Abstract：
UNASSIGNED: There have been studies on the use of cognitive behavioral nursing intervention (CBNI) but the main subjects were patients with secondary glaucoma and there are fewer studies on the care of congenital glaucoma.
UNASSIGNED: To explore the clinical value of cognitive behavioral nursing model in patients with congenital glaucoma.
UNASSIGNED: One hundred and fifty-three postoperative patients with congenital glaucoma treated in our hospital between January 2021 and December 2022 were prospectively selected for the study and randomly divided into a control group (n= 77) and an observation group (n= 76). The control group was given routine nursing, and the observation group was given cognitive behavioral nursing mode on the basis of the control group. Anxiety self-assessment scale (SAS), depression self-assessment scale (SDS), Connor-Davidson toughness scale, and treatment adherence evaluation scale were used to evaluate the psychological state, mental toughness, treatment adherence, treatment effect and nursing care satisfaction in the two groups before and after 2 weeks of intervention. The efficacy of the treatment was also assessed by determining the visual acuity (VA), intraocular pressure (IOP), and mean defective (MD) value of the visual field of the two groups of patients.
UNASSIGNED: After nursing, the SDS score (46.33 ± 6.16 versus 53.21 ± 5.94) and SAS score (44.41 ± 5.6 versus 52.82 ± 6.31) in the observation group were lower than those in the control group (P< 0.05). The scores of optimism (11.55 ± 1.90 versus 8.20 ± 1.95), self-improvement (22.05 ± 3.60 versus 17.60 ± 4.30), tenacity (37.45 ± 3.10 versus 28.90 ± 4.55) and total score (71.35 ± 8.00 versus 56.85 ± 8.50) in the observation group were higher than those in the control group (P< 0.05). After care, the VA of the observation group (0.95 ± 0.22) was greater than that of the control group (0.84 ± 0.16), and the IOP (14.25 ± 0.58 versus 15.89 ± 0.67) and the MD (5.42 ± 0.46 versus 6.68 ± 0.49) of the observation group were less than that of the control group. The difference between the two groups was statistically significant (P< 0.05). The compliance (96.05% versus 85.71%) and nursing satisfaction (96.10% versus 85.71%) of the observation group were higher than those of the control group (P< 0.05).
UNASSIGNED: Cognitive-behavioural nursing care for glaucoma patients can improve patients\' mental toughness, improve visual acuity, reduce intraocular pressure and mean visual field defect values, and have a positive effect on enhancing patients\' treatment adherence and nursing satisfaction.
UNASSIGNED: To explore the clinical value of cognitive behavioral nursing model in patients with congenital glaucoma.
UNASSIGNED: One hundred and fifty-three postoperative patients with congenital glaucoma treated in our hospital between January 2021 and December 2022 were prospectively selected for the study and randomly divided into a control group (n= 77) and an observation group (n= 76). The control group was given routine nursing, and the observation group was given cognitive behavioral nursing mode on the basis of the control group. Anxiety self-assessment scale (SAS), depression self-assessment scale (SDS), Connor-Davidson toughness scale, and treatment adherence evaluation scale were used to evaluate the psychological state, mental toughness, treatment adherence, treatment effect and nursing care satisfaction in the two groups before and after 2 weeks of intervention. The efficacy of the treatment was also assessed by determining the visual acuity (VA), intraocular pressure (IOP), and mean defective (MD) value of the visual field of the two groups of patients.
UNASSIGNED: After nursing, the SDS score (46.33 ± 6.16 versus 53.21 ± 5.94) and SAS score (44.41 ± 5.6 versus 52.82 ± 6.31) in the observation group were lower than those in the control group (P< 0.05). The scores of optimism (11.55 ± 1.90 versus 8.20 ± 1.95), self-improvement (22.05 ± 3.60 versus 17.60 ± 4.30), tenacity (37.45 ± 3.10 versus 28.90 ± 4.55) and total score (71.35 ± 8.00 versus 56.85 ± 8.50) in the observation group were higher than those in the control group (P< 0.05). After care, the VA of the observation group (0.95 ± 0.22) was greater than that of the control group (0.84 ± 0.16), and the IOP (14.25 ± 0.58 versus 15.89 ± 0.67) and the MD (5.42 ± 0.46 versus 6.68 ± 0.49) of the observation group were less than that of the control group. The difference between the two groups was statistically significant (P< 0.05). The compliance (96.05% versus 85.71%) and nursing satisfaction (96.10% versus 85.71%) of the observation group were higher than those of the control group (P< 0.05).
