年龄相关性黄斑变性患者营养素养现状及影响因素分析

雒培琳; 万君丽; 张凤; 李新; 卞薇

doi:10.16016/j.2097-0927.202307033

您当前的位置：

首页 >

文章列表页 >

年龄相关性黄斑变性患者营养素养现状及影响因素分析

临床医学 | 更新时间：2026-01-09

- 年龄相关性黄斑变性患者营养素养现状及影响因素分析
- Current status of nutritional literacy and influencing factors for patients with age-related macular degeneration
- 陆军军医大学学报 2023年45卷第21期页码：2293-封3
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院眼科
- 作者简介：
  
  [卞薇，E-mail: 664091353@qq.comBIAN Wei, E-mail: 664091353@qq.com
- 基金信息：
  
  重庆市科卫联合医学科研项目(2020FYYX052);陆军军医大学苗圃人才项目(XZ-2019-505-054)
- DOI：10.16016/j.2097-0927.202307033
  中图分类号： R151.42;R774.5
- 收稿：2023-07-06，
  
  修回：2023-09-29，
  
  纸质出版：2023-11-15
- 稿件说明：
移动端阅览
雒培琳, 万君丽, 张凤, 等. 年龄相关性黄斑变性患者营养素养现状及影响因素分析[J]. 陆军军医大学学报, 2023,45(21):2293-封3.

Peilin LUO, Junli WAN, Feng ZHANG, et al. Current status of nutritional literacy and influencing factors for patients with age-related macular degeneration[J]. Journal of Army Medical University, 2023, 45(21): 2293-封3.
雒培琳, 万君丽, 张凤, 等. 年龄相关性黄斑变性患者营养素养现状及影响因素分析[J]. 陆军军医大学学报, 2023,45(21):2293-封3. DOI： 10.16016/j.2097-0927.202307033.

Peilin LUO, Junli WAN, Feng ZHANG, et al. Current status of nutritional literacy and influencing factors for patients with age-related macular degeneration[J]. Journal of Army Medical University, 2023, 45(21): 2293-封3. DOI： 10.16016/j.2097-0927.202307033.

摘要

目的

调查年龄相关性黄斑变性(age-related macular degeneration

AMD)患者营养素养现状及影响因素。

方法

采用便利抽样法

2022年7月至2023年2月

选取重庆市某三级甲等医院240名AMD患者

使用一般资料调查表、营养素养量表、营养自我效能量表、领悟社会支持量表、健康信念量表、焦虑抑郁量表、中文版视觉功能问卷、简易应对方式量表、AMD疾病相关营养知识进行问卷调查。

结果

240名AMD患者的营养素养量表得分为142(113

162)分。多重线性回归分析结果显示

家庭人均月收入、视觉功能、抑郁、营养自我效能、AMD疾病相关营养知识为营养素养的影响因素(

0.05)。

结论

AMD患者的营养素养水平较低; 家庭人均月收入高、视觉功能较好、抑郁程度轻、营养自我效能佳、AMD疾病相关营养知识掌握程度较好的AMD患者

其营养素养较高。

Abstract

Objective

To investigate the current status of nutritional literacy and influencing factors in patients with age-related macular degeneration (AMD).

Methods

A total of 240 AMD patients were subjected with convenience sampling from a tertiary-level hospital in Chongqing from July 2022 to February 2023.General information questionnaire

Nutritional Literacy Scale

Nutritional Self-Efficacy Scale

Comprehension Social Support Scale

Health Beliefs Scale

Anxiety and Depression Scale

Chinese Version of Visual Function Questionnaire

Simple Coping Styles Scale

and nutritional knowledge about AMD were used to survey these patients.

Results

The score of Nutritional Literacy Scale was 142(113

162).Multiple linear regression analysis showed that per capita monthly family income

visual function

depression

nutritional self-efficacy

and nutritional knowledge related to AMD were the influencing factors for nutritional literacy (

0.05).

