上海市某社区老年干眼现况和生存质量关联的调查
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摘要
【目的】探讨上海某社区老年人干眼的患病率和生存质量。【方法】分层按比例随机抽样调查某社区老年干眼的患病情况,采用36条目简明量表(SF-36)和视功能损害眼病患者生存质量量表(SQOL-DVI)对600例老年患者的生命质量(QL)进行评价。【结果】在被抽取的600人中,诊断干眼的患者413人,占68.8%。干眼患者的全面健康相关生存质量下降,尤其在生理功能(PF)、社会功能(SF)、情绪对角色功能的影响(RE)、精神健康(MH)、活力(VT)方面较为突出。上述结果与视觉相关生存质量检测结果一致。【结论】该社区老年干眼患病率高,干眼对老年人生存质量有不同程度的影响,应重视干眼患者的社会心理状况及影响患者生存质量的因素,制订合理治疗方案以使其得到最恰当的治疗。
[Objective] To explore the prevalence of dry eye and quality of life in elderly people in a community in Shanghai. [Methods] Stratified random sampling was conducted to investigate disease condition of elderly dry eye in a community.The quality of life(QL) of 600 elderly patients was evaluated by 36 items of concise scale(SF-36) and visual impairment quality of life scale(SQOL-DVI). [Results] Of the 600 people selected,413 were diagnosed with dry eyes,accounting for 68.8%.The overall health-related quality of life in patients with dry eyes declined,especially in the aspects of physiological function(PF),social function(SF),emotional influence on role function(RE),mental health(MH)and vitality(VT).The above results were consistent with the visual quality of life test results. [Conclusion] The rate of elderly dry eyes is high,and dry eyes have different effects on the quality of life in the elderly.Attention should be paid to the social and psychological status of patients with dry eyes and the factors influencing their quality of life.A rational regimen should be made so as to get the most appropriate treatment for dry eyes.
[Objective] To explore the prevalence of dry eye and quality of life in elderly people in a community in Shanghai. [Methods] Stratified random sampling was conducted to investigate disease condition of elderly dry eye in a community.The quality of life(QL) of 600 elderly patients was evaluated by 36 items of concise scale(SF-36) and visual impairment quality of life scale(SQOL-DVI). [Results] Of the 600 people selected,413 were diagnosed with dry eyes,accounting for 68.8%.The overall health-related quality of life in patients with dry eyes declined,especially in the aspects of physiological function(PF),social function(SF),emotional influence on role function(RE),mental health(MH)and vitality(VT).The above results were consistent with the visual quality of life test results. [Conclusion] The rate of elderly dry eyes is high,and dry eyes have different effects on the quality of life in the elderly.Attention should be paid to the social and psychological status of patients with dry eyes and the factors influencing their quality of life.A rational regimen should be made so as to get the most appropriate treatment for dry eyes.
引文
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[3]HOOPMAN R,TERWEE C B,DEVILLE W,et al.Evaluation of the psychometric properties of the SF-36 health survey for use among Turkish and Moroccan ethnic minority populations in the Netherlands[J].Qual Life Res,2009,18(6):753-764.
[4]WARE J E,SHERBOURNE C D.The MOS 36-item short form health survey (SF-36):I.Conceptual framework item selection[J].Med Care,1992,30(6):473-483.
[5]李俊,刘朝杰,李宁秀,等.生命质量评价量表SF-36中国量化标准研究[J].华西医科大学学报,2001,32(1):36-38,47.
[6]于强,李绍珍,陈和年,等.视功能损害眼病患者生存质量量表的研究[J].中华眼科杂志,1997,33(4):307-310.
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[8]STERETT W I,HUTTON K S,BRIGGS K K,et al.Decreased range of motion following acute versus chronic anterior cruciate ligament reconstruction[J].Orthopedics,2003,26(2):151-154.
[9]LU P,CHEN X,LIU X,et al.Dry eye syndrome in elderly Tibetans at high altitude:a population-based study in China[J].Cornea,2008,27(5):545-551.
[10]张怡,葛玲,黄惠丽,等.上海市花木社区中老年人群干眼的患病率调查分析[J].实用临床医学,2010,11(3):127-129,138.
[11]田玉景,刘焰,邹海东,等.上海市江宁街道20岁及以上人群干眼的流行病学调查[J].中华眼科杂志,2009,45(6):486-491.
[12]邓春梅,艾明,邢怡桥,等.城市中老年人电子产品使用情况与干眼相关因素的分析[J].临床眼科杂志,2015,23(5):447-451.
[13]杜红艳,李兰根,杜鹏程,等.视屏终端综合征与干眼症关系的研究[J].国际眼科杂志,2009,9(10):1999-2000.
[14]张晶,马骁,殷白丁,等.北京某社区中老年人群代谢综合征与干眼症的相关性研究[J].中国医药导报,2017,14(27):128-131.
