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[摘要]
目的:探讨心理干预对青光眼患者治疗依从性和复发的影响。
方法:将48例原发性闭角型青光眼患者随机分为心理干预组和对照组。干预组在常规手术、药物治疗的同时给予健康教育及行为疗法,对照组只给予常规手术和药物治疗,观测2a,比较两组患者的治疗依从性和复发率。
结果:干预组患者的治疗依从性明显高于对照组,复发率低于对照组,差异具有统计学意义(χ2=11.429,P<0.01; χ2=14.667,P<0.01)。
结论:通过健康教育和行为疗法干预,能够显著改善青光眼患者的治疗依从性,降低复发率。
[Key word]
[Abstract]
AIM: To estimate the influence of psychological health intervention on the medical compliance and recurrence of glaucoma patients.
METHODS: Forty-eight patients with primary angle-closure glaucoma were enrolled and randomly classified into intervention group and control group. Patients in intervention group were treated with common surgery-drug treatment, mental health education and behavior therapy at the same time, and those in control group were treated with common surgery-drug treatment. After 2 years psychological health intervention, the patients were examined to determine their compliance and recurrence rates.
RESULTS: The medical compliance of patients in intervention group was higher than that in control group. The recurrence rates of patients in intervention group were lower than that in control group. There were significant difference between two groups(χ2=11.429, P<0.01; χ2=14.667, P<0.01).
CONCLUSION: Mental health education and behavior therapy could significantly increase the medical compliance of glaucoma patients and reduce the rates of recurrence.
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