视网膜脱落术后患者心理痛苦状况及其影响因素分析  

Psychological distress of patients with retinal detachment and its related factors

作　　者：王槐英[1] 李源 任晓丹[1] 何晓俐[1] Wang Huaiying1, Li Yuan2,Ren Xiaodan1, He Xiaoli1(1.Outpatient Department, West China Hospital; 2.West China School of Medicine, Nursing Faculty, Sichuan University, Chengdu, 610041, China)

机构地区：[1]四川大学华西医院门诊部 [2]四川大学华西临床医学院研究生部护理系,四川成都610041

出　　处：《现代临床护理》2018年第4期7-12,共6页Modern Clinical Nursing

摘　　要：目的了解视网膜脱落患者术后的心理痛苦情况,并分析其影响因素。方法采用一般资料问卷和心理痛苦温度计对2016年2月至2017年5月在本院眼科行视网膜脱落复位术后的123例患者进行调查。结果视网膜脱落患者的心理痛苦平均得分为(4.25±2.03)分,其中有显著心理痛苦83例,占67.48%。引起视网膜脱落患者心理痛苦的原因,按出现频率排序居于前5位的依次为水肿(86.18%)、身体活动受限制(67.48%)、担忧(58.54%)、经济问题(36.57%)、睡眠问题(34.15%)。多元线性回归显示,年龄、热爱运动与否、距术前视网膜脱落时间及合并慢性病与否是患者心理痛苦的影响因素(均P<0.05)。结论视网膜脱落术后患者的心理痛苦程度较重,针对年轻、术前脱落时间久、平日喜爱运动和患有其它慢性疾病的患者,应采取有针对性的心理干预措施,以减少其心理痛苦,促进术后恢复。Objective To evaluate the psychological distress of patients with retinal detachment and analyze its causes and related factors.Method We adopted a general information questionnaire and psychological distress thermometer（DT） to do a cross-sectional survey among patients undergoing retinal detachment reduction surgery between February 2016 and May 2017 in West China Hospital in Sichuan Province.Results The average score of psychological pain in the patients with retinal detachment was 4.3 ±2.0.Significant psychological distress was observed in 83 cases,which accounted for 67.5%（DT score was greater than 4）.The top 5 factors for the psychological distress caused by the retinal detachment were edema,physical activity restricted,worry,bathing/dressing,and sleep problem.Multivariate linear regression analysis showed that age,sports,time of retinal detachment and combination of chronic diseases had an effect on psychological pain score（all P〈0.05）.Conclusions The psychological distress of patients treated in retinal detachment reduction surgery is severe,and the physical problems are the main causes of psychological distress.In order to effectively prevent the emergence of psychological problems,psychological intervention measures should be taken in patients at young age,long time of retinal detachment,doing sports,and combination with other chronic diseases.

关 键 词：视网膜脱落 视网膜脱离 心理痛苦 

分 类 号：R473.77[医药卫生—护理学]