广西医学

目的分析中老年原发性青光眼患者的恐惧疾病进展（FoP）水平及其影响因素。方法选取153例中老年原发性青光眼患者作为研究对象，采用一般资料调查表、中文版FoP简化量表（FoP⁃Q⁃SF）、中文版青光眼用药自我效能量表（GMSES）、领悟社会支持量表（PSSS）及医院焦虑抑郁量表（HADS）进行问卷调查。结果中老年原发性青光眼患者的FoP⁃Q⁃SF总分为（34.42±2.49）分。不同年龄、家庭人均月收入、居住状态、疾病病程及合并慢性疾病数量的中老年原发性青光眼患者的FoP⁃Q⁃SF总分比较，差异有统计学意义（P<0.05），其中45~59岁、家庭人均月收入<3 000元、独居、疾病病程<2年、合并慢性疾病数量≥2种的中老年原发性青光眼患者的FoP⁃Q⁃SF总分较高（P<0.05）。中老年原发性青光眼患者的FoP⁃Q⁃SF总分与GMSES总分及PSSS总分呈负相关，与HADS焦虑分量表总分及HADS抑郁分量表总分呈正相关（P<0.05）。家庭人均月收入、居住状态、疾病病程、合并慢性疾病数量、GMSES总分、PSSS总分、HADS焦虑分量表总分及HADS抑郁分量表总分是中老年原发性青光眼患者FoP水平的影响因素（P<0.05）。结论中老年原发性青光眼患者的FoP处于中等偏高水平，且受家庭人均月收入、居住状态、疾病病程、合并慢性疾病数量、青光眼用药自我效能、领悟社会支持水平、焦虑及抑郁等因素的影响。

Objective To analyze the fear of progression (FoP) level and its influencing factors for middle⁃aged and elderly patients with primary glaucoma. Methods A total of 153 middle⁃aged and elderly patients with primary glaucoma were selected as the research subjects. Questionnaire investigations were conducted by using the general information questionnaire, Fear of Progression Questionnaire⁃Short Form (FoP⁃Q⁃SF), Glaucoma Medication Self⁃Efficacy Scale (GMSES), Perceived Social Support Scale (PSSS), and Hospital Anxiety and Depression Scale (HADS). Results The total score of FoP⁃Q⁃SF in middle⁃aged and elderly patients with primary glaucoma was 34.42±2.49. There were statistically significant differences in the total score of FoP⁃Q⁃SF between middle⁃aged and elderly primary glaucoma patients with different age, per capita monthly income, living status, disease course, and number of concomitant chronic diseases (P<0.05), among them, middle⁃aged and elderly patients with primary glaucoma aged 45-59, with a per capita monthly income of less than 3000 yuan, living alone, having a disease course of less than 2 years, and having ≥2 concomitant chronic diseases had a higher total score of FOP⁃Q⁃SF (P<0.05). The total FoP⁃Q⁃SF score negatively correlated with the total scores of GMSES and PSSS, and positively correlated with the total scores of anxiety subscale and depression subscale of HADS (P<0.05). Per capita monthly income, living status, disease course, number of concomitant chronic diseases, GMSES total score, PSSS total score, total scores of anxiety and depression subscales of HADS were the influencing factors for FoP level in middle⁃aged and elderly patients with primary glaucoma (P<0.05). Conclusion FoP in middle⁃aged and elderly patients with primary glaucoma is at a medium to high level, and it is affected by factors such as per capita monthly income, living status, disease course, number of concomitant chronic diseases, glaucoma medication self⁃efficacy, perceived social support level, anxiety, and depression.