青光眼心理状况分析及通过青光眼俱乐部对患者进行心理治疗的效果分析

目的:研究和分析青光眼患者的心理特点及青光眼俱乐部宣教和心理治疗在改善原发性青光眼患者的心理状况中起到的作用。方法:选择眼科门诊初诊原发性青光眼患者100例为研究对象,随机分为实验组（50例）和对照组（50例）。利用国际标准的SDS自评量表、SAS自评量表、SCL90自评量表进行心理测试。实验组在常规青光眼治疗外,进行半年青光眼俱乐部宣教及心理治疗,对照组仅进行常规青光眼治疗。半年后再次进行心理测试,利用软件进行分析。结果:实验组经过青光眼心理治疗后的患者的心理状况及较初诊时有明显改善（P<0.05）；实验组患者较之对照组心理状况改善明显（P<0.05）。青光眼心理具备八种心理特点,其中抑郁为主要心理症状。结论:以青光眼俱乐部为平台的青光眼宣教和心理治疗在原发性青光眼患者的治疗和日常保健中起到了重要的作用,应当积极推广。

Analysis on the psychological factors of glaucoma and the influence of the psychological therapy after the education on the glaucoma club

AIM:To investigate the psychological character of the glaucoma patients and analyze the influence of the psychological therapy after the education on the glaucoma club METHODS:One hundred primary glaucoma patients were chosen as research objects and were randomly divided into two groups:experimental group(50 cases) and control group(50 cases). Methods symptom checklist 90 (SCL-90), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS) and related psychological health questionnaires were used to evaluate these patients. Patients in the experimental groups would go into the glaucoma club for a half-year psychological therapy during the period of the physical therapy, while patients in the control group were only gave the physical therapy. After half of the year, all these patients filled the questionnaire again. RESULTS:After the psychological therapy, patients’ psychological status in the experimental group was significantly improved (P<0.05). It was the explanation that the therapy group had great effects compared with the control group (P<0.05). Glaucoma psychology could be attributed to eight psychological symptoms, depression was the main character.CONCLUSION:Psychological therapy in the glaucoma club is effective, however, the continue efforts in the promotion of the glaucoma club are needed.