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100例患者在使用低视力护理前后的医院焦虑抑郁量表评估:一项在三级眼科护理机构的前瞻性研究。

Hospital anxiety and depression scale assessment of 100 patients before and after using low vision care: A prospective study in a tertiary eye-care setting.

作者信息

Rishi Pukhraj, Rishi Ekta, Maitray Aditya, Agarwal Ashutosh, Nair Sridevi, Gopalakrishnan Sarika

机构信息

Shri Bhagwan Mahavir Vitreoretinal Services, Chennai, Tamil Nadu, India.

Low Vision Care Clinic, Chennai, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2017 Nov;65(11):1203-1208. doi: 10.4103/ijo.IJO_436_17.


DOI:10.4103/ijo.IJO_436_17
PMID:29133652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5700594/
Abstract

PURPOSE: Assessment of anxiety and depression in patients attending low vision care (LVC) using Hospital Anxiety and Depression Scale (HADS). METHODS: In this prospective, observational study, 100 patients with best-corrected visual acuity (BCVA) worse than 6/18 in the better eye or limitation of field of vision to <10° from center of fixation were assessed on the depression and anxiety subscales of HADS questionnaire before and after LVC. HADS is a 14-item scale with seven items each for anxiety and depression subscales. Scoring for each item ranges from zero to three. A subscale score >8 denotes anxiety or depression. RESULTS: Mean age at presentation was 38.2 years. Mean duration of symptoms was 9.6 years. Underlying etiology of visual impairment included retinal dystrophy/degeneration (n = 35), disorders of the optic nerve (n = 17), glaucoma (n = 10), diabetic retinopathy (n = 9), age-related macular degeneration (n = 5), uncorrected refractive errors (n = 5), and miscellaneous diseases (n = 19). Mean presenting BCVA in the better eye was 0.83 (±0.64) which improved significantly to 0.78 (±0.63) after LVC (P < 0.001). The HADS-Depression subscale score was comparable for severity of visual impairment for both distance (P = 0.57) and near vision (P = 0.61). Similarly, HADS-Anxiety scores were also comparable for severity of distance (P = 0.34) and near-visual impairment (NVI; P = 0.50). At baseline, mean HADS-Depression and HADS-Anxiety scores were 8.4 (±3.7) and 9.6 (±4.3) points, which improved significantly to 6.0 (±3.4) and 6.7 (±3.7), respectively, after low-vision correction (P < 0.001). CONCLUSION: Low vision correction can significantly improve anxiety and depression indicators in visually impaired patients.

摘要

目的:使用医院焦虑抑郁量表(HADS)评估低视力护理(LVC)患者的焦虑和抑郁情况。 方法:在这项前瞻性观察研究中,对100例最佳矫正视力(BCVA)较差眼低于6/18或视野范围从注视中心起小于10°的患者,在低视力护理前后使用HADS问卷的抑郁和焦虑分量表进行评估。HADS是一个包含14个条目的量表,焦虑和抑郁分量表各有7个条目。每个条目的评分范围为0至3分。分量表得分>8表示存在焦虑或抑郁。 结果:就诊时的平均年龄为38.2岁。症状的平均持续时间为9.6年。视力损害的潜在病因包括视网膜营养不良/变性(n = 35)、视神经疾病(n = 17)、青光眼(n = 10)、糖尿病视网膜病变(n = 9)、年龄相关性黄斑变性(n = 5)、未矫正的屈光不正(n = 5)以及其他杂症(n = 19)。较好眼的初始平均BCVA为0.83(±0.64),低视力护理后显著提高至0.78(±0.63)(P < 0.001)。HADS抑郁分量表得分在远视力(P = 0.57)和近视力(P = 0.61)的视力损害严重程度方面具有可比性。同样,HADS焦虑得分在远视力(P = 0.34)和近视力损害(NVI;P = 0.50)严重程度方面也具有可比性。在基线时,HADS抑郁和HADS焦虑的平均得分分别为8.4(±3.7)分和9.6(±4.3)分,低视力矫正后分别显著改善至6.0(±3.4)分和6.7(±3.7)分(P < 0.001)。 结论:低视力矫正可显著改善视力受损患者的焦虑和抑郁指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc9/5700594/4f40ad66aeac/IJO-65-1203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc9/5700594/4f40ad66aeac/IJO-65-1203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc9/5700594/4f40ad66aeac/IJO-65-1203-g001.jpg

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