COVID-19疫情期间不同类型白内障术后早期患者幸福感调查及影响因素分析

Analysis of influencing factors and General Well-Being Schedule evaluation in early-postoperative cataract patients during the COVID-19 epidemic

目的:了解疫情期间延迟复诊后,不同类型白内障术后早期患者的总体幸福感及影响因素,为疫情期后不同类型白内障患者术后早期医疗护理提供依据。方法:纳入2020年3至4月期间在中山大学中山眼科中心行白内障手术后3个月内、且因疫情延迟了正常术后复诊的老年性白内障患者50例、并发性白内障患者48例,使用总体幸福感量表中国修订版进行回顾性评估,采用独立样本t检验比较老年性和并发性白内障患者幸福感差异,采用线性回归分析幸福感影响因素。结果:新冠疫情期间,老年性白内障组总体幸福感得分高于并发性白内障组(P<0.05)。老年性白内障组精力、心情忧郁或愉快、对情感和行为的控制及松弛或紧张4个方面的得分较并发性白内障组高(均P<0.05)。年收入是影响老年性白内障组在疫情期间总体幸福感的主要因素(P<0.05),对睡眠的满意程度、对视力的满意程度是影响并发性白内障组在疫情期间总体幸福感的主要因素(P<0.05)。性别、年龄、学历、婚姻状况、职业状态、年收入、术眼视力、户外时间等因素对白内障术后患者的总体幸福感得分的影响差异无统计学意义(P>0.05)。结论:新冠疫情期间老年性白内障术后患者的总体幸福感高于并发性白内障。白内障的不同类型、对睡眠和视力的满意程度是影响白内障术后早期患者总体幸福感的主要因素。在疫情期后,在复查的医护工作中应特别关注并发性白内障术后早期患者的视力恢复情况和睡眠质量。

Objective:To evaluate the general well-being and its associated factors for the early-postoperative patients with different types of cataract during the epidemic of corona virus disease 2019(COVID-19),and to provide reference for early postoperative medical care for cataract patients after the COVID-2019 epidemic.Methods:During March to April 2020,98 patients who met the inclusion criteria were randomly selected from the follow-up patients within 3 months after cataract surgery in our hospital.The retrospective subjective evaluation was conducted with the Chinese modified version of the General Well-Being Scale(GWB).The independent T-test was used to compare the difference of well-being between senile cataract and complicated cataract,and the linear regression analysis was used to analyze the associated factors of well-being.Results:The well-being scores of patients with senile cataract were higher than those of patients with complicated cataract(P<0.05).The scores of energy,melancholy or happy mood,control of emotion and behavior and relaxation or tension in patients with senile cataract were higher than those of patients with complicated cataract(all P<0.05).The annual income was the main factor that affected the general well-being of patients with senile cataract(P<0.05),and the satisfaction with sleep quality and vision was the main factor(P<0.05)that affected the overall well-being in the complicated cataract group.Gender,age,education background,marital status,occupational status,annual income,visual acuity,outdoor time and other factors had no significant effect on the overall wellbeing score of postoperative cataract patients(all P>0.05).Conclusion:The types of cataracts,satisfaction with sleep and vision are the main factors that affect the general well-being of early-postoperative cataract patients.After the COVID-2019 epidemic,it is crucial to pay attention to the vision prognosis and sleep quality of earlypostoperative patients with complicated cataract,aiming to improve their general well-being levels.