摘要
目的了解糖尿病视网膜病变手术患者创伤后应激障碍的发生情况,分析其影响因素,为手术前后心理干预提供参考依据。方法采用创伤后应激障碍量表(PTSD)对327例糖尿病视网膜病变手术患者进行评定。结果年龄、性别、住址、是否工作、家庭收入、报销方式、婚姻状况、入院右眼视力、出院右眼视力、出院左眼视力、患糖尿病时间、是否担心愈后、夫妻支持、父母支持等与糖尿病视网膜病变手术患者创伤后应激障碍相关,差异均有统计学意义(P<0.05)。多因素分析显示,影响糖尿病视网膜病变手术患者创伤后应激障碍的因素有报销方式、出院左眼视力、入院右眼视力、是否担心愈后、父母支持程度,差异有统计学意义(P<0.05)。结论糖尿病视网膜病变手术患者创伤后应激障碍问题不容忽视,医护人员应采取针对性措施,减少其应激障碍的发生。
Objective To understand the symptoms of posttraumatic stress disorder in surgical patients with diabetic retinopathy and to explore the influencing factors of stress disorder,so as to provide a reference for psychological intervention before surgery.Methods A total of 327 patients with diabetic retinopathy underwent assessment using the Posttraumatic Stress Disorder Scale（PTSD）.Results Age,sex,address,work status,household income,reimbursement,marital status,right eye vision at hospitalization and hospital discharge,and left eye vision at discharge,time to diabetes,worry about healing,support extent of parental and spouse,and post-traumatic stress disorder in patients with diabetic retinopathy postoperative were interrelated to posttraumatic stress disorder.The differences were statistically significant（P〈0.05）.Multivariate analysis showed that the influencing factors of post-traumatic stress disorder in patients with diabetic retinopathy were reimbursement,left eye vision and right eye vision,whether or not parents worried about the degree of support,the difference was statistically significant（P〈0.05）.Conclusion The post-traumatic stress disorder in patients with diabetic retinopathy should not be neglected.Health care workers should take competitive measures to reduce the occurrence of stress disorder.
作者
韩俊莹
朱学慧
张学敏
Han Junying;Zhu Xuehui;Zhang Xuemin.(Tangshan Eye Hospital, Tangsban 063000, Chin)
出处
《中国煤炭工业医学杂志》
2018年第2期201-204,共4页
Chinese Journal of Coal Industry Medicine
基金
河北省科技厅项目(编号:162777212)
河北省卫计委课题(编号:20171313)
