白内障患者生命质量及其相关因素分析
|
摘要
目的评价白内障患者生命质量现状并分析其相关因素。方法运用中文版视功能相关生命质量量表NEIVFQ-25对236名白内障患者进行生命质量评价,并对其相关因素进行分析。结果白内障患者总的健康得分(31.15±19.06)分,普通人群总的健康得分(58.33±22.09)分(P<0.001),白内障患者的生命质量低于普通人群。多因素结果显示,年龄是总的视力维度的独立危险因素(P=0.045);文化程度是眼部疼痛维度的保护因素(P=0.015);性别(P=0.019)、年龄(P=0.002)是日常视力状态维度的独立危险因素,而文化程度是保护因素(P=0.025);性别(P=0.031)、年龄(P=0.014)是外出活动维度的独立危险因素;文化程度(P=0.011)是社交维度的保护因素;性别(P=0.011)是心理健康维度的独立危险因素;性别(P=0.006)、年龄(P=0.002)是依赖他人维度的独立危险因素。结论白内障患者的生命质量低于普通人群。性别、年龄、文化程度、婚姻状况、吸烟和饮酒是影响白内障患者生命质量的主要因素。
Objective To evaluate the quality of life and its related factors of cataract patients. Methods A total of 236 patients with cataract were investigated by NEI-VFQ-25,and the related factors influencing the quality of their life were analyzed. Results Total health score of cataract patients was( 31. 15 ± 19. 06). Total health score for the general population was( 58. 33 ± 22. 09). The quality of life of cataract patients was lower than that of general population. Multivariate logistic regression analysis revealed that age was an independent risk factor of total visual acuity dimension( P = 0. 045); the degree of education was a protective factor of eyes pain dimension( P = 0. 015); sex( P = 0. 019) and age( P = 0. 002) were independent risk factors for daily visual status dimension,while education was a protective factor( P = 0. 025); sex( P = 0. 031) and age( P =0. 014) were independent risk factors for outbound activities dimension; cultural level was a social dimension protection factor( P = 0. 011); gender was an independent risk factor for mental health dimension( P = 0. 011); sex( P = 0. 006) and age( P = 0.002) were independent risk factors that depends on others dimension. Conclusion The quality of life of cataract patients is lower than that of general population. Sex,age,educational level,marital status,smoking and drinking are main factors that affecting the quality of life of cataract patients.
Objective To evaluate the quality of life and its related factors of cataract patients. Methods A total of 236 patients with cataract were investigated by NEI-VFQ-25,and the related factors influencing the quality of their life were analyzed. Results Total health score of cataract patients was( 31. 15 ± 19. 06). Total health score for the general population was( 58. 33 ± 22. 09). The quality of life of cataract patients was lower than that of general population. Multivariate logistic regression analysis revealed that age was an independent risk factor of total visual acuity dimension( P = 0. 045); the degree of education was a protective factor of eyes pain dimension( P = 0. 015); sex( P = 0. 019) and age( P = 0. 002) were independent risk factors for daily visual status dimension,while education was a protective factor( P = 0. 025); sex( P = 0. 031) and age( P =0. 014) were independent risk factors for outbound activities dimension; cultural level was a social dimension protection factor( P = 0. 011); gender was an independent risk factor for mental health dimension( P = 0. 011); sex( P = 0. 006) and age( P = 0.002) were independent risk factors that depends on others dimension. Conclusion The quality of life of cataract patients is lower than that of general population. Sex,age,educational level,marital status,smoking and drinking are main factors that affecting the quality of life of cataract patients.
引文
[1]赵家良.我国防盲治盲工作的进展[J].中华眼科杂志,2005,41(8):697-701.
[2]Jayamanne DG,Allen ED,Wood CM,et al.Correlation between early,measurable improvement in quality of Life and speed of visual rehabilitation after phacoemulsification[J].Journal of Cataract and Refractive Surgery,1999,25(8):1135-1139.
[3]Mangione CM,Lee PP,Gutierrez PR,et al.Development of the 25-item National Eye Institute Visual Function Questionnaire[J].Archives of Ophthalmology,2001,119(7):1050-1058.
[4]Nickels S,Schuster AK,Singer S,et al..The National eye institute25-Item visual function questionnaire(NEI VFQ-25)–reference data from the German population-based Gutenberg Health Study(GHS)[J].Health and Quality of Life Outcomes,2017,15(1):156.
