摘要
目的探讨原发性青光眼患者焦虑情绪与其睡眠质量、自我管理能力的相关性。方法以医院2020年1月~2022年12月就诊的100例原发性青光眼患者为对象,行焦虑自评量表(Self-Rating Anxiety Scale,SAS),匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI),自我管理行为问卷(Glaucoma Self-management Questionnaire,GSMQ)调查。Pearson相关性分析,多元线性回归分析PSQI,GSMQ评分对青光眼患者焦虑情绪的影响。结果检出焦虑情绪55例(55.00%),检出失眠患者62例(62.00%)。不同年龄患者SAS评分,PSQI总分,GSMQ总分差异均有统计学意义(F=13.127,14.551,4.598,P均<0.05)。闭角型青光眼患者SAS评分,PSQI总分均高于开角型(t=3.308,3.454,P均<0.01)。青光眼患者SAS评分与PSQI总分正相关(r=0.445,P<0.01),与GSMQ总分负相关(r=-0.554,P<0.01),PSQI总分与GSMQ总分负相关(r=-0.465,P<0.01)。PSQI总分,GSMQ总分分别正向,负向预测SAS评分(非标准化系数=0.864,-0.915,P均<0.05)。结论原发性青光眼患者焦虑情绪与其睡眠质量、自我管理能力密切相关,提高患者睡眠质量及自我管理能力可能有利于缓解其焦虑情绪。
Objective To explore the correlation between anxiety and sleep quality and self-management ability in patients with primary glaucoma.Methods 100 patients with primary glaucoma treated in the hospital from January 2020 to December 2022 were selected as subjects,and Self-Rating Anxiety Scale was applied.SAS,the Pittsburgh Sleep Quality Index(PSQI),and the Glaucoma Self-management Questionnaire(GSMQ).Pearson correlation analysis,multiple linear regression analysis of PSQI,GSMQ score on the anxiety of glaucoma patients.Results Anxiety was detected in 55 cases(55.00%)and insomnia in 62 cases(62.00%).There were significant differences in SAS score,PSQI score and GSMQ score among patients of different ages(F=13.127,14.551,4.598,P<0.05).SAS scores and PSQI scores of angleclosure glaucoma patients were higher than those of open-angle glaucoma patients(t=3.308,3.454,P<0.01).SAS score was positively correlated with PSQI score(r=0.445,P<0.01),negatively correlated with GSMQ score(r=-0.554,P<0.01),and negatively correlated with PSQI score and GSMQ score(r=-0.465,P<0.01).PSQI total score and GSMQ total score predicted SAS score positively and negatively,respectively(non-standard coefficient=0.864,-0.915,P<0.05).Conclusion Anxiety in patients with primary glaucoma is closely related to sleep quality and self-management ability,and improving sleep quality and self-management ability may help alleviate anxiety.
作者
施琦乐
贲凌燕
黄晓云
SHI Qile;BEN Lingyan;HUANG Xiaoyun(Department of Ophthalmology,Jiangsu Province Hospital,Nanjing 210000,China)
出处
《国际精神病学杂志》
2024年第4期1254-1256,1261,共4页
Journal Of International Psychiatry
基金
江苏省老年健康科研项目(编号:LKM2022019)。