Conclusion

The nutritional literacy level of AMD patients is quite low.The AMD patients with high per capita monthly family income

better visual function

less depression

good nutritional self-efficacy

and better nutritional knowledge related to AMD have better nutrient-literate.

关键词

Keywords

references

LI C, ZHU B, ZHANG J, et al . Epidemiology, health policy and public health implications of visual impairment and age-related eye diseases in mainland China[J ] . Front Public Health, 2022, 10: 966006. DOI: 10.3389/fpubh.2022.966006.

ZEKAVAT S M, SEKIMITSU S, YE Y, et al . Photoreceptor layer thinning is an early biomarker for age-related macular degeneration[J ] . Ophthalmology, 2022, 129(6): 694-707. DOI: 10.1016/j.ophtha.2022.02.001.

MAN R, GAN A, FENWICK E, et al . Impact of incident age-related macular degeneration and associated vision loss on vision-related quality of life[J ] . Br J Ophthalmol, 2021, 106: 1063-1068. DOI: 10.1136/bjophthalmol-2020-318269.

KEENAN T D L, CUKRAS C A, CHEW E Y. Age-related macular degeneration: epidemiology and clinical aspects[J]. Adv Exp Med Biol, 2021, 1256: 1-31. DOI: 10.1007/978-3-030-66014-7_1.

AGRÓN E, MARES J, CLEMONS T E, et al . Dietary nutrient intake and progression to late age-related macular degeneration in the age-related eye disease studies 1 and 2[J ] . Ophthalmology, 2021, 128(3): 425-442. DOI: 10.1016/j.ophtha.2020.08.018.

HOGG R E, WOODSIDE J V, MCG RATH A, et al . Mediterranean diet score and its association with age-related macular degeneration[J ] . Ophthalmology, 2017, 124(1): 82-89. DOI: 10.1016/j.ophtha.2016.09.019.

TANG DIANA, MITCHELL P, LIEW G, et al . Telephone-delivered dietary intervention in patients with age-related macular degeneration: 3-month post-intervention findings of a randomised controlled trial[J ] . Nutrients, 2020, 12(10): 3083. DOI: 10.3390/nu12103083.

DESROCHES S, LAPOINTE A, RATTÉ S, et al . Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults[J ] . Cochrane Database Syst Rev, 2013(2): CD008722. DOI: 10.1002/14651858.CD008722.pub2.

BLITSTEIN J L, EVANS W D. Use of nutrition facts panels among adults who make household food purchasing decisions[J]. J Nutr Educ Behav, 2006, 38(6): 360-364. DOI: 10.1016/j.jneb.2006.02.009.

CONSAVAGE STANLEY K, HARRIGAN P B, SERRANO E L, et al . Applying a multi-dimensional digital food and nutrition literacy model to inform research and policies to enable adults in the U.S. supplemental nutrition assistance program to make healthy purchases in the online food retail ecosystem[J ] . Int J Environ Res Public Health, 2021, 18(16): 8335. DOI: 10.3390/ijerph18168335.

宁时安, 王茹霞, 陈京立. 计划行为理论在母乳喂养中的应用进展[J]. 中国护理管理, 2021, 21(4): 562-565. DOI: 10.3969/j.issn.1672-1756.2021.04.018.

NING S A, WANG R X, CHEN J L. Research progress of the theory of planned behavior in breastfeeding[J]. Chin Nurs Manag, 2021, 21(4): 562-565. DOI: 10.3969/j.issn.1672-1756.2021.04.018.

中华医学会眼科学分会眼底病学组. 中国老年性黄斑变性临床诊断治疗路径[J]. 中华眼底病杂志, 2013, 29(4): 343-355. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.002.

Fundus Disease Group of the Chinese Society of Ophthalmology of Chinese Medical Association. Clinical diagnosis and treatment pathway for age-related macular degeneration in China[J]. Chin J Fundus Dis, 2013, 29(4): 343-355. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.002.

倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4): 378-380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.