[5]马莉,陈俊峰,顾晓芬,等.基于EQ-5D量表的子宫颈癌患者生命质量评价[J].中国妇幼保健,2013,28(21):3471-3473.
[6]张礼静.老年性白内障健康教育及体会[J].临床中老年保健学,2000,28(2):1289-1671.
[7]王仕英,柯根杰,顾永昊.白内障患者手术前后视功能相关生存质量分析[J].实用防盲技术,2008,3(4):25-26.
[8]Chua J,Lim B,Fenwick EK,et al.Prevalence,risk factors,and impact of undiagnosed visually significant cataract:the Singapore epidemiology of eye diseases study[J].PLOS One,2017,12(1):e0170804.
[9]孙超,殷丽,朱靖,等.VF-QOL量表在白内障超声乳化术质量评价中的应用[J].实用临床医药杂志,2016,20(19):68-70.
[10]张海瑞,马莉,任苒,等.视功能相关生命质量量表NEI-VFQ-25中文版的研制及其性能评价[J].现代预防医学,2015,42(12):2211-2214.
[11]孙丽丽,黄磊,徐倩,等.乳腺癌术后化疗患者生命质量现状及影响因素的研究[J].现代预防医学,2016,43(21):4024-4028.
[12]冯玉如,陈长香.河北省城乡老年人青光眼患病及其身心健康现状调查[J].中国公共卫生,2016,32(2):141-144.
[13]颜少彪,刘忠鑫.中老年人群发生白内障的相关因素研究[J].安徽医药,2015,19(5):932-934.
[14]朱丽娜,秦宇,张海瑞,等.城市育龄妇女生命质量评价及相关因素分析[J].中国妇幼保健,2014,33(33):5463-5466.
[2]Jayamanne DG,Allen ED,Wood CM,et al.Correlation between early,measurable improvement in quality of Life and speed of visual rehabilitation after phacoemulsification[J].Journal of Cataract and Refractive Surgery,1999,25(8):1135-1139.
[3]Mangione CM,Lee PP,Gutierrez PR,et al.Development of the 25-item National Eye Institute Visual Function Questionnaire[J].Archives of Ophthalmology,2001,119(7):1050-1058.
[4]Nickels S,Schuster AK,Singer S,et al..The National eye institute25-Item visual function questionnaire(NEI VFQ-25)–reference data from the German population-based Gutenberg Health Study(GHS)[J].Health and Quality of Life Outcomes,2017,15(1):156.
[5]马莉,陈俊峰,顾晓芬,等.基于EQ-5D量表的子宫颈癌患者生命质量评价[J].中国妇幼保健,2013,28(21):3471-3473.
[6]张礼静.老年性白内障健康教育及体会[J].临床中老年保健学,2000,28(2):1289-1671.
[7]王仕英,柯根杰,顾永昊.白内障患者手术前后视功能相关生存质量分析[J].实用防盲技术,2008,3(4):25-26.
[8]Chua J,Lim B,Fenwick EK,et al.Prevalence,risk factors,and impact of undiagnosed visually significant cataract:the Singapore epidemiology of eye diseases study[J].PLOS One,2017,12(1):e0170804.
[9]孙超,殷丽,朱靖,等.VF-QOL量表在白内障超声乳化术质量评价中的应用[J].实用临床医药杂志,2016,20(19):68-70.
[10]张海瑞,马莉,任苒,等.视功能相关生命质量量表NEI-VFQ-25中文版的研制及其性能评价[J].现代预防医学,2015,42(12):2211-2214.
[11]孙丽丽,黄磊,徐倩,等.乳腺癌术后化疗患者生命质量现状及影响因素的研究[J].现代预防医学,2016,43(21):4024-4028.
[12]冯玉如,陈长香.河北省城乡老年人青光眼患病及其身心健康现状调查[J].中国公共卫生,2016,32(2):141-144.
[13]颜少彪,刘忠鑫.中老年人群发生白内障的相关因素研究[J].安徽医药,2015,19(5):932-934.
[14]朱丽娜,秦宇,张海瑞,等.城市育龄妇女生命质量评价及相关因素分析[J].中国妇幼保健,2014,33(33):5463-5466.