首页|运动康复结合CICARE沟通护理对青光眼术后患者用药自我效能与睡眠质量的影响

运动康复结合CICARE沟通护理对青光眼术后患者用药自我效能与睡眠质量的影响

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目的 分析运动康复结合接触-介绍-沟通-询问-回答-离开(Connect-Introduce-Communication-Ask-Response-Exit,CICARE)沟通护理在青光眼手术患者中的作用.方法 便利选取2020年3月—2023年3月赤峰市医院收治的186例青光眼患者为研究对象,将护理方式作为分组依据,予以对照组(n=93)运动康复方案,研究组(n=93)联合CICARE沟通护理,对比两组认知水平、护理前后心理状态、用药自我效能、应对方式、睡眠质量和生活质量.结果 研究组负面情绪得分、回避、屈服和匹兹堡睡眠质量指数(Pittsburgh Sleep Qual-ity Index,PSQI)低于对照组,差异有统计学意义(P均<0.05).研究组认知水平(89.84±7.04)分,用药自我效能(56.12±5.18)分,面对(27.56±3.12)分,生活质量评分(41.98±4.34)分,高于对照组,差异有统计学意义(t=6.672、8.556、7.246、7.757,P均<0.05).结论 基于运动康复实施CICARE沟通护理,可促进患者认知水平的提升,对负面情绪有缓解作用,可提高用药自我效能,促使患者主动面对问题,改善睡眠质量和生活质量的作用明显.
Effect of Exercise Rehabilitation Combined with Cicare Communication Care on Medication Self-efficacy and Sleep Quality in Patients after Glau-coma Surgery
Objective To analyze the role of exercise rehabilitation combined contact-introduction-communication-inquiry-answer-leave(CICARE)communication care in patients with glaucoma surgery.Methods A total of 186 glaucoma patients in the ophthalmology department of Chifeng Hospital from March 2020 to March 2023 were conve-niently selected as the research objects.The nursing methods were used as the grouping basis.The control group(n=93)was given exercise rehabilitation program,and the study group(n=93)was combined with CICARE communication nursing.The cognitive level,psychological state before and after nursing,medication self-efficacy,coping style,sleep quality and quality of life were compared.Results The scores of negative emotion,avoidance,surrender and Pitts-burgh Sleep Quality Index(PSQI)in the study group were lower than those in the control group,the differences were statistically significant(all P<0.05).The cognitive level was(89.84±7.04)points,the medication self-efficacy was(56.12±5.18)points,the confrontation was(27.56±3.12)points,and the quality of life score was(41.98±4.34)points in the study group were higher than those in the control group,and the differences were statistically significant(t=6.672,8.556,7.246,7.757,all P<0.05).Conclusion The implementation of CICARE communication care based on exercise rehabilitation can promote the improvement of patients' cognitive level,relieve the negative emotions,improve the self-efficacy of medication,encourage patients to actively face problems,and improve the sleep quality and quality of life.

Sports rehabilitationCicare communication careGlaucomaPsychological stateQuality of life

石荔、林琳、周晓冉

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赤峰市医院眼科,内蒙古赤峰 024000

运动康复 CICARE沟通护理 青光眼 心理状态 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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