中国西部青光眼患者跌倒恐惧的影响因素：一项横断面研究
Influencing factors of fear of falling among glaucoma patients in west China: a cross-sectional study.
作者信息
Ren Jie, Zhang Xin, Lin Hong, Zeng Ji-Hong
机构信息
Department of Ophthalmology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China.
出版信息
Int J Ophthalmol. 2023 Apr 18;16(4):563-570. doi: 10.18240/ijo.2023.04.10. eCollection 2023.
AIM
To investigate the current situation and influencing factors of fear of falling in glaucoma patients in western China.
METHODS
In this cross-sectional study, glaucoma patients treated in the Ophthalmology Department of West China Hospital of Sichuan University were conducted to investigate the demographic data, visual acuity, visual field, activities of daily living, risk of falling, fear of falling and psychological states. Generalized linear model was used for multivariate analysis with fear of falling as dependent variable and other factors as independent variables.
RESULTS
The mean score of the Chinese version modified Fall Efficacy Scale (MFES) was 7.52±2.09 points. Univariate analysis and multivariate analysis showed that the history of falls within one year, visual acuity, visual field, risk of falling, activities of daily living and psychological states had statistically difference on fear of falling (<0.05).
CONCLUSION
Glaucoma patients in west China have relatively high risk of fear of falling. History of falling within 1y, severe visual function impairment, high risk of falling, incapable of independence of daily living, and abnormal psychological state are risk factors of fear of falling among glaucoma patients.
目的
调查中国西部青光眼患者的跌倒恐惧现状及其影响因素。
方法
在这项横断面研究中，对四川大学华西医院眼科治疗的青光眼患者进行调查，收集人口统计学数据、视力、视野、日常生活活动、跌倒风险、跌倒恐惧和心理状态等信息。以跌倒恐惧为因变量，其他因素为自变量，采用广义线性模型进行多因素分析。
结果
中文版改良跌倒效能量表（MFES）的平均得分为7.52±2.09分。单因素分析和多因素分析显示，1年内跌倒史、视力、视野、跌倒风险、日常生活活动及心理状态在跌倒恐惧方面存在统计学差异（<0.05）。
结论
中国西部青光眼患者有较高的跌倒恐惧风险。1年内跌倒史、严重视功能损害、跌倒风险高、日常生活不能自理及心理状态异常是青光眼患者跌倒恐惧的危险因素。
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