NI P, CHEN J L, LIU N. The sample size estimation hi quantitative nursing research[J]. Chin J Nurs, 2010, 45(4): 378-380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.

张韵秋. 成年人营养素养测量量表的构建与评价[D]. 蚌埠: 蚌埠医学院, 2021.

ZHANG Y Q. Construction and evaluation of adult nutrition literacy scale—taking Anhui as an example[D]. Bangbu: Bengbu Medical College, 2021.

ABBAS S, REZA G, TORABI C R, et al . Nutrition self-efficacy assessment: designing and psychometric evaluation in a community-dwelling elderly population[J ] . J Health Popul Nutr, 2019, 38(1): 38. DOI: 10.1186/s41043-019-0203-3.

GÓMEZ-PERESMITRÉ G, PLATAS ACEVEDO R S, PINEDA-GARCÍA G, et al . Multi-validity process and factor-invariance. perceived self-efficacy-scale for the prevention of obesity in preteens[J ] . Children, 2021, 8(6): 504. DOI: 10.3390/children8060504.

ZIMET G D, POWELL S S, FARLEY G K, et al . Psychometric characteristics of the multidimensional scale of perceived social support[J ] . J Pers Assess, 1990, 55(3/4): 610-617. DOI: 10.1080/00223891.1990.9674095.

苏丹. 中国成年人健康信念研究[D]. 重庆: 西南大学, 2015.

SU D. Study on the health belief of adults in China[D]. Chongqing: Southwest University, 2015.

ZIGMOND A S, SNAITH R P. The hospital anxiety and depression scale[J]. Acta Psychiatr Scand, 1983, 67(6): 361-370. DOI: 10.1111/j.1600-0447.1983.tb09716.x.

张伟, 王维利, 洪静芳, 等. 医院焦虑抑郁量表在住院癌症患者焦虑抑郁筛查中临界值的研究[J]. 护理学报, 2012, 19(19): 1-4.

ZHANG W, WANG W L, HONG J F, et al . Research on critical value of hospital anxiety and depression scale in screening anxiety and depression of hospitalized cancer patients[J ] . J Nurs China, 2012, 19(19): 1-4.

MANGIONE C M, LEE P P, GUTIERREZ P R, et al . Development of the 25-item national eye institute visual function questionnaire[J ] . Arch Ophthalmol, 2001, 119(7): 1050-1058. DOI: 10.1001/archopht.119.7.1050.

WANG C W, CHAN C L W, JIN H Y. Psychometric properties of the Chinese version of the 25-item national eye institute visual function questionnaire[J]. Optom Vis Sci, 2008, 85(11): 1091-1099. DOI: 10.1097/opx.0b013e31818b9f23.

解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998, 6(2): 114-115.

XIE Y N. A preliminary study of the reliability and validity of the Brief Coping Styles Scale[J]. Chin J Clin Psychol, 1998, 6(2): 114-115.

万君丽, 张凤, 郭文梅, 等. 年龄相关性黄斑变性患者营养干预决策辅助方案的构建及应用[J]. 中华护理杂志, 2022, 57(23): 2870-2876. DOI: 10.3761/j.issn.0254-1769.2022.23.008.

WAN J L, ZHANG F, GUO W M, et al . Development and application of decision aid for age-related macular degeneration patients[J ] . Chin J Nurs, 2022, 57(23): 2870-2876. DOI: 10.3761/j.issn.0254-1769.2022.23.008.

陈霞, 罗凤, 孔令泉. luminal型乳腺癌患者戈舍瑞林用药依从性现状及影响因素分析[J]. 中华乳腺病杂志(电子版), 2020, 14(6): 342-348. DOI: 10.3877/cma.j.issn.1674-0807.2020.06.004.

CHEN X, LUO F, KONG L Q. Medication compliance with goserelin and influencing factors in patients with luminal breast cancer[J]. Chin J Breast Dis Electron Ed, 2020, 14(6): 342-348. DOI: 10.3877/cma.j.issn.1674-0807.2020.06.004.

