Day Ward Glaucoma Patients Have Lower Depression Levels and Higher Glaucoma Knowledge Levels than Inpatients

Day Ward Glaucoma Patients Have Lower Depression Levels and Higher Glaucoma Knowledge Levels than Inpatients
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与住院患者相比,日间病房青光眼患者的抑郁水平较低,青光眼知识水平较高

DOI:
10.1155/2019/4182030
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发表时间:
2019-09
影响因子:
1.9
通讯作者:
林明楷
林明楷
中科院分区:
医学4区
文献类型:
--
作者:
肖慧明;黄文敏;覃曦;左成果;林明楷

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心理因素和青光眼知识与青光眼治疗效果密切相关。背景:比较青光眼日间病例患者和住院患者的焦虑、抑郁水平和青光眼知识的研究有限。设计随机临床试验。参与者前瞻性纳入接受手术的连续性患者。方法将患者随机分为日间病例组和住院病例组。所有患者均接受相应的治疗、护理和教育程序。所有参与者在入院时完成一般状况问卷、医院焦虑和抑郁量表(HADS)和灰色青光眼知识问卷(GGKQ),在出院时完成HADS和GGKQ。主要结果测量一般状况问卷、HADS和GGKQ的评分。结果共纳入216例患者,其中日间病房患者119例,住院患者97例。两组基线人口学资料及临床资料比较差异无统计学意义(P > 0.05)。两组患者的焦虑、抑郁和GGKQ评分无显著差异(P > 0.05)。出院前两组患者HADS-A评分差异无统计学意义,但日间住院患者HADS-D评分明显低于出院前(α = 0.05,P < 0.001),GGKQ评分明显高于出院前(α = 0.05,P < 0.001)。结论与相关性日间病房患者抑郁水平较低,青光眼知识水平较高。
Importance Psychological factors and glaucoma knowledge are closely related to the effects of glaucoma treatment. Background Studies comparing anxiety and depression levels and glaucoma knowledge between glaucoma day-case patients and inpatients are limited. Design Randomized clinical trial. Participants Consecutive patients undergoing surgery were prospectively enrolled. Methods Patients were randomized into the day-case group or the inpatient group. All of the patients underwent corresponding procedures for treatment, care, and education. All participants were asked to complete the General Condition Questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Gray Glaucoma Knowledge Questionnaire (GGKQ) at admission and the HADS and GGKQ at discharge. Main Outcome Measures The scores for the General Condition Questionnaire, the HADS, and the GGKQ. Results In total, 216 patients were enrolled in this study, including 119 day ward patients and 97 inpatients. There were no significant differences between the two groups in terms of their baseline demographic and clinical data (P > 0.05). The baseline HADS-anxiety (HADS-A), HADS-depression (HADS-D), and GGKQ scores were similar in both groups (P > 0.05). Before discharge, the difference in HADS-A scores between the two groups was not significant; however, the HADS-D scores of the day-case inpatients were significantly lower (α = 0.05, P < 0.001), and the GGKQ scores of day-case inpatients were significantly higher than those of the inpatients before discharge (α = 0.05, P < 0.001). Conclusions and Relevance Day ward patients had lower levels of depression and higher levels of glaucoma knowledge.
DOI: 10.2147/opth.s117704
发表时间: 2016
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