The Survey And Intervention Study Of Psychological Health Condition Of The Surgery Patients With Strabismus

Objective:1.Through the investigation and analysis of the strabismus the mental health status of the surgery patients with strabismus. Explore strabismus with surgical patients the influence factors of psychological health condition2.To explore the improvement of strabismus surgery in patients with mental health by the intervention of comprehensive psychological care of patients with strabismus surgery. Further improve the adjuvant treatment of strabismus and care measures, provide a theoretical basis for the scientific treatment.Subjects and methods:1.Survey:The investigation of this research is to use by patients generally questionnaire, symptom check-list90(SCL-90), Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS).To survey and evaluation200cases of surgery patients with strabismus who be in Shangxi eye hospital.To preliminary analysis on psychological health condition of the factors respondents mental health of strabismus surgery patients.2.Investigation experiment:The200cases of strabismus patients were randomly divided into the intervention group and the control group.The intervention group in routine clinical treatment and nursing is conducted on the basis of three weeks of comprehensive interference, the control group for regular clinical treatment and nursing care. The intervention has two stages, eight times. The first stage:during be in hospital, the two days of the preoperative and surgery on the day. The daily comprehensive interference is one time, each time10minutes; the second stage is the day which is2weeks after surgery. Respondents in with before, after intervention1week, two weeks after the intervention of the intervention ended, should measure symptoms with the SCL-90, SAS, SDS.Results:1.Investigation results:(1)The five factors score in force symptoms, interpersonal relationship, anxiety, terror, and psychoticism are significantly higher than the national norm mean differences in the strabismus with surgical patients. The body of mean factor score below the national norm. All the cases have almost the symptoms of SCL-90listed in the scale. (2)The patients with the degree of strabismus below15-degree of body, forced symptoms, hostile, paranoid four factors were significantly higher the others who are greater than25-degree. The age31-35years in the strabismus with surgical patients, the psychological problems are the most obvious existent.(3)The score of the SAS in strabismus surgery patients were significantly higher than the national norm SAS. The mother’s occupation, the culture degree of strabismus with surgical patients and the SAS, SDS score are normal or not. There is a relationship.(4)The influence factors of the surgery patients with strabismus of psychological health condition have age, sex, marital status, strabismus degrees, one’s cultural degree and his mother’s cultural degree.2.Intervention study results:(1)SCL-90scale in each factor and SCL-90of the total score are significantly different, SCL-90scale in each factor and SCL-90of the total score are change with time duration psychological intervention between the two groups in force symptoms of depression, anxiety, and hostile, terror, psychoticism six factors score and SCL-90total score have influence. In addition to anxiety factor outside, the others each factor and SCL-90total score in the different measuring point and intervene or not is no interaction.(2)The SAS, SDS score is more significant differences, the SAS score with the time duration of changes is different. The psychological intervention between the two groups is effective. The SAS score in different measuring point and duration of intervention or not have interaction, The SDS score in different measuring point and duration of intervention or not without interaction.(3)Surgery for the patients’with strabismus has certain effect in the mental health status.Conclusion:1.The surgery patients with strabismus are below the national average in mental health. They stand out in anxiety, depression, and force the symptoms, interpersonal relationship, anxiety, terror, psychotic symptoms. Along with the increase of age, the psychological health problems of the surgery patients with strabismus are more and more serious, in31～35age the most serious. The psychological problems with strabismus are worth paying attention to.2.In the early period of dominant strabismus, the patients should be early diagnosis and early treatment, early intervention.3.The surgery patients with strabismus are anxiety. The Patients with anxiety depression score is normal or not is related to the patients themselves and mother’s cultural levels. The lower the patients and their mother’s culture quality, the more serious the anxiety and depression.4.The patients of strabismus mental health status after surgery have improved significantly. 5.Through comprehensive interference can effectively improve the strabismus the mental health status of the surgery patients. The patients in the interention group of anxiety reduce exerts profound influence. That is, the comprehensive psychological intervention can markedly improve patients’social mental health, long-term effect for, the most significant anxiety changes, the most far-reaching.