| Objective To investigate the anxiety status of patients undergoing vitrectomy for diabetic retinopathy, and to analyze its influence on blood glucose control. Methods 80 patients with diabetic retinopathy who were admitted to Jiangsu Province People''s Hospital from January 2020 to December 2020 were selected, all patients underwent vitrectomy, the degree of anxiety was assessed by self rating Anxiety Scale (SAS) at 2 ~ 3 days after operation, the patients were divided into anxiety group (SAS score ≥ 50 scores) and non-anxiety group (SAS score < 50 scores). Multivariate Logistic regression was used to analyze the influencing factors of anxiety. The fasting insulin (FINS), C-peptide, fasting plasma glucose (FPG), 2h postprandial blood glucose (2hPG) and glycosylated hemoglobin (HbA1c) levels were compared between the two groups. Pearson correlation coefficient was used to analyze the correlation between SAS score and blood glucose level. Results The SAS score of 80 patients with diabetic retinopathy and vitreous body resection was 36~67 scores, with an average of (48.35±9.18) scores, of which 22 cases were SAS score≥50 scores, and the incidence of anxiety was 27.50%. The educational level below the junior college, the average monthly income of the family ＜6000 yuan, and the duration of diabetes mellitus ≥ 8 years were risk factors for anxiety in patients undergoing vitrectomy for diabetic retinopathy (P<0.05). The FPG, 2hPG, FINS, C peptide and HbA1c levels in anxiety group were higher than those in non-anxiety group (P<0.05). The SAS score of patients undergoing vitrectomy for diabetic retinopathy was positively correlated with FPG, 2hPG, FINS, C peptide and HbA1c level (r =0.468, 0.509, 0.538, 0.609, 0.637, all P<0.05). Conclusion The incidence of anxiety in patients undergoing vitrectomy for diabetic retinopathy is higher. Education level, income level and duration of diabetes are the influencing factors of anxiety, anxiety will affect the blood glucose control level of patients, clinical should be targeted to formulate prevention and treatment measures. |