UNASSIGNED: Cognitive-behavioural nursing care for glaucoma patients can improve patients\' mental toughness, improve visual acuity, reduce intraocular pressure and mean visual field defect values, and have a positive effect on enhancing patients\' treatment adherence and nursing satisfaction.
摘要：
■已有关于使用认知行为护理干预（CBNI）的研究，但主要受试者是继发性青光眼患者，关于先天性青光眼护理的研究较少。
■探讨认知行为护理模式在先天性青光眼患者中的临床应用价值。
■前瞻性选择2021年1月至2022年12月在我院接受治疗的先天性青光眼术后患者153例，随机分为对照组（n=77）和观察组（n=76）。对照组给予常规护理,观察组在对照组的基础上给予认知行为护理模式。焦虑自评量表(SAS),抑郁自评量表(SDS),康纳-戴维森韧性量表，采用治疗依从性评价量表对患者的心理状态进行评价,心理韧性，治疗依从性，比较两组干预前后2周的治疗效果及护理满意度。还通过确定视敏度（VA）来评估治疗的功效。眼内压（IOP），和两组患者视野的平均缺损(MD)值。
■护理后，观察组的SDS评分(46.33±6.16比53.21±5.94)和SAS评分(44.41±5.6比52.82±6.31)均低于对照组(P<0.05)。乐观得分（11.55±1.90对8.20±1.95），自我改善（22.05±3.60对17.60±4.30），观察组的韧度（37.45±3.10比28.90±4.55）和总分（71.35±8.00比56.85±8.50）均高于对照组（P<0.05）。护理后,观察组的VA（0.95±0.22）大于对照组的VA（0.84±0.16），观察组眼压(14.25±0.58比15.89±0.67)和MD(5.42±0.46比6.68±0.49)均小于对照组。两组比较差异有统计学意义(P<0.05)。观察组的依从性(96.05%)和护理满意度(96.10%)(85.71%)均高于对照组(P<0.05)。
■青光眼患者的认知行为护理可以提高患者的心理韧性，提高视力，降低眼内压和平均视野缺损值，对提高患者治疗依从性和护理满意度有积极作用。
■探讨认知行为护理模式在先天性青光眼患者中的临床应用价值。
■前瞻性选择2021年1月至2022年12月在我院接受治疗的先天性青光眼术后患者153例，随机分为对照组（n=77）和观察组（n=76）。对照组给予常规护理,观察组在对照组的基础上给予认知行为护理模式。焦虑自评量表(SAS),抑郁自评量表(SDS),康纳-戴维森韧性量表，采用治疗依从性评价量表对患者的心理状态进行评价,心理韧性，治疗依从性，比较两组干预前后2周的治疗效果及护理满意度。还通过确定视敏度（VA）来评估治疗的功效。眼内压（IOP），和两组患者视野的平均缺损(MD)值。
■护理后，观察组的SDS评分(46.33±6.16比53.21±5.94)和SAS评分(44.41±5.6比52.82±6.31)均低于对照组(P<0.05)。乐观得分（11.55±1.90对8.20±1.95），自我改善（22.05±3.60对17.60±4.30），观察组的韧度（37.45±3.10比28.90±4.55）和总分（71.35±8.00比56.85±8.50）均高于对照组（P<0.05）。护理后,观察组的VA（0.95±0.22）大于对照组的VA（0.84±0.16），观察组眼压(14.25±0.58比15.89±0.67)和MD(5.42±0.46比6.68±0.49)均小于对照组。两组比较差异有统计学意义(P<0.05)。观察组的依从性(96.05%)和护理满意度(96.10%)(85.71%)均高于对照组(P<0.05)。
■青光眼患者的认知行为护理可以提高患者的心理韧性，提高视力，降低眼内压和平均视野缺损值，对提高患者治疗依从性和护理满意度有积极作用。
