心理护理干预对复方樟柳碱治疗缺血性视神经病变患者SAS、SDS评分的影响

目的探讨心理护理干预对复方樟柳碱治疗缺血性视神经病变患者SAS、SDS评分的影响及效果观察。方法选择2016年1月~2017年1月我院收治的60例缺血性视神经病变患者为研究对象,根据随机数字表法随机分为心理护理干预组和对照组,每组各30例。两组均予复方樟柳碱注射液2 mL,每天1次,于患眼侧颞浅动脉旁皮下注射,疗程20 d。对照组予以对症护理,干预组在对照组治疗的基础上予以心理护理干预,干预20 d后,应用统计学方法对比分析两组的临床疗效、两组患者治疗前后SAS、SDS评分的变化、护理满意度。结果心理护理干预和对照组患者的SAS评分、SDS评分治疗后分别显著下降,其中,心理护理干预组、对照组患者的SAS评分分别为(31.16±7.09)分、(42.27±9.03)分,两组比较差异具有统计学意义(P0.05)。心理护理干预组、对照组患者的SDS评分分别为(32.06±8.57)、(41.52±7.43)分,两组比较差异具有统计学意义(P0.05)。心理护理干预和对照组患者治疗后的总有效率分别为93.3%、70.0%,两组比较差异具有统计学意义(P0.05)。心理护理干预和对照组患者的护理满意率分别为96.7%、70.0%,两组护理满意度比较差异具有统计学意义(P0.05)。结论心理护理干预有利于提高复方樟柳碱治疗缺血性视神经病变患者的临床疗效及护理满意度,缓解患者的焦虑、抑郁等负性心理,对于促进缺血性视神经病变患者病情的恢复发挥了重要作用。

Effect of psychological nursing intervention on SAS and SDS scores of the patients with ischemic optic neuropathy treated by compound anisodine

Objective To investigate the effect of psychological nursing intervention on the scores of SAS and SDS of the patients with ischemic optic neuropathy treated by compound anisodine. Methods From January 2016 to January 2017, 60 patients with ischemic optic neuropathy who were admitted to our hospital were selected as the study subjects.According to the random number table method, the patients were randomly divided into psychological nursing intervention group and control group, with 30 cases in each group. The two groups were given compound anisodine injection 2 ml, once a day. The subcutaneous injection was given at the superficial lateral temporal artery of the affected eye, with the course of treatment of 20 days. The control group was given symptomatic care. The intervention group was given psychological nursing intervention on the basis of the treatment in the control group. 20 days after intervention, the clinical efficacy, the changes of SAS and SDS scores before and after treatment in both groups and the nursing satisfaction of the two groups were compared and analyzed by statistical methods. Results The scores of SAS and SDS in the psychological nursing intervention group and control group were significantly decreased after treatment. Among them,the SAS scores in the psychological nursing intervention group and the control group were(31.16±7.09) and(42.27±9.03)respectively, and the difference was statistically significant (P<0.05). The SDS scores in the psychological nursing intervention group and the control group were (32.06±8.57)and (41.52±7.43)respectively, and the difference was statistically significant (P<0.05). The total effective rate in the psychological nursing intervention group and the control group after treatment was 93.3% and 70.0% respectively, and the difference was statistically significant (P<0.05). The satisfaction rate of nursing care in the psychological nursing intervention group and the control patients was 96.7% and 70.0% respectively. The difference in the nursing care satisfaction between the two groups was statistically significant (P<0.05). Conclusion Psychological nursing intervention is beneficial to improving the clinical efficacy and nursing satisfaction of compound anisodine in the treatment of patients with ischemic optic neuropathy. It relieves patients'' negative emotions such as anxiety and depression, and has played an important role in promoting the recovery of patients with ischemic optic neuropathy.