文章摘要
糖尿病视网膜病变玻璃体切割术患者焦虑状况调查及对血糖控制的影响
Investigation of Anxiety Status in Patients Undergoing Vitrectomy for Diabetic Retinopathy and its Influence on Blood Glucose Control
投稿时间:2022-04-06  修订日期:2022-04-06
DOI:
中文关键词: 糖尿病视网膜病变  玻璃体切割术  焦虑情绪  血糖水平  影响因素
英文关键词: Diabetic retinopathy  Vitrectomy  Anxiety  Blood glucose level
基金项目:江苏省自然科学基金项目(BK201606415)
作者单位邮编
陈丹丹 江苏省人民医院眼科 210000
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中文摘要:
      目的 调查糖尿病视网膜病变玻璃体切割术患者的焦虑状况,并分析其对血糖控制的影响。方法 选择2020年1月至2020年12月江苏省人民医院眼科收治的80例糖尿病视网膜病变患者,均行玻璃体切割术治疗,术后2~3天采用焦虑自评量表(SAS)评估患者焦虑程度,并将患者分为焦虑组(SAS评分≥50分)和无焦虑组(SAS评分<50分),采用多因素Logistic回归分析发生焦虑的影响因素,比较两组空腹胰岛素(FINS)、C肽、空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)水平,采用Pearson相关系数分析SAS评分与血糖水平的相关性。结果 80例糖尿病视网膜病变玻璃体切割术患者SAS得分36~67分,平均(48.35±9.18)分,其中22例SAS评分≥50分,焦虑发生率为27.50%。大专以下文化程度、家庭平均月收入<6000元、糖尿病病程≥8年是糖尿病视网膜病变玻璃体切割术患者发生焦虑的危险因素(P<0.05)。焦虑组患者的FPG、2hPG、FINS、C肽、HbA1c水平均高于无焦虑组患者(P<0.05)。糖尿病视网膜病变玻璃体切割术患者的SAS评分与FPG、2hPG、FINS、C肽、HbA1c水平均呈正相关(r =0.468、0.509、0.538、0.609、0.637,均P<0.05)。结论 糖尿病视网膜病变玻璃体切割术患者焦虑发生率较高,文化程度、收入水平、糖尿病病程是焦虑发生的影响因素,焦虑情绪会影响患者血糖控制水平,临床应针对性制定防治措施。
英文摘要:
      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.
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