全飞秒近视激光手术术前焦虑情绪现状及影响因素调查

Survey On the Current Status of Preoperative Anxiety and Factors Affecting Preoperative Anxiety in Full Femtosecond Myopic Laser Surgery

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

沧州市人民医院 眼科

摘要
【摘要】目的 探讨全飞秒近视激光手术术前焦虑情绪现状及影响因素。方法 纳入2021年2月-2024年1月92例近视患者,采用全飞秒近视激光手术治疗,术前采用汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)评估焦虑情绪,调查婚姻、性别、近视程度等临床资料,采用单因素与多因素logistic回归分析术前焦虑情绪的影响因素。结果 92例患者中37例具有明显的焦虑情绪,焦虑率40.22%;单因素logistic回归分析显示,性别、婚姻、学历、近视程度、有无亲属陪护、手术侧别、失眠与术前焦虑情绪显著相关(P<0.05),年龄、居住地与术前焦虑情绪无相关性(P>0.05);多因素logistic回归分析显示,初中及以下学历、重度近视、无亲属陪伴、失眠是术前焦虑情绪的影响因素,单侧手术的保护因素,(P<0.05),性别、婚姻是无关因素(P>0.05)。结论 全飞秒近视激光手术术前容易出现焦虑情绪,低学历、重度近视等会增加焦虑情绪发生风险,可采用针对性干预措施减轻术前焦虑。
Abstract
[Abstract] Objective To investigate the current status of preoperative anxiety and factors affecting preoperative anxiety in full femtosecond myopic laser surgery. Methods Ninety-two myopic patients were included from February 2021 to January 2024, who were treated with full femtosecond myopic laser surgery, and preoperative anxiety was assessed by Hamilton anxiety scale (HAMA), and clinical data such as marriage, gender, and degree of myopia were investigated. The influencing factors of preoperative anxiety were analyzed using unifactorial and multifactorial logistic regression. Results Thirty-seven of the 92 patients had significant anxiety, with an anxiety rate of 40.22%. Univariate logistic regression analysis showed that gender, marriage, education, degree of myopia, presence of relatives accompanying the patient, side of surgery, and insomnia were significantly correlated with preoperative anxiety (P<0.05). Age and place of residence were not correlated with preoperative anxiety (P>0.05). Multifactorial logistic regression analysis showed that junior high school education and below, severe myopia, no relatives accompanying, and insomnia were influential factors for preoperative anxiety, protective factors for unilateral surgery (P<0.05), and gender and marriage were irrelevant factors (P>0.05). Conclusion Full femtosecond myopic laser surgery is prone to preoperative anxiety. Low education and severe myopia increase the risk of anxiety, and targeted interventions can be used to reduce preoperative anxiety.
关键词
关键词:全飞秒近视激光手术;术前焦虑情绪;影响因素
KeyWord
Key words Full Femtosecond Myopic Laser Surgery; Preoperative Anxiety; Influencing Factors
基金项目
页码 591-593
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张娟. 全飞秒近视激光手术术前焦虑情绪现状及影响因素调查 [J]. 国际精神病学杂志. 2025; 52; (2). 591 - 593.

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