Study on the influence of humanistic care nursing on postoperative pain score, psychological stress, and self-management ability in patients with glaucoma complicated with cataract
探讨人文关怀护理对青光眼合并白内障患者术后疼痛评分和心理应激及自我管理能力的影响研究

摘要

目的 探讨人文关怀护理对青光眼合并白内障患者术后疼痛、心理应激、自我管理能力的影响。方法 选取2022年1月至2023年12月某院120例患者，随机分为实验组（60例）和对照组（60例）。对照组实施常规护理，实验组在常规护理基础上开展人文关怀护理（心理支持、健康教育、环境优化、家庭参与及疼痛管理），干预持续至术后3个月。采用视觉模拟评分（VAS）、焦虑/抑郁自评量表（SAS/SDS）、慢性病自我效能量表（CDSES）评估指标，数据经SPSS 26.0分析，计量资料以x ̅±s表示行t检验，计数资料以[n(%)]表示行χ2检验。结果 实验组术后各时间点VAS评分显著低于对照组（P<0.001）；术后1个月焦虑（25.0% vs 53.3%，P=0.001）、抑郁（20.0% vs 46.7%，P=0.002）阳性率均低于对照组；术后3个月自我管理能力评分（26.7±4.2 vs 20.6±3.9，P<0.001）显著更高。结论 人文关怀护理能有效缓解术后疼痛，改善心理应激状态，提升自我管理能力，可作为优化眼科围术期护理的重要策略。

Abstract

Objective To explore the effect of humanistic care nursing on postoperative pain, psychological stress, and self-management ability in patients with glaucoma and cataract.
Methods 120 patients from a certain hospital from January 2022 to December 2023 were randomly divided into an experimental group (60 cases) and a control group (60 cases). The control group received routine nursing, while the experimental group received humanistic care nursing (psychological support, health education, environmental optimization, family participation, and pain management) on the basis of routine nursing. The intervention lasted for 3 months after surgery. Visual Analog Scale (VAS), Self Rating Anxiety/Depression Scale (SAS/SDS), and Chronic Disease Self Efficacy Scale (CDSES) were used to evaluate the indicators. The data were analyzed using SPSS 26.0, and t-tests were performed for quantitative data expressed as ± s, and χ2 tests were performed for count data expressed as [n (%)].
Results The VAS scores of the experimental group were significantly lower than those of the control group at various time points after surgery (P<0.001); The positive rates of anxiety (25.0% vs 53.3%, P=0.001) and depression (20.0% vs 46.7%, P=0.002) were lower than those in the control group one month after surgery; The self-management ability score was significantly higher at 3 months after surgery (26.7 ± 4.2 vs 20.6 ± 3.9, P<0.001).
Conclusion   Humanistic care nursing can effectively alleviate postoperative pain, improve psychological stress state, enhance self-management ability, and can be an important strategy for optimizing ophthalmic perioperative nursing.