摘要
Abstract
Objective To investigate the risk factors for cataracts in the elderly and observe the effects of health educa-tion on patients after intraocular lens(IOL)implantation surgery.Methods From June 2019 to June 2024,600 elderly pa-tients undergoing cataract surgery in People's Hospital of Changzhi City were selected as the study group,and another 600 indi-viduals without ocular diseases were selected as the control group.The risk factors for cataracts were analyzed.Then,the study group was randomly divided into routine intervention subgroup and health education subgroup,with 300 patients in each sub-group.Both subgroups were treated with levofloxacin eye drops.The routine intervention subgroup received routine interven-tion,while the health education subgroup received health education interventions on the basis of the routine intervention sub-group.Quality of life,negative emotions(anxiety and depression),compliance and complication were compared between the two subgroups.Results Multivariate analysis showed that age,daily sunlight exposure time,diabetes history,physical activi-ty,living environment,high myopia,hypertension and income were all related to senile cataract(P<0.05).Three months af-ter surgery,the Low Vision Quality of Life(LVQOL)score of the health education subgroup was higher than that of the rou-tine intervention subgroup(P<0.05),and the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were lower than those of the routine intervention subgroup(P<0.05).The compliance rate of the health education subgroup was higher than that of the routine intervention subgroup(P<0.05).The incidence of complications in the health education subgroup was lower than that in the routine intervention subgroup(P<0.05).Conclusion The risk factors for senile cataract may include age,sunlight exposure,diabetes,level,etc.The health education can improve the quality of life in patients after IOL implantation surgery,alleviate negative emotion,enhance compliance,and reduce the occurrence of complication.关键词
老年/白内障/风险因素/健康宣教/生活质量/IOL术/相关性Key words
elderly/cataract/risk factor/health education/quality of life/IOL surgery/correlation