眼科手术住院患者的心理健康状况及相关因素分析

Mental Health and Its Related Factors in Patients Admitted for Ophthalmological Surgery

目的:探讨眼科手术住院患者的心理健康状况及其相关影响因素。方法:对55名眼科住院手术患者进行抑郁自评量表(SDS)、焦虑自评量表(SAS)以及医学应对方式问卷(MCMQ)评估。结果:患者的抑郁和焦虑情绪均明显高于常模(P<0.01);男性患者MCMQ回避分显著高于女性(P<0.05);已婚患者抑郁和焦虑情绪均高于未婚者(P<0.05);术前术后患者的抑郁焦虑情绪和应对方式差异不具统计学意义(P>0.05);患者的抑郁情绪与焦虑、回避和屈服呈显著正相关(P<0.05和P<0.01);年龄与面对呈显著正相关(P<0.05);受教育年限与SDS呈显著负相关(P<0.05)。结论:眼科患者不论术前术后均有较高的抑郁、焦虑情绪和不良的应对方式;不同人口学背景的患者其情绪状况和应对方式有差异。

Objective：To explore mental health and its related factors in patients admitted for ophthalmological surgery.Methods：55 patients admitted for ophthalmological surgery were assessed by Self-rating Depression Scale（SDS）,Self-rating Anxiety Scale（SAS） and Medical Coping Model Questionnaire（MCMQ）.Results：There were significant higher scores of SDS and SAS in patients admitted for ophthalmological surgery than those of norm（P〈0.01）.Male had significantly higher score of MCMQ-avoidance（P〈0.05） and marginally higher score of MCMQ-confronce（P0.10） than female.The married patients had significant higher scores of SDS and SAS（P〈0.05） than those in unmarried patients.There were no significant differences between preoperation and postopration patients in scores of SDS,SAS and MCMQ（P〈0.05）.The severity of depression was significant positive correlation with SAS,MCMQ-confronce and avoidance（P〈0.05 and P〈0.01）.The age was positive correlation with MCMQ-confronce（P〈0.05）.The education years was negative correlation with SDS（P〈0.05）.Conclusion：The patients admitted for ophthalmological surgery were with more depressive and anxious mood and more negative coping strategies,no matter preoperatively and postoperatively.The mood state and coping strategies varied by demographic data of the patient.