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目的:探讨糖尿病视网膜病变(diabetic retinopathy,DR)患者行玻璃体切割术围术期内焦虑、抑郁状态及其影响因素。方法:选择我院行玻璃体切割术50例DR患者为手术组,选取无需进行手术治疗DR患者50例为对照组,均进行问卷调查。结果:手术组患者焦虑、抑郁发生率和评分均高于对照组,社会支持评分低于对照组(P均<0.05)。所有患者焦虑总分和抑郁总分均与社会支持总分和积极应对总分呈负相关,与消极应对总分呈正相关(P均<0.05)。影响DR患者焦虑的因素为手术、应对方式、性别;影响DR患者抑郁的因素为手术、应对方式、客观支持、血压。结论:DR行玻璃体切割术会增加患者的焦虑、抑郁水平,在医疗工作中更应针对接受手术的女性、血压高、应对水平不当的患者进行干预。
Objective: To investigate the perioperative anxiety and depression status of vitreoretinopathy in patients with diabetic retinopathy (DR) and its influencing factors. Methods: Fifty patients with DR who underwent vitrectomy in our hospital were selected as the operation group. Fifty patients without DR were selected as the control group, and questionnaires were conducted. Results: The incidence of anxiety and depression in the operation group was higher than that in the control group, and the social support score was lower than that in the control group (all P <0.05). Total anxiety scores and total depression scores of all patients were negatively correlated with total social support scores and positive coping scores, and negative coping scores with total score (all P <0.05). The factors influencing the anxiety of patients with DR were surgery, coping style and gender. The factors affecting the DR patients’ depression were surgery, coping style, objective support and blood pressure. Conclusions: The vitrectomy with DR can increase the anxiety and depression of the patients, and should be taken into consideration in the medical work for the women who undergo surgery, high blood pressure and inappropriate coping levels.