During the hospitalization,the control group took conventional nursing;inaddition,the observation group took cognitive belief behavior pattern.The effects of nursing intervention on the patients'emotions,quality of life,and self-management ability before(at admission)and after(at discharge)the intervention were observed and compared between the two groups.The measurement data were compared by t test,and the count data by x2 test.Results After the intervention,the scores of Symptom Checklist 90(SCL-90),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group[(13.74±3.06)vs.(15.46± 3.30),(12.29±4.16)vs.(14.33±3.68),(15.41±6.02)vs.(17.98±7.01)],with statistical differences between the two groups(t=3.440,3.306,and 2.503;P<0.001,P<0.001,and P=0.013).The scores of symptom and visual function,physical function,socialactivity,and psychology in the observation group were higher than those in the control group[(87.27±9.36)vs.(69.16±8.74),(79.15±5.93)vs.(73.13±7.36),(63.83±7.70)vs.(59.35±8.13)],with statistical differences between the two groups(t=12.728,5.732,3.601;all P<0.001).The scores of rational diet or one-time drink lots of wate,compliance to medication,eye care skills,health knowledge mastery,and awareness of timely treatmentwith eye discomfort in the observation group were higher than those in the control group[(87.27±9.23)vs.(69.16±8.74),(79.15±5.91)vs.(73.13±7.36),(63.83±7.07)vs.(59.35±7.19),(69.15±3.01)vs.(60.12±3.16),(80.21±4.76)vs.(76.55±5.32)],with statistical differences between the two groups(t=12.822,5.740,3.999,18.622,and 4.614;all P<0.001).Conclusion Cognitive belief behavior pattern for patients with glaucoma can improve the rehabilitation effect,and significantly improve their mood,quality of life,and self-management ability.

CognitionBeliefBehaviorGlaucomaLife qualitySelf-management

王静、聂巧莉、陶远

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济南市第二人民医院感染管理科,济南 250001

济南爱尔眼科医院眼科,济南 250001

济南市第二人民医院眼科,济南 250001

认知 信念 行为 青光眼 生存质量 自我管理

山东省医药卫生科技项目济南市卫生科技发展计划

2023070209002014-23

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(7)
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