屈光手术患者术前焦虑、抑郁的状况及其影响因素  

Influencing Factors and Anxiety and Depression Status in Patients before Refractive Surgery

作　　者：王季芳[1] 黄国秀[1] 赵婧[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼视光中心,上海200031

出　　处：《解放军护理杂志》2015年第1期1-5,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解屈光手术患者术前焦虑、抑郁的状况,并分析其影响因素。方法 2013年6-9月,采用一般资料调查表、视觉质量(quality of vision,QoV)问卷、眼表疾病指数(ocular surface disease index,OSDI)问卷、Zung氏焦虑自评量表(selfrating anxiety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS)对上海市某三级甲等专科医院眼视光中心收治的276例屈光手术患者进行调查。结果 276例屈光手术患者术前的SAS平均分为(37.40±7.20)分,SDS平均分为(41.54±9.10)分,不同性别患者的SAS得分及不同文化程度、居住地患者的SDS得分间差异均有统计学意义(均P<0.05),患者的文化程度、屈光度数、裸眼QoV、戴镜QoV及OSDI总分分别与SAS、SDS得分存在相关性(P<0.05或P<0.01)。结论医护人员应注意屈光手术患者术前的心理情绪状况,给予针对性的心理干预,促使患者积极配合,提高手术效果。Objective To understand influencing factors and anxiety and depression status in patients be- fore refractive surgery. Methods Totally 276 outpatients prepared for refractive surgeries were selected and investigative by using general question scale, QoV scale, OSDI questionnaire, SAS and SDS scale.Resuits The average total score of SAS was 37.40±7.20 and the SDS score was 41.54±9.10.There was sta- tistical significance of SAS score of patients with different gender,and SDS score of patients with different education background and residential place （all P〈0.05）. The level of education, myopia diopter, total scores of QoV and OSDI had relation with SAS score and SDS score （P〈0.05 or P〈0.01）.Conclusion Medical staffs should pay more attention to psychological status of patients before refractive surgeries and provide essential service,in order to improve patient＇s satisfactory level and surgery effect.

关 键 词：屈光手术 焦虑 抑郁 影响因素 

分 类 号：R473.77[医药卫生—护理学] R395.1[医药卫生—临床医学]