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老年性白内障术后视力恢复状况及其主观幸福感影响因素 被引量:3

Recovery of visual acuity after senile cataract extraction and its influence on subjective well-being
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摘要 目的 探讨老年性白内障术后视力恢复状况及主观幸福感,并分析主观幸福感的影响因素。方法 收集超声乳化白内障吸除术治疗的117例老年性白内障患者的临床资料,于术前及术后1周、4周、8周、12周测量患者视力值和角膜散光度,并采用纽芬兰纪念大学幸福度量表评估患者的主观幸福感,采用单因素分析及多元Logistic回归分析探讨主观幸福感的影响因素。结果 术后患者视力值显著高于术前(P<0.01),角膜散光度显著低于术前(P<0.01),术后1周~12周患者视力值呈上升趋势,角膜散光度呈下降趋势。术后患者纽芬兰纪念大学幸福度量表总分及正性因子评分显著低于术前(P<0.01),负性因子评分显著高于术前(P<0.01)。老年性白内障患者纽芬兰纪念大学幸福度量表总分在婚姻状况、家庭月收入、居住地、居住情况、日常生活活动能力、术后视力值、合并慢性病方面存在显著差异(P<0.05或0.01),农村、未婚/丧偶/离异/分居、家庭月收入<5 000元、在农村居住、独居、日常生活活动需照顾、术后视力值<0.3、合并慢性病患者的总分较低。回归分析显示,日常生活活动需照顾、术后视力值<0.3、合并慢性病为老年性白内障患者主观幸福感的独立危险因素(P<0.01)。结论 老年性白内障患者术后视力水平恢复良好,但主观幸福感较低,加强术后视力训练、提高日常生活活动能力、积极控制慢性病有助于提高其术后主观幸福感。 Objective To investigate the recovery of visual acuity and subjective well-being after senile cataract extraction, and to analyze the influencing factors of subjective well-being. Methods The clinical data of 117 senile cataract patients treated by phacoemulsification were collected. Visual acuity and corneal astigmatism were measured before operation and at 1, 4, 8, and 12 weeks after operation. The memorial university of Newfoundland scale of happiness(MUNSH) was used to evaluate the subjective well-being of patients, and univariate analysis and multiple Logistic regression analysis were used to explore the influencing factors of subjective well-being. Results The visual acuity of patients after operation was significantly higher than that before operation(P<0.01), and the corneal astigmatism was significantly lower than that before operation(P<0.01). From 1 to 12 weeks after operation, the visual acuity of the patients showed an upward trend, and the corneal astigmatism showed a downward trend. The total score of MUNSH and the positive factor score were significantly lower than those before operation(P<0.01), and the negative factor score was significantly higher than that before operation(P <0.01).The total score of MUNSH in senile cataract patients had significant differences in marital status,family monthly income,residence,living conditions,activities of daily living,postoperative visual acuity,and chronic diseases(P<0.05or 0.01).Rural,single/divorced/widowed/separated,family monthly income less than 5000yuan,living in rural areas,living alone,activities of daily living requiring care,postoperative visual acuity less than 0.3,and patients with chronic diseases had lower total scores.Regression analysis showed that activities of daily living requiring care,postoperative visual acuity less than 0.3,and chronic diseases were independent risk factors for subjective well-being in senile cataract patients(P<0.01).Conclusions The vision acuity of senile cataract patients recovered well after surgery,but their sub
作者 王晓辉 关卉 姬朝霞 邵亚乐 宁静 Wang Xiaohui;Guan Hui;Ji Chaoxia;Shao Yale;Ning Jing(First author's address the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)
出处 《临床心身疾病杂志》 CAS 2022年第6期103-107,共5页 Journal of Clinical Psychosomatic Diseases
关键词 白内障摘除术 视力值 角膜散光度 主观幸福感 老年人 cataract extraction visual acuity corneal astigmatism subjective well-being the aged
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