目的 探讨心理干预对青光眼围术期患者焦虑抑郁情绪的影响.方法 将接受手术治疗的132例青光眼患者按其意愿分为两组,常规组(56例)接受常规护理,干预组(76例)在常规护理基础上联合心理干预.比较两组术后1周和3个月眼压情况、护理服务满意度,以及围术期焦虑和抑郁情绪.结果 术后1周两组眼压值比较差异无统计学意义(P＞0.05),术后3个月干预组显著好于常规组(P＜0.01);干预组术后满意率显著高于常规组(P＜0.01).术前两组焦虑自评量表和抑郁自评量表评分比较差异无统计学意义(P＞0.05),术后l周、3个月两组均较术前显著降低(P＜0.01),干预组显著低于常规组(P＜0.01).结论 在常规护理基础上对围术期青光眼患者予以心理干预有助于改善患者的焦虑抑郁等负面情绪.提高患者满意度和临床疗效.“,”Objective To investigate the effect of psychological nursing on anxiety and depression in perioperative patients with glaucoma. Methods 132 cases of glaucoma patients undergoing surgical treatment were randomly divided into two groups, the normal group (56 cases) was given routine nursing service, the intervention group (76 cases) was given psychological nursing on the basis of routine nursing. The IOP condition, nursing service satisfaction degree,perioperative anxiety and depression between two groups at 1 week and 3 months after treatment were compared. Results 1 week after operation,the difference of intraocular pressure between the two groups had no statistical difference (P＞0.05). After 3 months, the intervention group was significantly better than normal group (P＜0.01); the postoperative satisfaction degree of the intervention group was significantly higher than that of the normal group (P＜0.01). Before treatment, the differences of anxiety and depression scores between the two groups had no statistical difference (P＞0.05),at 1 week, 3 months after treatment, the two groups were all significantly declined(P＜0.01),the intervention group was significantly lower than the normal group (P＜0.01). Conclusion The implementation of psychological nursing on the basis of routine nursing for patients with glaucoma during perioperative period is helpful to improve their negative emotions such as depression and anxiety, it can also improve the satisfaction degree and clinical effect of patients.