摘要
目的评价青光眼患者个性特点对治疗依从性的影响。方法收集患者的个人资料,如性别、年龄、婚姻、教育程度及治疗情况,应用SCL-90、艾森克个性问卷和A型行为问卷对100例闭角型青光眼患者进行问卷调查。结果SCL-90评分中,非依从组的抑郁和偏执因子评分高于依从组,差异有统计学意义;A型行为问卷测评结果,依从组TH量表得分高于非依从组,差异有统计学意义;艾森克评分中,依从组的内外向因子得分高于非依从组,而神经质因子得分低于非依从组,差异有统计学意义。在多因素分析中,年龄、病程、抑郁和使用的药物种类时患者非依从性的危险因素。结论青光眼患者的抑郁情绪与治疗的非依从性相关,因此青光眼患者的人格特点对非依从性有一定影响。临床医生对青光眼患者进行准确的人格评估并给予正确的心理治疗方法是减少非依从性问题的重要因素。
Objective To assess the impact of personality traits on compliance treatment in glaucoma patients. Methods 100 patients with primary angle-closure glaucoma take part in the survey. Symptom chock list-90 （ SCL-90 ）, Eysenck Personality Questionnaire （ EPQ ）, and A-style behavior questionnaires were used. The common demographic factors such age, sex, level of education, marriage, career, and duration of disease were statistic. Results In SCL-90 the score of depression and paranoid with noncompliance group was higher than compliance group. In A-style behavior questioanaires TH score in compliance group was higher than noncompliance group. In Eysenck Personality Questionnaire the extraversion score in compliance group was higher than noncompliance group, and nerve score was lower than noncompliance group. Conclusion Depression was associated with noncompliance in glaucoma patients. Therefore, to some extend, personality traits in glaucoma patients affect glaucoma treatment. The accurate assessment of personality to glaucoma and proper psychotherapeutic methods were important factors to reduce noncompliance problem.
出处
《临床眼科杂志》
2010年第2期138-141,共4页
Journal of Clinical Ophthalmology
基金
西安市科技局资助项目(项目编号YF07139)
关键词
依从性
青光眼
心理
人格
Compliance
Glaucoma
Psychology
Personality
