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接受眼球摘除手术患者的焦虑、抑郁、自尊及生活质量评估

Assessment of Anxiety, Depression, Self-Esteem, and Quality-of-Life in Patients Undergoing Surgical Removal of an Eye.

作者信息

Dirim Ayse Burcu, Turker Ibrahim Cagri, Besirli Asli, Ozturk Mine, Yesilkaya Elif Ceren, Kutucu Oguz Kaan, Oskan Ekin Ece

机构信息

Department of Ophthalmology, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

Department of Psychiatry, Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

出版信息

Beyoglu Eye J. 2024 Jun 1;9(2):86-94. doi: 10.14744/bej.2024.05826. eCollection 2024.

Abstract

OBJECTIVES

The objective of this study was to compare anxiety, depression, self-esteem, and quality of life in patients who underwent surgical removal of an eye with those of controls as well as to test the correlations of these variables in both groups.

METHODS

Beck anxiety inventory (BAI), Beck depression inventory (BDI), 36-item short-form health survey (SF-36), and Rosenberg self-esteem scale were administered to 29 patients with surgical removal of an eye and 30 control subjects.

RESULTS

The patient group had significantly lower scores on physical functioning, role limitations due to physical and emotional problems, pain, and general health perception domains of SF-36, as well as significantly higher BDI (p=0.004) scores as compared to controls. The study groups did not differ significantly with respect to BAI scores and energy/vitality, mental health, and social functioning domain scores of SF-36 (p>0.05).

CONCLUSION

This population of monocular patients had similar mental health-related and Beck's Anxiety Inventory scores equivalent to the control group despite the surgical removal of one eye. However, lower scores for some SF-36 domains and higher depression levels in this patient group suggest that psychiatric rehabilitation should be considered after eye removal to improve the psychological outcomes and quality of life in these patients.

摘要

目的

本研究的目的是比较接受眼球摘除手术的患者与对照组在焦虑、抑郁、自尊和生活质量方面的差异,并检验两组中这些变量之间的相关性。

方法

对29例接受眼球摘除手术的患者和30例对照者进行贝克焦虑量表(BAI)、贝克抑郁量表(BDI)、36项简短健康调查问卷(SF-36)和罗森伯格自尊量表测试。

结果

与对照组相比,患者组在SF-36的身体功能、因身体和情感问题导致的角色限制、疼痛和总体健康感知领域得分显著更低,BDI得分也显著更高(p=0.004)。研究组在BAI得分以及SF-36的精力/活力、心理健康和社会功能领域得分方面差异不显著(p>0.05)。

结论

尽管摘除了一只眼睛,但该单眼患者群体的心理健康相关指标和贝克焦虑量表得分与对照组相似。然而,该患者组在某些SF-36领域得分较低且抑郁水平较高,这表明在眼球摘除术后应考虑进行精神康复治疗,以改善这些患者的心理状况和生活质量。

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