老年青光眼患者疼痛、睡眠质量与焦虑的相关性分析

Correlation analysis of pain,sleep quality and anxiety in elderly glaucoma patients

中文关键词: 老年  青光眼  疼痛  睡眠  焦虑  相关性

英文关键词: elderly  glaucoma  pain  sleep  anxiety  correlation

中文摘要:

      目的 分析老年青光眼患者疼痛程度、睡眠质量与焦虑程度的相关性.方法 纳入 2020 年 10 月—2022 年 10月113 例于空军军医大学第一附属医院诊治的老年青光眼患者作为观察组,另选取同时期100 例眼科病区除外青光眼的其他老年眼病患者作为对照组.分别采用简明疼痛评估量表(BPI)、匹斯堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)评估2 组患者的疼痛程度、睡眠质量与焦虑程度,比较2 组各量表得分情况;采用Pearson相关性方法分析各量表评分之间的相关性.结果 观察组BPI各维度(疼痛程度、疼痛影响程度)、PSQI各维度(睡眠潜伏期、睡眠紊乱、习惯性睡眠效率、睡眠持续性、白天功能紊乱、主观睡眠质量、睡眠药物使用)、SAS各维度(植物神经功能紊乱、运动性紧张、焦虑心情、混合症状)评分均高于对照组(P＜0.05);Pearson相关性分析显示,老年青光眼患者BPI与PSQI评分呈正相关(r =0.572,P＜0.05),BPI与SAS评分呈正相关(r =0.429,P＜0.05),PSQI与SAS评分呈正相关(r =0.605,P＜0.05).结论 老年青光眼患者易出现疼痛、睡眠障碍、焦虑问题,且其疼痛水平、睡眠质量、焦虑程度之间存在显著相关性,具有一定的临床诊治参考价值.

英文摘要:

      Objective To analyze the correlation among pain degree,sleep quality and anxiety degree in elderly glauco-ma patients.Methods 113 elderly glaucoma patients treated in First Affiliated Hospital of Air Force Military Medical Univer-sity from October 2020 to October 2022 were included as the observation group,and another 100 elderly patients with other eye diseases except glaucoma from ophthalmology ward during the same period were selected as the control group.The Brief Pain Inventory(BPI),Pittsburgh Sleep Quality Index(PSQI)and Self-Rating Anxiety Scale(SAS)were used to evaluate the pain degree,sleep quality,and anxiety degree of two groups of patients,respectively,and the scores of each scale were compared between the two groups.Pearson correlation analysis was used to analyze the correlation among the scores of each scale.Results The scores of dimensions of BPI(pain degree,degree of pain influence),PSQI(sleep latency,sleep disorders,ha-bitual sleep efficiency,sleep persistence,daytime dysfunction,subjective sleep quality,sleep drug use)and SAS(autonomic nerve dysfunction,exercise tension,anxiety,mixed symptoms)of the observation group were higher than those of the control group(P＜0.05).Pearson correlation analysis showed that BPI was positively correlated with PSQI score in elderly glaucoma patients(r =0.572,P＜0.05),BPI was positively correlated with SAS score(r =0.429,P＜0.05),and PSQI was positive-ly correlated with SAS score(r =0.605,P＜0.05).Conclusion Elderly glaucoma patients are prone to suffer from pain,sleep disorders and anxiety,and there is a significant correlation among pain degree,sleep quality and anxiety degree,which has certain clinical diagnosis and treatment reference value.