白内障患者超声乳化术后焦虑情绪影响因素及其对干眼症的影响  

Factors influencing anxiety in cataract patients after phacoemulsification and its impact on dry eye syndrome

作　　者：罗云霞 李战梅 LUO Yun-xia;LI Zhan-mei(Department of Ophthalmology,Nanchong Central Hospital,Nanchong Hospital Affiliated to Beijing Anzhen Hospital,Capital Medical University,Nanchong 637000,Sichuan,CHINA)

机构地区：[1]首都医科大学附属北京安贞医院南充医院南充市中心医院眼科,四川南充637000

出　　处：《海南医学》2025年第7期1029-1032,共4页Hainan Medical Journal

基　　金：四川省卫生健康委员会科研课题普及应用项目(编号:20PJ300)。

摘　　要：目的探究白内障患者超声乳化术后焦虑情绪的影响因素及其对干眼症的影响。方法回顾性选取2023年6月至2024年3月在南充市中心医院行超声乳化术的102例白内障患者作为研究对象,参考术后的焦虑自评量表(SAS)评分将其分为焦虑组(n=36)和无焦虑组(n=66),比较两组患者的临床资料,应用多因素Logistic回归分析超声乳化术后患者焦虑情绪的影响因素,同时分析其焦虑情绪对干眼症的影响。结果焦虑组患者中文化程度为小学及以下、月收入低于4000元、无手术史、与直系家属关系较差、双眼白内障例数占总人数的比例分别为50.00%、52.78%、86.11%、33.33%和88.89%,明显高于无焦虑组的21.21%、30.30%、60.61%、9.09%和68.18%,差异均有统计学意义(P<0.05);多因素Logistic回归分析表明文化程度为小学及以下、无手术史、与直系家属关系较差和双眼白内障均为白内障患者超声乳化术后焦虑的影响因素(P<0.05);焦虑组患者中干眼症的发生率为33.33%,明显高于无焦虑组的13.64%,差异有统计学意义(P<0.05)。结论白内障患者超声乳化术后易发生焦虑情绪,文化程度为小学及以下、无手术史、与直系家属关系较差和双眼白内障均为其影响因素,且白内障患者术后焦虑情绪易导致干眼症的发生。Objective To explore the factors influencing anxiety in cataract patients after phacoemulsification and its impact on dry eye syndrome.Methods A retrospective study was conducted on 102 cataract patients who underwent phacoemulsification at Nanchong Central Hospital from June 2023 to March 2024.Based on their Self-Rating Anxiety Scale(SAS)scores postoperatively,the patients were divided into an anxiety group(n=36)and a non-anxiety group(n=66).Clinical data of the two groups were compared,and multivariate logistic regression analysis was used to identify factors influencing postoperative anxiety.Additionally,the impact of anxiety on dry eye syndrome was analyzed.Results In the anxiety group,the proportions of patients with an education level of primary school or below,monthly income less than 4000 yuan,no surgical history,poor relationships with immediate family members,and bilateral cataracts were 50.00%,52.78%,86.11%,33.33%,and 88.89%,respectively,significantly higher than 21.21%,30.30%,60.61%,9.09%,and 68.18%in the non-anxiety group(P<0.05).Multivariate logistic regression analysis indicated that an education level of primary school or below,no surgical history,poor relationships with immediate family members,and bilateral cataracts were significant factors influencing postoperative anxiety(P<0.05).The incidence of dry eye syndrome in the anxiety group was 33.33%,significantly higher than 13.64%in the non-anxiety group(P<0.05).Conclusion Cataract patients are prone to anxiety after phacoemulsification,with factors including an education level of primary school or below,no surgical history,poor relationships with immediate family members,and bilateral cataracts.Postoperative anxiety in cataract patients is also associated with an increased risk of dry eye syndrome.

关 键 词：白内障 超声乳化术 焦虑 影响因素 干眼症 

分 类 号：R776.1[医药卫生—眼科]