護理干預對糖尿病性眼病患者術前焦慮情緒、調節心理狀態的改善作用

劉雪梅

[摘要] 目的 分析研究護理干預對糖尿病性眼病患者術前焦慮情緒、調節心理狀態的改善作用。 方法 取該院2018年1月—2019年11月收治的糖尿病性眼病患者70例作為研究對象，依照數字表法將這70例糖尿病性眼病患者依次分成對照組和觀察組，各35例糖尿病性眼病患者，觀察組采用干預護理模式，對照組實施常規護理模式，前后兩組糖尿病性眼病患者護理滿意度、護理質量情況和兩組患者術前術后焦慮值進行比較。 結果 采用干預護理模式的觀察組的護理滿意程度為94%高于采用常規護理的對照組的77%（P<0.05）;采用干預護理模式的觀察組的護理質量分值也高于采用常規護理模式的對照組（P<0.05）;采用干預護理模式的觀察組患者手術前的焦慮值也明顯低于采用常規護理的對照組患者手術前的焦慮值（P<0.05）。 結論 采用干預護理模式在治療護理糖尿病性眼病患者過程當中能夠提高患者滿意度，降低焦慮值，提高護理質量，為患者帶來益處。

[關鍵詞] 糖尿病性眼病患者;護理干預;焦慮情緒;調節心理狀態

[中圖分類號] R473.77? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）06（b）-0138-03

[Abstract] Objective To analyze and study the effect of nursing intervention on preoperative anxiety and adjustment of mental state in patients with diabetic eye disease. Methods Taking 70 patients with diabetic eye disease admitted in the hospital from January 2018 to November 2019 as the research object， according to the digital table method， the 70 diabetic eye patients were divided into a control group and an observation group， each of 35 patients with diabetic eye disease， the observation group adopted an intervention nursing model， and the control group implemented a conventional nursing model. The nursing satisfaction， quality of care， and preoperative and postoperative anxiety values of the diabetic ophthalmic patients in the two groups were compared. Results The satisfaction rate of nursing care in the observation group using intervention nursing mode was 94% higher than 77% in the control group using routine nursing（P<0.05）; the nursing quality score of the observation group using intervention nursing mode was also higher than the control group using conventional nursing of the model （P<0.05）; the anxiety value of the observation group with intervention nursing model before surgery was also significantly lower than that of the control group of patients with conventional nursing （P<0.05）. Conclusion The intervention nursing model can improve patient satisfaction， reduce anxiety value， improve the quality of care， and bring benefits to patients during the treatment of patients with diabetic eye disease.

[Key words] Patients with diabetic eye disease; Nursing intervention; Anxiety; Adjust mental state

隨著生活水平的提高，慢性疾病發病率呈上升趨勢，如糖尿病等。糖尿病主要是由于體內血葡萄糖水平慢性增高導致的，如果不加以治療很容易造成腎衰、心腦血管疾病截肢或失明等嚴重并發癥。所以對于糖尿病患者來說，有可能80%的患者都會患上眼部疾病[1]。糖尿病性眼病是糖尿病患者最常見的并發癥，治療這種疾病只能通過手術治療才能達到徹底的根治，藥物治療只能緩解眼部疾病越來越嚴重的癥狀。但是從糖尿病性眼病患者的角度來說，他們是既希望能夠通過手術快點重見光明，同時對待手術又充滿焦慮擔憂的心理。隨著這種應激心理的發生，還有可能會導致患者的血糖越來越高，最后影響手術的順利進行和病情的控制[2]。該次以該院于2018年1月—2019年11月該院收治的70例糖尿病性眼病患者為研究對象，探討護理干預對其術前焦慮，調節心理狀態的作用，現報道如下。