Investigation of the effect of nursing intervention on psychological state of patients with ophthalmic surgery

Abstract

Objective To observe the psychological state of patients with ophthalmic surgery, and investigated the effect of nursing intervention on the psychological state of them. Methods 120 patients with ophthalmic surgery were selected randomly, including 40 youth, 40 middle-aged and 40 elderly, they were subsequently divided randomly into the control group and the nursing intervention group with 20 of youth, middle- aged and elderly separately. The control group received preoperative health education ae-cording to nursing process, the nursing intervention group was given nursing intervention based upon routine nursing. Anxiety standard score was evaluated by the self-rating anxiety scale (SAS) when upon admission,one day before surgery, and upon discharge. Results The anxiety standard score of the patients admitted into hospital was above the critical standard score (50), the anxiety standard score of patients when the day before surgery was significantly above that upon admission, but was less than the critical standard score when they left hospital, and it was significantly less than that upon admission. There was no statistical sig-nificance of anxiety standard score between the control group and the nursing intervention group when they were admitted into hospital, it was significantly less than that of the control group when the day before surgery and when they left hospital. The anxiety standard scores of the elderly and the middle- aged of the control group were more and significantly more than the youth's when the day before surgery separately, and both of theirs were more than the youth's when they left hospital. After nursing intervention, the anxiety standard score of the elderly and the middle- aged were significantly more and more than the youth when the day before surgery separately, and the elderly was more than the youth when they left hospital, there was no statistical significance between the youth and the middle- aged. The anxiety standard score of the youth and the middle- aged were significantly less than that of the control group separately when the day before surgery and when they left hospital, that elderly was less than that of the control group. Conclusions Anxiety existed in almost all patients with ophthalmic surgery, and it reached high degree the day before surgery. It appeared more in the middle-aged than among the youth and the elderly. Nursing intervention shows positive effect on the psychological state of patients with ophthalmic surgery, and it influences more on the youth and the middle-aged than on the elderly. Therefore, it is necessary to give different periopera-tire nursing intervention to the patients with ophthalmic surgery. Key words: Ophthalmic surgery; Anxiety; SAS; Nursing intervention