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Title

老年白内障患者术前焦虑障碍的影响因素分析 及对术后干眼症状和视觉相关生活质量的影响.

Authors

张 璐; 汪灵燕; 杨 杰; 丁 珊; 王晓凤

Abstract

Objective: To explore the influencing factors of preoperative anxiety disorder in senile cataract patients, and to observe the influence of preoperative anxiety disorder on dry eye symptoms and visual related quality of life after surgery. Methods: 100 senile cataract patients who were admitted to the ophthalmology department of Jiangsu Provincial People’s Hospital from December 2020 to May 2022 were selected as the study subjects. All patients were assessed with the State Trait Anxiety Inventory (STAI) on the first day of admission. The influencing factors of preoperative anxiety disorder in senile cataract patients were analyzed with univariate and multivariate Logistic regression analysis, and their effects on postoperative dry eye symptoms and visual related quality of life were observed. Results: Among the 100 senile cataract patients in this study, 46 patients had preoperative anxiety disorder, accounting for 46. 00%, and the average STAI score was (59. 27±3. 16) scores. There were 54 cases without preoperative anxiety disorder, accounting for 54. 00%. The average STAI score was (35. 39±5. 28) scores. Patients were divided into anxiety disorder group (n=46) and non-anxiety disorder group (n=54) according to whether there was preoperative anxiety disorder. Univariate analysis showed that the preoperative anxiety disorder of senile cataract patients was related to age, gender, education level, per capita monthly income of family, surgical history, types of combined with basic diseases, whether binocular cataract, payment method and family relationship (P<0. 05), but not related to marital status and residence (P>0. 05). The risk factors of preoperative anxiety disorder in senile cataract patients were age 60~69 years, poor family relationship, gender with female, education level of primary school or below, no surgical history, binocular cataract, and two or more types of combined with basic diseases (P<0. 05). The dry eye symptom score in the anxiety disorder group was higher than that in the non-anxiety disorder group (P<0. 05). The social role limitation, mental health status, social function, close work, general vision, remote work, peripheral vision, independence, general health status, driving, color vision, eye pain scores and total scores of the anxiety disorder group were lower than those of the non anxiety disorder group (P<0. 05). Conclusion: Age, family relationship, gender, education level, surgical history, binocular cataract, and types of combined with basic diseases are the influencing factors of preoperative anxiety disorder in senile cataract patients. In addition, the presence of preoperative anxiety disorder in elderly cataract patients will increase the risk of dry eye symptoms and reduce the visual related quality of life of patients after surgery.

Subjects

DRY eye syndromes; ANXIETY disorders; PREOPERATIVE risk factors; COLOR vision; PERIPHERAL vision; PHACOEMULSIFICATION

Publication

Progress in Modern Biomedicine, 2023, Vol 23, Issue 17, p3253

ISSN

1673-6273

Publication type

Academic Journal

DOI

10.13241/j.cnki.pmb.2023.17.010

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