摘要
目的分析眼外伤住院患者的生存质量以及影响因素。方法选取我院2014年1月至2017年1月期间收治的80例眼外伤患者为研究对象,采用生存质量量表对患者的生存质量进行评价,并用多元回顾分析法对影响患者生存质量的因素进行分析。结果眼外伤患者手术治疗后3个月在症状以及视功能、身体机能、社会活动、精神心理以及生存质量总分的评分均优于手术后2周(P<0.05);爆炸伤患者在症状及视功能、社会活动评分结果显著低于锐器伤、钝器伤、高速异物伤以及其它眼外伤患者(P<0.05);在身体机能以及精神心理中各种类型的眼外伤患者评分结果比较无差异(P>0.05);脑力劳动患者在症状及视功能评分结果明显高于体力劳动患者(P<0.05),而体力劳动患者在身体机能、社会活动、精神心理各指标评分结果高于脑力劳动患者(P<0.05);影响眼外伤患者生存质量的主要因素为术后3个月视力(r=0.348)、爆炸伤(r=-0.248)、有医疗保险(r=0.261)、脑力劳动(r=-0.214)、手术次数(r=-0.286)。结论眼外伤患者在住院期间随着时间的延长患者的生存质量逐渐提高;影响患者生存质量的因素主要为术后3个月视力、爆炸伤、有医疗保险、脑力劳动、手术次数,可以根据这些因素对患者进行相应的疏导,从而提高患者在住院期间的生存质量。
Objective To analyze the quality of life and influencing factors of hospitalized patients with ocular trauma.Methods Eighty patients with ocular trauma admitted to our hospital between January 2014 and January 2017 were selected as subjects.The quality of life of these patients was evaluated using the quality of life scale.The factors that influenced the quality of life of patients were analyzed with multivariate retrospective analysis.Results The scores of symptoms,visual function,physical function,social activities,mental health and total quality of life in patients with ocular trauma at 3 months after surgery were better than those at 2 weeks after surgery（P〈0.05）.The scores of symptoms,visual function and social activities of patients with explosive injuries were significantly lower than those in patients with sharp instrument injuries,blunt object injuries,high-speed foreign body injuries and other ocular trauma（P〈0.05）,but no difference was detected betwen the scores of various types of ocular trauma in body function and mental psychology（P〈0.05）.The scores of symptoms and visual function in patients who did mental work were significantly higher than those in patients who did manual labor（P〈0.05）,whose scores of physical function,social activities,mental and psychological indexes,however,were higher（P〈0.05）.The main factors that affected the quality of life of patients with ocular trauma were visual acuity 3 months after surgery（r = 0.348）,explosion injury（r =-0.248）,medical insurance（r = 0.261）,mental workload（r =-0.214）,and the number of operations（r =-0.286）.Conclusion The quality of life of patients with ocular trauma is improved with the passage of time.Factors that affect the quality of life of patients are mainly visual injury,medical insurance,mental work,and the number of operations 3 months after surgery.Patients should be subjected to related consultations based on these factors,thereby improving their quality of life during hospitalization.
出处
《解放军预防医学杂志》
CAS
2017年第11期1422-1424,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
重庆市科委项目(No.CSTC2015AB50116)
关键词
眼外伤住院患者
生存质量
影响因素
inpatient due to eye injury
quality of life
influencing factors
