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老年患者白内障手术前后精神症状、躯体症状与视力之间的相关性

Correlation between psychic and somatic symptoms and vision in aged patients before and after a cataract operation.

作者信息

Fagerström R

机构信息

Psychiatric Department, Mehiläinen Clinic, Helsinki, Finland.

出版信息

Psychol Rep. 1991 Dec;69(3 Pt 1):707-21. doi: 10.2466/pr0.1991.69.3.707.

DOI:10.2466/pr0.1991.69.3.707
PMID:1784654
Abstract

The connection between psychic and somatic symptoms with vision was investigated by studying 100 cataract operation patients, aged 71 to 76 years, 25 of them being men and 75 women. The investigations were conducted one day before the operation and three months afterwards. The cataract operation restored sufficient acuity of vision for reading (minimum E-test value 0.40) to 79% of the old people. Psychic symptoms were tested with the Brief Psychiatric Rating Scale, Mini-Mult MMPI, and direct questions. Somatic symptoms were studied through questionnaires. Psychic symptoms showed a statistically significant correlation with vision before the cataract operation but not afterwards. Psychic symptoms increased with deterioration of the acuity of vision and diminished when the acuity of vision improved. Somatic symptoms did not show similar association with vision but the symptoms were significantly alleviated after the cataract operation. Restoration of vision through the cataract operation normalized the old people's psychic condition and reduced their somatic symptoms to correspond with their prior chronic diseases.

摘要

通过对100名年龄在71至76岁之间的白内障手术患者进行研究,探讨了心理症状和躯体症状与视力之间的联系。其中25名男性,75名女性。研究在手术前一天和术后三个月进行。白内障手术使79%的老年人恢复了足够的阅读视力(最小E字视力表值为0.40)。使用简明精神病评定量表、简明MMPI和直接提问来测试心理症状。通过问卷调查研究躯体症状。心理症状在白内障手术前与视力存在统计学上的显著相关性,但术后则无。心理症状随着视力 acuity的下降而增加,随着视力 acuity的改善而减少。躯体症状与视力没有类似的关联,但在白内障手术后症状明显减轻。通过白内障手术恢复视力使老年人的心理状况正常化,并将他们的躯体症状减轻到与之前的慢性疾病相符的程度。 (注:这里的“acuity”原文拼写有误,应该是“acuity”,意为“敏锐度、视力” )

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