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湿性年龄相关性黄斑变性患者就医延迟现状及影响因素研究

张慧婷 郑玲玲 方晓群 陈薏玲 林洁纯 黄文敏 肖惠明 陈妙霞

眼科学报2026,Vol.41Issue(8):647-660,14.
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眼科学报2026,Vol.41Issue(8):647-660,14.DOI:10.12419/25081102

湿性年龄相关性黄斑变性患者就医延迟现状及影响因素研究

Patient delay and associated factors in patients with wet age-related macular degeneration

张慧婷 1郑玲玲 1方晓群 1陈薏玲 1林洁纯 1黄文敏 1肖惠明 1陈妙霞2

作者信息

  • 1. 中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060
  • 2. 中山大学附属第三医院护理部,广州 510630
  • 折叠

摘要

Abstract

Objectives:To investigate the prevalence of patient delay in patients with wet age-related macular degeneration(wAMD),assess their personality traits,coping styles,and levels of social support,and identify the factors associated with patient delay in this population.Methods:Using convenience sampling,233 patients with wAMD treated at the Zhongshan Ophthalmic Center,Sun Yat-sen University between March 2024 and December 2024 were enrolled.Data were collected using a demographic and clinical questionnaire,the Chinese Big Five Personality Inventory-15(CBF-PI-15),the Simplified Coping Style Questionnaire(SCSQ),and the Social Support Rating Scale(SSRS).Results:The prevalence of patient delay among wAMD patients was 60.9%.Binary logistic regression analysis showed that agreeableness(OR=0.368),negative coping(OR=2.069),objective support(OR=0.191),and social support utilization(OR=0.355)were independent factors associated with the occurrence of patient delay(all P<0.05).Conclusions:Patient delay is highly prevalent among patients with wAMD,presenting a significant clinical challenge.Patients who exhibit lower agreeableness,tend to adopt negative coping strategies,have lower objective social support,and utilize social support less effectively are more prone to delaying medical care.

关键词

湿性年龄相关性黄斑变性/就医延迟/社会支持/应对方式/人格特质

Key words

wet age-related macular degeneration/patient delay/social support/coping styles/personality trait

分类

医药卫生

引用本文复制引用

张慧婷,郑玲玲,方晓群,陈薏玲,林洁纯,黄文敏,肖惠明,陈妙霞..湿性年龄相关性黄斑变性患者就医延迟现状及影响因素研究[J].眼科学报,2026,41(8):647-660,14.

眼科学报

1000-4432

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