《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

原发性开角型青光眼患者视觉相关生活质量综合分析①

骆荣江1，贾玉1，颜志超2，田臻2，张燕2   

  1. 1. 中山大学附属第一医院眼科，广东广州市510080；2. 中山大学中山眼科中心，广东广州市510060。
  • 出版日期:2016-11-25 发布日期:2016-12-05

Assessment of Vision-related Quality of Life in Patients with Primary Open Angle Glaucoma

LUO Rong-jiang1, JIA Yu1, YAN Zhi-chao2, TIAN Zhen2, ZHANG Yan2   

  1. 1. The First Affiliated Hospital, Sun Yat- sen University, Guangzhou, Guangdong 510080, China; 2. Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China
  • Published:2016-11-25 Online:2016-12-05

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摘要： 目的综合分析原发性开角型青光眼(POAG)患者视觉相关生活质量(VRQL)及精神情绪等情况。方法2013 年5 月~2016 年4 月，对200 例青光眼患者(患者组)行全面眼科检查。另取正常志愿者100 名作为对照组。问卷调查包括VRQL评分、线性等级尺度(RS)法评分和抑郁焦虑评定三个部分。结果患者组VRQL评分显著下降(t=3.998, P<0.001)，VRQL下降主要表现在读写、暗适应及驾驶三个方面(F>2.523, P<0.05)。患者组RS值显著下降(t=4.021, P<0.001)。患者组焦虑及抑郁症状的检出率高于对照组。结论POAG患者无论在精神情绪、自我评价及VRQL等方面均存在严重障碍，应引起高度重视。

关键词: 原发性开角型青光眼, 视觉相关生活质量, 线性等级尺度

Abstract: Objective To analyze the vision-related quality of life (VRQL) and mental disorder in patients with primary open angle glaucoma (POAG) patients. Methods Ophthalmic examinations were carried out in 200 POAG participants from May, 2013 to April, 2016. Another 100 volunteers were enrolled as control group. The questionnaires included VRQL, linear rating scale (RS) and Hospital Anxiety and Depression Scale. Results The score of VRQL decreased significantly in the patients group (t=3.998, P<0.001), which mainly showed in dyslexia, dark adaptation, and driving (F>2.523, P<0.05). The RS score significantly decreased in the patients group (t=4.021, P<0.001). The detection rates of anxiety and depression were obviously higher in the patients group than in the control group. Conclusion Patients with POAG have disabilities in mental disorder, self-assessment and VRQL, which need seriously attention.

Key words: primary open angle glaucoma, vision-related quality of life, linear rating scale