围术期综合护理干预在严重眼外伤患者中应用效果.docVIP

围术期综合护理干预在严重眼外伤患者中应用效果 　　[摘要]目的 探讨围术期综合护理干预在严重眼外伤患者中的应用效果。方法 选择我院2013年2月～2015年9月收治的110例严重眼外伤手术患者，随机分为观察组（n=55）与对照组（n=55），对照组给予围术期常规护理，观察组在对照组基础上给予围术期综合护理干预，对比两组患者生干预前后自我接纳调查问卷（SAQ）评分、负性自动思维调查问卷（ATQ）评分。结果 干预前两组ATQ、SA、SE评分比较，差异无统计学意义（P0.05），干预后两组ATQ评分降低、SA、SE评分增高，且干预后观察组ATQ低于对照组（P0.05），SA和SE评分高于对照组（P0.05）。结论 综合护理干预可有效降低严重眼外伤患者负性思维，改善患者的心理状态，提高生活质量。 　　[关键词] 严重眼外伤；围手术期；心理特征；干预措施 　　[中图分类号] R473.77 [文献标识码] A [文章编号] 1674-4721（2016）06（a）-0192-03 　　[Abstract] Objective To explore application effects of comprehensive nursing intervention in patients with severe ocular trauma.Methods 110 patients with severe ocular trauma from February 2013 to September 2013 of our hospital were selected and were randomly divided into observation group （n=55） and control group （n=55）.Patients in control group were given perioperative routine nursing care and patients in observation group were further given perioperative comprehensive nursing intervention on the basis of control group.Before and after intervention，Self Acceptance Questionnaire score （SAQ） and Negative automatic thinking questionnaire score （ATQ） in two groups were compared.Results Before intervention，the ATQ，SA and SE score between two groups had no statistical significance （P0.05）；After intervention，the ATQ score in two groups decreased，but SA and SE increased，and the ATQ in observation group was lower than that of control group after intervention （P0.05），while SA and SE score were higher than that of control group （P0.05）.Conclusion Comprehensive nursing intervention can effectively reduce the negative thinking of patients with severe ocular trauma，improve the psychological status of patients and enhance the life quality. 　　[Key words]Severe ocular trauma；Perioperative；Psychological characteristics；Intervention measures 　　眼外伤是眼科常见的急症创伤，多数伴有患者视力急剧下降，甚至需要摘除眼球或导致失明[1-2]。眼外伤极易出现并发症，甚至遗留视力障碍，导致患者的视力下降或丧失，患者心理多处于应激状态，从而产生抑郁、焦虑等不良情绪，影响治疗的效果。优良的护理措施可促进患者病情的恢复，提高患者视力，使其积极配合治疗[3-4]。本研究就严重眼外伤患者的情绪状态及护理干预措施进行研究。 　　1资料与方法 　　1.1 一