[15]李琰,杨炜.2型糖尿病患者的干眼患病情况及其相关影响指标[J].国际眼科杂志,2016,16(3):508-510.
[16]宋秀君,王金华.干眼患者和正常人泪液中胰岛素含量的测定及比较[J].眼科研究,2007,25(5):367-369.
[17]曾琴琴.1893例年龄相关性白内障患者干眼的分布情况及影响因素分析[D].南昌:南昌大学,2016.
[18]左春兰.干眼症的相关因素分析[J].中国实用眼科杂志,2015,33(13):1-3.
[19]胡艳波,尚宁,张立霞,等.老年干眼症的临床特征分析[J].中国医疗前沿,2010,5(10):48,69.
[20]方积乾.生存质量测定方法及应用[M].北京.北京医科大学出版社,2000:3-9.
[21]The definition and classification of dry eye disease:report of the Definition and Classification Subcommittee of the International Dry Eye Workshop (2007)[J].Ocul Surf,2007,5(2):75-92.
[22]徐志蓉,陈飞,姜发纲,等.干眼患者生命质量研究[J].华中科技大学学报(医学版),2010,39(5):724-728.
[2]HOOPMAN R,TERWEE C B,MULLER M J,et al.Translation and validation of the SF-36 health survey for use among Turkish and Moroccan ethnic minority cancer patients in the Netherlands[J].Eur J Cancer,2006,42(17):2982-2990.
[3]HOOPMAN R,TERWEE C B,DEVILLE W,et al.Evaluation of the psychometric properties of the SF-36 health survey for use among Turkish and Moroccan ethnic minority populations in the Netherlands[J].Qual Life Res,2009,18(6):753-764.
[4]WARE J E,SHERBOURNE C D.The MOS 36-item short form health survey (SF-36):I.Conceptual framework item selection[J].Med Care,1992,30(6):473-483.
[5]李俊,刘朝杰,李宁秀,等.生命质量评价量表SF-36中国量化标准研究[J].华西医科大学学报,2001,32(1):36-38,47.
[6]于强,李绍珍,陈和年,等.视功能损害眼病患者生存质量量表的研究[J].中华眼科杂志,1997,33(4):307-310.
[7]JIE Y,XU L,WU Y Y,et al.Prevalence of dry eye among adult Chinese in the Beijing eye study[J].Eye,2009,23(3):688-693.
[8]STERETT W I,HUTTON K S,BRIGGS K K,et al.Decreased range of motion following acute versus chronic anterior cruciate ligament reconstruction[J].Orthopedics,2003,26(2):151-154.
[9]LU P,CHEN X,LIU X,et al.Dry eye syndrome in elderly Tibetans at high altitude:a population-based study in China[J].Cornea,2008,27(5):545-551.
[10]张怡,葛玲,黄惠丽,等.上海市花木社区中老年人群干眼的患病率调查分析[J].实用临床医学,2010,11(3):127-129,138.
[11]田玉景,刘焰,邹海东,等.上海市江宁街道20岁及以上人群干眼的流行病学调查[J].中华眼科杂志,2009,45(6):486-491.
[12]邓春梅,艾明,邢怡桥,等.城市中老年人电子产品使用情况与干眼相关因素的分析[J].临床眼科杂志,2015,23(5):447-451.
[13]杜红艳,李兰根,杜鹏程,等.视屏终端综合征与干眼症关系的研究[J].国际眼科杂志,2009,9(10):1999-2000.
[14]张晶,马骁,殷白丁,等.北京某社区中老年人群代谢综合征与干眼症的相关性研究[J].中国医药导报,2017,14(27):128-131.
[15]李琰,杨炜.2型糖尿病患者的干眼患病情况及其相关影响指标[J].国际眼科杂志,2016,16(3):508-510.
[16]宋秀君,王金华.干眼患者和正常人泪液中胰岛素含量的测定及比较[J].眼科研究,2007,25(5):367-369.
[17]曾琴琴.1893例年龄相关性白内障患者干眼的分布情况及影响因素分析[D].南昌:南昌大学,2016.
[18]左春兰.干眼症的相关因素分析[J].中国实用眼科杂志,2015,33(13):1-3.
[19]胡艳波,尚宁,张立霞,等.老年干眼症的临床特征分析[J].中国医疗前沿,2010,5(10):48,69.
[20]方积乾.生存质量测定方法及应用[M].北京.北京医科大学出版社,2000:3-9.
[21]The definition and classification of dry eye disease:report of the Definition and Classification Subcommittee of the International Dry Eye Workshop (2007)[J].Ocul Surf,2007,5(2):75-92.
[22]徐志蓉,陈飞,姜发纲,等.干眼患者生命质量研究[J].华中科技大学学报(医学版),2010,39(5):724-728.