摘要目的:了解老年原发性青光眼患者灵性护理需求现状及其影响因素，分析其与自我感受负担、领悟社会支持的相关性，以期为降低其灵性困扰和痛苦，满足其灵性护理需求提供理论依据。方法:采用便利抽样法，于2022年3—9月抽取吉林大学第一医院眼科住院的218例老年原发性青光眼患者作为调查对象，使用一般资料调查表、中文版患者对护士提供灵性护理的需求量表、自我感受负担量表及领悟社会支持量表进行横断面问卷调查。采用多元线性回归分析老年原发性青光眼患者灵性护理需求的影响因素。结果:本次调查的218例老年原发性青光眼患者灵性护理需求总分为（30.73 ± 4.85）分。条目均分最高的维度是"营造良好氛围"（3.02 ± 0.59）分，最低的维度是"帮助宗教修行"（1.95 ± 0.63）分。灵性护理需求总分与自我感受负担总分呈负相关（ r=-0.423， P<0.01），与领悟社会支持总分呈正相关（ r=0.515， P<0.01）。多元线性回归分析显示年龄、宗教信仰、文化程度、治疗时长、居住地、自我感受负担及领悟社会支持是其灵性护理需求的主要影响因素（ t值为-5.23~7.04，均 P<0.01），可解释总变异的44.5%。 结论:老年原发性青光眼患者灵性护理需求处于中等水平。建议护士可根据不同患者的差异，针对性地实施灵性护理，降低其自我感受负担，提高领悟社会支持水平，以此来满足其灵性护理需求。

abstractsObjective:To understand the current situation of spiritual nursing needs in elderly patients with primary glaucoma and its influencing factors, and to analyze its relationship with self-perceived burden and perceived social support, so as to provide a theoretical basis for reducing their spiritual distress and pain and meeting their spiritual nursing needs.Methods:A total of 218 elderly patients with primary glaucoma who were hospitalized in the department of ophthalmology of the First Hospital of Jilin University from March to September, 2022 were selected by convenience sampling. They were investigated by using general information questionnaire, the Nurse Spiritual Therapeutics Scale, the Self-Perceived Burden Scale, and the Perceived Social Support Scale. And multiple linear regression was used to analyze the influencing factors of spiritual nursing needs among elderly patients with primary glaucoma.Results:The total score of spiritual nursing needs of elderly patients with primary glaucoma was (30.73 ± 4.85). The highest dimension of item average score was "building a good atmosphere" (3.02 ± 0.59), and the lowest dimension was "helping religious practice" (1.95 ± 0.63). The total scores of spiritual nursing needs and self-perceived burden were negatively correlated ( r=-0.423, P<0.01), and positively correlated with the total scores of perceived social support ( r=0.515, P<0.01). Multivariate linear regression analysis showed that age, religious belief, educational level, treatment duration, residence, self-perceived burden, and perceived social support were the main influencing factors of spiritual care needs of elderly patients with primary glaucoma, ( t values were -5.23-7.04, all P<0.01), which could explain 44.5% of the total variation. Conclusions:The spiritual nursing needs of elderly patients with primary glaucoma were at a medium level. Therefore, it is recommended that nurses should carry out targeted spiritual nursing for them according to the differences and characteristics of different patients, to reduce their self-perceived burden, and to improve perceived social support level, in order to meet their spiritual nursing needs.