MENGI C O, SEMERCI R. Evaluation of nutrition literacy and nutrition knowledge level in nursing students: a study from Turkey[J]. BMC Nurs, 2022, 21(1): 359. DOI: 10.1186/s12912-022-01146-z.

陈圆圆. 2型糖尿病患者营养素养现状调查及其影响因素研究[D]. 天津: 天津医科大学, 2020.

CHEN Y Y. Investigation on nutritional literacy of patients with type 2 diabetes mellitus and its influencing factors[D]. Tianjin: Tianjin Medical University, 2020.

PARASTOO Y, ALI M M, ZOHREH R, et al . Nutrition lite racy and its related demographic factors among workers of Taraz Steel company, Chaharmahal and Bakhtiari, Iran[J ] . Front Public Health, 2022, 10: 911619. DOI: 10.3389/fpubh.2022.911619.

NASSIM G, REDMOND M L, OFEI-DODOO S, et al . Nutrition self-efficacy and dietary patterns among older African American women in Kansas[J ] . Kans J Med, 2020, 13: 209-213. DOI: 10.17161/kjm.v13i.14565.

OLIVARES-GONZÁLEZ L, SALOM D, GONZÁLEZ-GARCÍA E, et al . NUTRARET: effect of 2-year nutraceutical supplementation on redox status and visual function of patients with retinitis pigmentosa: a randomized, double-blind, placebo-controlled trial[J ] . Front Nutr, 2022, 9: 847910. DOI: 10.3389/fnut.2022.847910.

VALERO-VELLO M, PERIS-MARTÍNEZ C, GARCÍA-MEDINA J J, et al . Searching for the antioxidant, anti-inflammatory, and neuroprotective potential of natural food and nutritional supplements for ocular health in the Mediterranean population[J ] . Foods, 2021, 10(6): 1231. DOI: 10.3390/foods10061231.

ZHAO M Y, GILLANI A H, AMIRUL ISLAM F M, et al . Factors associated with knowledge, attitude and practices of common eye diseases in general population: a multicenter cross-sectional study from Pakistan[J ] . Int J Environ Res Public Health, 2019, 16(9): 1568. DOI: 10. 3390/ijerph16091568.

MELNIC I, ALVARADO A E, CLAROS M, et al . Tailoring nutrition and cancer education materials for breast cancer patients[J ] . Patient Educ Couns, 2022, 105(2): 398-406. DOI: 10.1016/j.pec.2021.05.040.

LEE C Y, CHEN H C, HUANG J Y, et al . Increased probability of mood disorders after age-related macular degeneration: a population-based cohort study[J ] . Sci Rep, 2022, 12: 15222. DOI: 10.1038/s41598-022-19429-5.

MITCHELL P, LIEW G, GOPINATH B, et al . Age-related macular degeneration[J ] . Lancet, 2018, 392(10153): 1147-1159. DOI: 10.1016/S0140-6736(18)31550-2.

李思思, 张艳, 赵敬, 等. 住院老年癌症共病病人营养不良现状调查及影响因素分析[J]. 护理研究, 2020, 34(13):2271-2278. DOI: 10.12102/j.issn.1009-6493.2020.13.005.

LI S S, ZHANG Y, ZHAO J, et al . Investigation on malnutrition in elderly in patients with cancer comorbidity and its influencing factors[J ] . Chin Nurs Res, 2020, 34(13): 2271-2278. DOI: 10.12102/j.issn.1009-6493.2020.13.005.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

呼吸重症监护室机械通气患者代理决策者决策冲突发生及影响因素分析

我国退役军人抑郁症状特点及相关因素分析

重庆市社区体检中老年人情景记忆的影响因素研究

重庆市2010-2020年剖宫产率现况及其影响因素分析

肝X受体激动剂通过激活SIRT1信号级联改善Aβ诱导的视网膜色素上皮细胞炎症和凋亡反应