老年白内障患者心理脆弱现状及其与希望水平和述情障碍的相关性

doi:10.6040/j.issn.1673-3770.0.2024.118

摘要/Abstract

摘要： 目的调查老年白内障患者心理脆弱现状,分析其与希望水平和述情障碍的相关性。方法采用便利抽样法选择2022年3月至2024年2月在江苏省人民医院收治的210例老年白内障患者为研究对象。采用一般资料调查问卷、心理脆弱量表、Herth希望量表及述情障碍量表进行调查。结果老年白内障患者心理脆弱总分为(54.56±15.31)分,希望水平总分为(29.34±7.15)分,述情障碍总分为(61.57±10.22)分。Pearson相关性分析结果显示,老年白内障患者心理脆弱各维度与希望水平呈负相关,与述情障碍呈正相关(均P<0.05)。分层回归分析结果显示,希望水平和述情障碍可独立解释老年白内障患者心理脆弱14.80%的变异(均P<0.05)。结论老年白内障患者心理脆弱处于中等表达水平,与希望水平和述情障碍相关,医务人员应关注女性、离异或丧偶、合并高度近视患者,并制定以降低患者述情障碍,提高希望水平为侧重点的干预方案,以改善患者心理健康状况。

关键词: 老年白内障, 心理脆弱, 述情障碍, 相关性

Abstract: Objective To investigate the current status of psychological vulnerability in elderly cataract patients and to analyze its correlation with hope levels and narrative disorders. Methods Convenience sampling method was used to select 210 elderly cataract patients admitted to Jiangsu Provincial People's Hospital from March 2022 to February 2024 for the study. A general information questionnaire, psychological vulnerability scale, Herth hope scale, and narrative dysphoria scale were used to investigate. Results The total score of psychological vulnerability of elderly cataract patients was(54.56±15.31), the total score of hope level was(29.34±7.15), and the total score of dysphoria was(61.57±10.22).The results of Pearson's correlation analysis showed that the dimensions of psychological vulnerability of elderly cataract patients were negatively correlated with the level of hope, and positively correlated with the dysphoria(all P<0.05). Stratified regression analysis showed that the level of hope and dysphoria independently explained 14.80% of the variance in psychological vulnerability in elderly cataract patients(both P<0.05). Conclusion The psychological vulnerability of elderly cataract patients is at a moderate level of expression, which is associated with the level of hope and dysphoria, and healthcare professionals should pay attention to female, divorced or widowed, and combined high myopia patients and develop an intervention program focusing on decreasing the dysphoria of the patients' dysphoria and increasing the level of hope in order to improve the patients' mental health status.

Key words: Senile cataract, Psychological vulnerability, Alexithymia, Correlation

中图分类号:

R473.77

孙鸿翔,曹娟. 老年白内障患者心理脆弱现状及其与希望水平和述情障碍的相关性[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 89-95.

SUN Hongxiang, CAO Juan. Status of mental fragility in elderly cataract patients and its correlation with hope level and alexithymia[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 89-95.

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