摘要
目的:分析青光眼手术病人围手术期心理状态,并探讨其影响因素。方法:选取手术治疗的85例青光眼病人为观察组,并以85例同期住院非手术病人为对照组,采用综合医院焦虑抑郁量表(HAD)量表评估观察组术前、术后1周、2周及对照组的心理状态,然后将观察组中不同年龄、性别与文化程度者不同时间的HAD量表评估结果进行比较。结果:与对照组比较,观察组术前、术后1周的HAD量表评分均有升高(P<0.01),术后2周与对照组差异无统计学意义(P>0.05)。观察组中,<60岁的病人术前、术后1周的HAD量表评分均高于≥60岁的病人(P<0.01),而术后2周两个年龄段病人之间差异无统计学意义(P>0.05);小学与初中文化程度病人术前、术后1周及2周的HAD量表评分均高于中专和以上病人(P<0.01);男女病人不同时间的HAD量表评分差异均无统计学意义(P>0.05)。结论:青光眼手术病人围手术期心理状态相对较差,且心理状态受年龄与文化程度的影响也较大。
Objective:To investigate the psychology status of patients with glaucoma during the perioperative period,and its influencing factors.Methods:Eighty-five glaucoma patients with operation,and85cases without operation were divided into the observation group and control group.The psychology status in observation group before operation,after1and2weeks of operation,and control group were evaluated using Anxiety and Depression Scale(HAD).The HAD score in observation group at different ages,genders and education degree were compared.Results:Compared with control group,the HAD scores in observation group before operation and after1week of operation increased(P<0.01),and the difference of the HAD score between the observation group after2weeks of operation and control group was not statistically significant(P>0.05).Among the observation group,the HAD score in patients<60years old was higher than that in patients≥60years old before operation and after1week of operation(P<0.01),and the difference of the HAD score between two age groups after2weeks of operation was not statistically significant(P>0.05).The scores of HAD in patients with primary and lower secondary education level before operation and after1week of operation were higher than that in patients with secondary and above level(P<0.01),and the difference of the HAD score at different time between male and female was not statistically significant(P>0.05).Conclusions:The psychology status of patients with glaucoma during the perioperative period is relatively bad,and the influence of age and education degree of patients is great.
作者
董海莉
杨春娟
DONG Haili;YANG Chunjuan(Department of Ophthalmology,Tangdu Hospital,The Fourth Military Medical University,Xi′an Shaanxi 710032;Department of Quality Management,Central Hospital of Baoji, Baoji Shaanxi 721008,China)
出处
《蚌埠医学院学报》
CAS
2017年第11期1566-1568,共3页
Journal of Bengbu Medical College
关键词
青光眼
围手术期
心理状态
影响因素
glaucoma
perioperative period
psychology status
influencing factor
