家庭文持对糖尿病性视网膜病变患者心理状态和生活质量的影响

Influence of family support on psychology and life quality of patients with diabetic relinopathy

目的探讨家庭支持对糖尿疴眭视网膜病变患者心理状态和生活质量的影响。方法以问卷调查方式对86例糖尿病性视网膜病变（DR）患者的家庭支持状况、心理状况和生活质量进行调查。并进行相关性分析。结果家庭支持低分组（33例）患者中文版低视力者生活质量量表各维度得分显著低于家庭支持高分组（53例），家庭支持低分组的躯体化、强迫、人际关系、抑郁、焦虑、偏执、精神病性等因子评分及SCL-90总分显著高于家庭支持高分组。结论家庭支持有利于维持、改善患者生活质量、心理状况，医护人员应重视对DR患者家庭成员的引导和教育，增强适时改善家庭支持的意识。以保证高质量家庭支持的提供，促进患者生活质量的提高。

Objective To investigate the influence of family support on the psychology and life quality of patients with diabetic retinopathy. Methods To survey the family support status, psychological status and quality of life by the questionnaire among 86 cases of diabetic retinopathy （DR） patients and to do the correlation analysis. Results Most of the dimension scores and total score of CLVQOL of the group of low score of family support （33 cases） were significantly lower than the group of high score of family support （53 cases）. The score of somatization, compulsion, interpersonal sensitivity, depression, anxiety, paranoia, psychosis and the SCL-90 total score of family support group with low scores was significantly higher than the family support group with high scores. Conclusions The family support can help maintain and improve the quality of life and the status of mental health of patients. Health care workers should pay more attentions to the guidance and education of the DR family members of patients to enhance the awareness of timely improved family support, to ensure the provision of high quality family support and promote the quality of life of patients.