Effect of the psychological intervention on the physical and mental health of patients with myopia undergoing Femtosecond Laser and Excimer Laser in Situ Keratomileusis

Abstract

Objective To study the physical and mental health status of patients with myopia so as to provide evidence for psychological care and explore the effect of psychological intervention on the patients with myopia.Methods Totals of 141 patients (251 eyes ),before diagnosed,six months after surgery,were investigated with Cornell Medical Index ( CMI ).Myopic patients received targeted psychological care before,during and after surgery.The findings of all items ( A-R items),psychological items ( M - R key items),A-R 18 items were compared.Results The frequency of psychosomatic symptoms of patients in all items ( A - R items) and psychological items ( M-R items) of return visit was significantly lower than that of the first visit [A-R:(19.82±7.43) vs (25.06±10.08); M-R:(6.32 ±2.75) vs (7.73 ±2.94);P＜0.01].Among A -R 18 items,item A (eyes and ears),G (nervous system),L (used to),O (anxiety),P (sensitive) of first visit was higher than that of the return visit,and the difference was statistically significant [ A:(6.62 ±6.03) vs (2.14±1.86),G:(0.49 ±0.50) vs (0.29 ±0.13),L:(1.21±0.42) vs (0.96 ±0.08),0:(1.25±1.03) vs(0.62±0.70),P:(1.63±0.92) vs(0.59±1.01);P＜0.001].Conclusions Patients show different preoperative psychological quality in their first visit and have poor psychological defense mechanisms.So,the psychological care should be strengthened in first visit,preoperative,during operative and postoperative period and more attention should be paid to their physical and mental health.Psychological intervention can improve the life quality of myopia patients with FL - LASIK treatment. Key words: Nursing; Myopia; FL - LASIK; Physical and mental health