Illness uncertainty, anxiety and depression in Chinese patients with glaucoma or cataract.

Illness uncertainty, anxiety and depression in Chinese patients with glaucoma or cataract.
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中国青光眼或白内障患者的疾病不确定性、焦虑和抑郁

DOI:
10.1038/s41598-018-29489-1
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发表时间:
2018-08-03
期刊:
影响因子:
4.6
通讯作者:
Ge J
Ge J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Zhang D;Fan Z;Gao X;Huang W;Yang Q;Li Z;Lin M;Xiao H;Ge J

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本研究评估了中国青光眼和白内障患者的疾病不确定感、焦虑和抑郁。2013年10月至2016年3月,从中山眼科中心依次招募了263例原发性青光眼患者和100例年龄相关性白内障患者。所有受试者均填写社会人口学资料问卷、Mishel疾病不确定感量表(MUIS)和医院焦虑抑郁量表(HADS)。263例青光眼患者中有25例和100例白内障患者中有21例在手术前后完成了两份相同的问卷。采用SPSS17.0软件进行统计学分析。我们观察到青光眼患者的MUIS和HADS评分高于白内障患者。多因素Logistic回归分析显示青光眼患者疾病不确定感、焦虑和抑郁的危险因素分别为HADS评分高、较好眼视力差和文化程度。白内障患者相同参数的危险因素分别为HADS-A评分高、较好眼视力差和疾病不确定性高。术后MUIS和HADS评分均下降,但青光眼患者HADS评分变化不明显。临床工作者应考虑这些因素,以改善治疗,特别是对青光眼患者谁接受手术。
This study evaluated illness uncertainty, anxiety and depression among glaucoma patients and cataract patients in China. 263 patients with primary glaucoma and 100 patients with age-related cataract were recruited sequentially from Zhongshan Ophthalmic Center between October 2013 and March 2016. All the participants completed questionnaires for socio-demographic information, Mishel Uncertainty in Illness Scale (MUIS) and Hospital Anxiety and Depression Scale (HADS). 25 of the 263 glaucoma patients and 21 of the100 cataract patients finished two copies of the same questionnaires before and after surgery. Statistics were analyzed using SPSS17.0 software. We observed that glaucoma patients had higher MUIS and HADS score than did cataract patients. Multivariate logistic regression analysis indicated risk factors for illness uncertainty, anxiety and depression for glaucoma patients were high HADS score, poor visual acuity (VA) in the better eye and education level respectively. Risk factors for the same parameters of cataract patients were high HADS-A score, poor VA in the better eye and high illness uncertainty respectively. Scores of MUIS and HADS both decreased after surgery, but the change in HADS score among glaucoma patients was not significant. Clinical workers should take these factors into account to improve therapy, especially for glaucoma patients who undergo surgery.
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