摘要
目的:探讨老年青光眼伴视野缺损患者反刍性沉思调查现状、危险因素及护理对策.方法:选取2021年4月-2022年10月安阳市眼科医院收治的126例老年青光眼伴视野缺损患者作为研究对象.所有患者均接受事件相关反刍性沉思问卷(ERRI)调查,并进行单因素分析与多元线性回归分析.结果:126例老年青光眼伴视野缺损患者的ERRI得分为(29.95±5.73)分,;意外伤害频率≥3次、低心理韧性水平、低社会支持度水平、未接受机能保健患者的目的性反刍性沉思得分更低,差异有统计学意义(t=2.617、4.224、2.492,P＜0.05),意外伤害频率≥3次、家庭月收入＜5 000元、文化水平初中及以下、有焦虑情绪、低心理韧性、低社会支持度、未接受机能保健患者的侵入性反刍性沉思得分更高,差异有统计学意义(t=5.289、2.899、7.149、9.902、5.617、9.917、2.410,P＜0.05);多元线性回归分析结果显示,意外伤害频率高、家庭月收入低、低文化水平、有焦虑情绪、低心理韧性、低社会支持度、未接受机能保健是影响老年青光眼伴视野缺损患者反刍性沉思的独立危险因素(P＜0.05).结论:老年青光眼伴视野缺损患者的反刍性沉思处于中等水平,其危险因素包括意外伤害频率高、家庭月收入低、低文化水平、有焦虑情绪、低心理韧性、低社会支持度、未接受机能保健,需根据上述因素制定针对性的护理对策进行干预.
Abstract
Objective:To explore the current status,risk factors,and nursing strategies of rumination in elderly glaucoma patients with visual field defects.Methods:A total of 126 elderly patients with glaucoma and visual field defects who were admitted in Henan Anyang Ophthalmology Hospital from April 2021 to October 2022 were selected.All patients received the ERRI survey and underwent univariate analysis and multiple linear regression analysis.Results:The total ERRI score of 126 elderly glaucoma patients with visual field defects was(29.95±5.73).The purposeful ruminant meditation scores of patients with accidental injury frequency ≥3 times,low level of psychological resilience,low level of social support,and not receiving functional health care were lower(t=2.617,4.224,2.492;P＜0.05).The invasive ruminant meditation scores of patients with accidental injury frequency≥3 times,family monthly income＜5000 yuan,junior high school education level and below,anxiety,low psychological resilience,low social support,and not receiving functional health care were higher(t=5.289,2.899,7.149,9.902,5.617,9.917,2.410;P＜0.05).Multiple linear regression analysis showed that high frequency of accidental injuries,low monthly family income,low educational level,anxiety,low psychological resilience,low social support,and failure to receive functional health care were independent risk factors for ruminant meditation in elderly glaucoma patients with visual field defect(P＜0.05).Conclusion:The ruminant meditation of the elderly glaucoma patients with visual field defect is in the middle level.Its risk factors include high frequency of accidental injury,low monthly family income,low educational level,anxiety,low psychological resilience,low social support,and failure to accept functional health care.Targeted nursing strategies should to be developed based on the above factors for intervention.
维普
万方数据