拒绝白内障手术对抑郁症状和认知功能的影响
Ayşenur Çelik1, Sibel Özdoğan1, Kübra Erdoğan2
1Department of Ophthalmology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
概括
拒绝白内障手术的老年人表现出更高的抑郁症状,但类似的认知功能. 解决心理因素对于改善这一群体的视觉和心理健康结果至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 老年病的医生 老年病的医生
- 精神病学是一个精神病学.
背景情况:
- 白内障手术是老年人常见的一种手术.
- 接受或拒绝手术的决定可能受到各种因素的影响.
- 了解拒绝手术的患者的心理和认知概况是很重要的.
研究的目的:
- 为了比较接受和拒绝白内障手术的老年人的抑郁症状和认知功能.
- 调查视力障碍严重程度与抑郁症状之间的关系.
- 为了确定认知功能是否影响拒绝白内障手术的决定.
主要方法:
- 一项涉及108名60岁以上双边白内障患者的横截面观察研究.
- 根据年龄,性别和并发症,参与者与1:1匹配.
- 通过老年抑郁量表 (GDS-15) 评估抑郁症状;通过迷你精神状态检查 (MMSE) 评估认知功能.
主要成果:
- 拒绝手术组的GDS-15得分显著更高 (7.33对5.26,p<0.001).
- 在视力障碍严重程度和抑郁症状之间发现了正相关性 (p<0.001).
- 两组之间MMSE得分没有显著差异 (p=0.95),表明与认知功能没有联系.
结论:
- 拒绝白内障手术与抑郁症状的增加有关.
- 认知功能似乎不是白内障手术下降的重要因素.
- 需要多学科的方法来解决心理因素和改善结果.
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