眼球摘除配戴义眼患者焦虑抑郁情绪研究及相关因素分析

发布时间：2018-05-18 03:38

本文选题：眼球摘除 + 义眼　；参考：《浙江大学》2017年硕士论文

【摘要】：目的:眼球摘除术后配戴义眼患者在生理健康和心理健康都受到不可忽视的影响。本研究目的是:评估患者义眼片满意度,焦虑、抑郁情绪及人格特质。分析患者人口统计学资料、临床资料及社会心理学资料与焦虑、抑郁情绪的相关性。方法:本研究纳入2016年1月至2016年12月于浙江大学医学院附属第二医院眼科中心中韩个性化义眼诊室就诊患者67例,采集患者人口统计学资料,临床资料,所有患者均独立完成满意度评价、医院焦虑-抑郁量表、艾森克人格量表。分析患者人口统计学资料、临床资料及满意度与焦虑、抑郁情绪的相关性,以神经质、外倾向、精神质为自变量,焦虑、抑郁为自变量进行回归分析。结果:7.5%的患者存在焦虑情绪,10.4%存在抑郁情绪。抑郁程度与患者眼球摘除原因相关,容貌缺陷引起眼球摘除的患者抑郁程度高于外伤、肿瘤。义眼片满意度平均数为7.12±2.33(满分为10分),与焦虑程度相关,满意程度越低,患者倾向于较高程度的焦虑情绪。回归分析发现,患者焦虑、抑郁程度与神经质(焦虑:β=0.490P0.001抑郁β=0.430P0.001)与外倾向(焦虑:β=-0.250P0.001抑郁β=-0.409P0.001)相关,与精神质不相关.人口统计学变量和焦虑、抑郁程度无显著相关性。结论:义眼患者存在较高比例焦虑、抑郁情绪。焦虑、抑郁程度与眼球摘除原因、义眼片满意度、神经质、及外倾向相关。临床医生可能需要关注义眼患者心理健康,必要时提供适当心理干预。
[Abstract]:Objective: the physical and mental health of patients with prosthetic eyes after enucleation is affected. The purpose of this study was to evaluate the patients' eye-prosthetic satisfaction, anxiety, depression and personality traits. To analyze the correlation of demographic data, clinical data and social psychological data with anxiety and depression. Methods: from January 2016 to December 2016, 67 patients were enrolled in the Center of Ophthalmology of the second affiliated Hospital of Zhejiang University Medical College. All patients independently completed satisfaction evaluation, hospital anxiety-depression scale, Eysenck personality scale. To analyze the correlation between patients' demographic data, clinical data and satisfaction with anxiety, depression, neuroticism, extrinsic tendency, psychoticism as independent variables, anxiety and depression as independent variables to carry out regression analysis. Results 7.5% of the patients had anxiety and 10.4% had depression. The degree of depression was related to the cause of enucleation, and the degree of depression was higher in the patients with facial defects than in the patients with trauma and tumor. The average degree of satisfaction was 7.12 卤2.33 (a full score of 10 minutes), which was related to the degree of anxiety. The lower the degree of satisfaction, the higher the degree of anxiety. Regression analysis showed that the degree of anxiety and depression was correlated with neuroticism (anxiety: 尾 -0.490P0.001, depression: 尾 -0.430P0.001) and extraversion (anxiety: 尾 -0.250P0.001, depression, 尾 -0.409, P 0.001), but not with psychoticism. There was no significant correlation between demographic variables and anxiety and depression. Conclusion: there is a high rate of anxiety and depression in patients with artificial eye. Anxiety and depression were associated with the causes of enucleation, prosthetic satisfaction, neuroticism, and extraversion. Clinicians may need to pay attention to the mental health of patients with prosthetic eyes and provide appropriate psychological intervention if necessary.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R779.6;R749

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