Abstract:

Objective　To investigate the effects of cognitive belief behavior pattern  on onemotion, quality of life, and self-management ability in patients with glaucoma. Methods　Onehundred and sixty-two patients taking glaucoma surgery in Jinan Second People's Hospital fromMarch 2022 to March 2023 were selected for the prospective control study, and were divided an observation group and a control group by the random number table method, with 81 cases in each group. There were 50 males and 31 females in the control group; they were (58.06±3.03) years old.There were 48 males and 33 females in the observation group; they were (58.85±7.01) years old. During the hospitalization, the control group took conventional nursing; inaddition, the observation group took cognitive belief behavior pattern.The effects of nursing intervention on the patients' emotions, quality of life, and self-management ability before (at admission) and after (at discharge) the intervention were observed and compared between the two groups. The measurement data were compared by t test, and the count data by χ² test. Results　After the intervention, the scores of Symptom Checklist 90 (SCL-90), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS) in the observation group were lower than those in the control group [(13.74±3.06) vs.(15.46±3.30),(12.29±4.16) vs.(14.33±3.68),(15.41±6.02) vs.(17.98±7.01)], with statistical differences between the two groups (t=3.440, 3.306, and 2.503; P<0.001, P<0.001, and P=0.013). The scores of symptom and visual function, physical function, socialactivity, and psychology in the observation group were higher than those in the control group [(87.27±9.36) vs. (69.16±8.74), (79.15±5.93) vs. (73.13±7.36), (63.83±7.70)vs. (59.35±8.13)], with statistical differences between the two groups (t=12.728, 5.732, 3.601; all P<0.001). The scores of rational diet or one-time drink lots of wate, compliance to medication,eye care skills, health knowledge mastery, and awareness of timely treatmentwith eye discomfort in the observation group were higher than those in the control group [(87.27±9.23) vs. (69.16±8.74), (79.15±5.91) vs. (73.13±7.36), (63.83±7.07) vs. (59.35±7.19), (69.15±3.01) vs. (60.12±3.16), (80.21±4.76) vs. (76.55±5.32)], with statistical differences between the two groups (t=12.822, 5.740, 3.999, 18.622, and 4.614; all P<0.001). Conclusion　Cognitive belief behavior pattern for patients with glaucoma can improve the rehabilitation effect, and significantly improve their mood, quality of life, and self-management ability.

Key words:

Cognition, Belief, Behavior, Glaucoma, Life quality, Self-management

摘要：

目的　探讨认知信念行为模式对青光眼患者情绪、生存质量及自我管理能力的影响。方法　前瞻性选取济南市第二人民医院2022年3月至2023年3月收治的162例青光眼手术患者为研究对象，随机数字表法将其分为观察组和对照组，各81例。对照组男50例，女31例，年龄（58.06±3.03）岁；观察组男48例，女33例，年龄（58.85±7.01）岁。对照组在住院期间实施常规护理，观察组在住院期间于常规护理的基础上采用认知信念行为模式。观察并比较两组患者护理干预前（入院时）、干预后（出院时）对患者情绪、生存质量及自我管理能力的影响。计量资料采用t检验，计数资料χ²检验。结果　干预后，观察组90项症状自评量表（SCL-90）评分为（13.74±3.06）分、焦虑自评量表（SAS）评分（12.29±4.16）分、抑郁自评量表（SDS）评分（15.41±6.02）分，均低于对照组［（15.46±3.30）分、（14.33±3.68）分、（17.98±7.01）分］，两组比较差异均有统计学意义（t=3.440、3.306、2.503，P<0.001、P<0.001、P=0.013）；观察组症状和视功能评分（87.27±9.36）分、身体机能评分（79.15±5.93）分、社会活动评分（63.83±7.70）分，均高于对照组［（69.16±8.74）分、（73.13±7.36）分、（59.35±8.13）分］，两组比较差异均有统计学意义（t=12.728、5.732、3.601，均P<0.001）；观察组合理饮食及一次性大量饮水评分（87.27±9.23）分，遵医用药及依从性评分（79.15±5.91）分、眼部护理技巧（63.83±7.07）分、健康知识掌握度（69.15±3.01）分、眼部不适及时就诊意识（80.21±4.76）分，均高于对照组［（69.16±8.74）分、（73.13±7.36）分、（59.35±7.19）分、（60.12±3.16）分、（76.55±5.32）分］，两组比较差异均有统计学意义（t=12.822、5.740、3.999、18.622、4.614，均P<0.001）。结论　认知信念行为模式应用于青光眼患者，能改善其康复效果，提高患者情绪、生存质量及自我管理能力。

关键词:

认知, 信念, 行为, 青光眼, 生存质量, 自我管理