摘要
目的评价原发性闭角型青光眼患者抑郁、焦虑心理状况并分析其影响因素。方法收集2009年6—12月就诊于两院青光眼门诊确诊为原发性闭角型青光眼的60例患者,采用综合医院焦虑抑郁量表(HADS)评估患者焦虑、抑郁症状,记录患者性别、年龄、文化程度、职业、经济状况、家族史、婚姻等一般情况,青光眼术后1个月再次评定患者焦虑、抑郁情况,采用青光眼生活质量-15(GQL15)评估青光眼患者生活质量情况,分析抑郁、焦虑症状的影响因素。结果原发性闭角型青光眼患者抑郁、焦虑状态发生率分别为36.7%(22/60)、26.7%(16/60),抑郁和焦虑共存的发生率为13.3%(8/60)。抑郁、焦虑症状呈正相关(P<0.05),并与患者视觉生活质量评分、病程、年龄等方面呈正相关(P<0.05),与平均月收入呈负相关(P<0.05),与性别、文化程度无相关性(P>0.05)。通过小梁滤过手术干预,患者焦虑、抑郁状态均有明显好转,与治疗前相比差异均有统计学意义(P<0.05)。结论原发性闭角型青光眼有较高的抑郁、焦虑阳性率,抑郁、焦虑症状呈正相关,两者均与患者生活质量评分、病程、年龄、平均月收入、手术等方面紧密相关。
Objective To evaluate anxiety and depression symptoms in patients with primarily angle-closure glaucoma（PACG） and investigate the influencing factors.Methods Sixty PACG patients diagnosed definitely in outpatient departments of two hospitals were selected from June to December 2009.The Hospital Anxiety and Depression Scale（HADS） was taken to assess the anxiety and depression symptoms.The general conditions of the patients of gender,age,education,occupation,economic sate,family history,and marriage were recorded.On year after the patients underwent the glaucoma surgery,the anxiety and depression conditions were assessed once more.Glaucoma Quality of Life-15（GQL-15） was used to evaluate the quality of life analyze the influencing factors.Results The occurrence rates of depression and anxiety were 36.7%（22/60） and 26.7%（16/60） respectively.The prevalence of mixed depression and anxiety was 13.3%（8/60）.There was a positive correlation between depression and anxiety（P〈0.05）.And the depression and anxiety were positively correlated with the quality of life,course of disease,and age（P〈0.05）;negatively correlated with average income monthly（P〈0.05）,and not correlated with the gender and education level（P〉0.05）.Significant improvements were noted after trabeculectomy surgery in anxiety and depression scores（P〈0.05）.Conclusion There are high positive anxiety and depression rates in PACG patients.Anxiety score is positively correlated with depression score.Both anxiety and depression scores are closely related with the quality of life score,course,age,monthly income and surgery intervention in PACG patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第10期1124-1126,1129,共4页
Chinese General Practice
基金
国家自然科学基金(81160118)
江西省科技支撑计划项目(20111BBG70026-2)
江西省自然科学基金(20114BAB215029)
江西省卫生厅科技计划面上项目(20121026)
江西省教育厅青年科学基金项目(JJJ12158)
关键词
青光眼
抑郁
焦虑
影响因素
Glaucoma
Depression
Anxiety
Influencing factors
