| 曹亚楠,程宇婷,李楠,贲凌燕,黄晓云.老年白内障患者合并抑郁状况及其自我感受负担的影响[J].四川精神卫生杂志,2023,36(6):497-502.Cao Ya'nan,Cheng Yuting,Li Nan,Ben Lingyan,Huang Xiaoyun,Status of depressive symptoms of senile cataract patients and the influence of self-perceived burden[J].SICHUAN MENTAL HEALTH,2023,36(6):497-502 |
| 老年白内障患者合并抑郁状况及其自我感受负担的影响 |
| Status of depressive symptoms of senile cataract patients and the influence of self-perceived burden |
| 投稿时间：2023-05-23 |
| DOI：10.11886/scjsws20230523001 |
| 中文关键词: 白内障 老年 抑郁症状 自我感受负担 术后视觉相关生活质量 |
| 英文关键词:Cataract Elderly Depressive symptoms Self-perceived burden Postoperative visual-related quality of life |
| 基金项目:2022年度江苏省老年健康科研项目（项目名称：眼科疾病患者睡眠质量与不良情绪的相关性研究，项目编号：LKM2022019） |
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| 中文摘要: |
| 背景 伴抑郁症状的老年白内障患者自我感受负担较重，术后视觉相关生活质量较无抑郁症状的患者更差，家庭负担更重。既往研究多认为家庭关系、视力等是导致老年白内障患者出现抑郁症状的主要因素，自我感受、合并疾病等对老年白内障患者心理状态的影响研究有限。目的 探讨老年白内障患者抑郁症状与自我感受负担和术后视觉相关生活质量的关系，分析患者抑郁症状的危险因素，对其进行针对性的心理干预提供参考。方法 连续纳入2020年7月1日—2022年12月31日在江苏省人民医院（南京医科大学第一附属医院）住院治疗的老年白内障患者104例，采用自编调查问卷收集患者基本资料，采用患者健康问卷抑郁量表（PHQ-9）、自我感受负担量表（SPBS）、25项美国国家眼科研究所视功能问卷（NEI-VFQ-25）评定患者抑郁症状、自我感受负担以及术后视觉相关生活质量水平。采用Pearson相关分析考查伴抑郁症状的老年白内障患者PHQ-9、SPBS、NEI-VFQ-25评分的相关性，采用Logistic回归分析老年白内障患者抑郁症状的影响因素。结果 共100例老年白内障患者完成有效问卷调查，检出31例（31.00%）患者存在抑郁症状。抑郁组SPBS评分高于无抑郁组（t=11.062，P<0.01），NEI-VFQ-25评分低于无抑郁组（t=-5.235，P<0.01）。Pearson相关分析结果显示，伴抑郁症状的老年白内障患者PHQ-9评分与SPBS评分呈正相关（r=0.485，P<0.01），与NEI-VFQ-25评分呈负相关（r=-0.440，P<0.01）。合并糖尿病（OR=1.441，P<0.01）、合并骨关节炎（OR=1.324，P<0.05）和高SPBS评分（OR=1.340，P<0.05）是老年白内障患者出现抑郁症状的危险因素。结论 老年白内障患者抑郁症状检出率较高；伴抑郁症状的老年白内障患者术后视觉相关生活质量更低；合并糖尿病、骨关节炎以及自我感受负担较重是老年白内障患者出现抑郁症状的危险因素。 |
| 英文摘要: |
| Background Elderly cataract patients with depressive symptoms have heavier self-perceived burden， and worse vision-related quality of life compared to patients without depressive symptoms， resulting in the increase of family burden. Most previous studies showed that family relationship and vision were the main factors leading to depression in elderly cataract patients， and ignored the effects of self-feeling and complicated diseases on the psychological state of elderly cataract patients.Objective To explore the relationship between depressive symptoms， self-perceived burden and postoperative vision-related quality of life in elderly cataract patients， and to analyze the risk factors of depressive symptoms. So as to provide references for targeted psychological intervention in this population.Methods A total of 104 elderly cataract patients admitted to Jiangsu Province Hospital （The First Affiliated Hospital with Nanjing Medical University） from July 1， 2020 to December 31， 2022 were included. General information， self-perceived burden and postoperative vision-related quality of life were investigated by self-designed questionnaire， Patients' Health Questionnaire depressive Scale-9 item （PHQ-9）， Self-Perceived Burden Scale （SPBS） and National Eye Institute Visual Function Questionnaire-25 （NEI-VFQ-25）. Pearson correlation analysis was performed to analyze the correlation among PHQ-9， SPBS and NEI-VFQ-25 scores. Logistic regression analysis was used to analyze the influencing factors of depressive symptoms in eldery cataract patients.Results A total of 100 elderly cataract patients completed an effective questionnaire survey. Among the participants， 31 cases （31.00%） were found to have depressive symptoms. The depressive group exhibited significantly higher SPBS score （t=11.062， P<0.01） and significantly lower NEI-VFQ-25 score （t=-5.235， P<0.01） than those of the non-depressive group. Pearson correlation analysis showed a positive correlation between PHQ-9 and SPBS score （r=0.485， P<0.01）， and a negative correlation between PHQ-9 and NEI-VFQ-25 score （r=-0.440， P<0.01）. Complicated with diabetes （OR=1.441， P<0.01）， osteoarthritis （OR=1.324， P<0.05） and high SPBS score （OR=1.340， P<0.05） were risk factors of depressive sympptoms in elderly cataract patients.Conclusion The detection rate of depressive symptoms in elderly cataract patients is higher， and postoperative vision-related quality of life in elderly cataract patients complicated with depressive symptoms is poor. Risk factors include diabetes， osteoarthritis and high self-perceived burden. ［Funded by 2022 Jiangsu Province Elderly Health Scientific Research Project （number， LKM2022019）］ |
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