青光眼手术病人围手术期心理状态及其影响因素分析

目的:分析青光眼手术病人围手术期心理状态,并探讨其影响因素.方法:选取手术治疗的85例青光眼病人为观察组,并以85例同期住院非手术病人为对照组,采用综合医院焦虑抑郁量表(HAD)量表评估观察组术前、术后1周、2周及对照组的心理状态,然后将观察组中不同年龄、性别与文化程度者不同时间的HAD量表评估结果进行比较.结果:与对照组比较,观察组术前、术后1周的HAD量表评分均有升高(P<0.01),术后2周与对照组差异无统计学意义(P>0.05).观察组中,<60岁的病人术前、术后1周的HAD量表评分均高于≥60岁的病人(P<0.01),而术后2周两个年龄段病人之间差异无统计学意义(P>0.05);小学与初中文化程度病人术前、术后1周及2周的HAD量表评分均高于中专和以上病人(P<0.01);男女病人不同时间的HAD量表评分差异均无统计学意义(P>0.05).结论:青光眼手术病人围手术期心理状态相对较差,且心理状态受年龄与文化程度的影响也较大.

The psychology status of patients with glaucoma during the perioperative period and its influencing factor analysis

Objective:To investigate the psychology status of patients with glaucoma during the perioperative period, and its influencing factors. Methods:Eighty-five glaucoma patients with operation, and 85 cases without operation were divided into the observation group and control group. The psychology status in observation group before operation,after 1 and 2 weeks of operation,and control group were evaluated using Anxiety and Depression Scale( HAD) . The HAD score in observation group at different ages,genders and education degree were compared. Results:Compared with control group,the HAD scores in observation group before operation and after 1 week of operation increased(P<0. 01),and the difference of the HAD score between the observation group after 2 weeks of operation and control group was not statistically significant(P>0. 05). Among the observation group,the HAD score in patients <60 years old was higher than that in patients ≥60 years old before operation and after 1 week of operation(P<0. 01),and the difference of the HAD score between two age groups after 2 weeks of operation was not statistically significant(P>0. 05). The scores of HAD in patients with primary and lower secondary education level before operation and after 1 week of operation were higher than that in patients with secondary and above level(P<0. 01),and the difference of the HAD score at different time between male and female was not statistically significant(P>0. 05). Conclusions:The psychology status of patients with glaucoma during the perioperative period is relatively bad,and the influence of age and education degree of patients is great.