特殊教育学校视力障碍学生视觉相关生活质量调查

doi:10.3969/j.issn.1006-9771.2022.01.018

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (1): 119-124.doi: 10.3969/j.issn.1006-9771.2022.01.018

• 康复政策与发展 • 上一篇

特殊教育学校视力障碍学生视觉相关生活质量调查

陈婷¹,谢甘霖²,叶文文¹,孟志勇¹,谢玉红¹,黄烙明³,胡建民^1,³,董理权²(),施文建¹()

1.福建医科大学附属第二医院眼科,视障辅助技术福建省高校工程研究中心,福建泉州市 362000
2.中国残疾人辅助器具中心,北京市 100050
3.福建医科大学医学技术与工程学院,福建省儿童青少年近视防控研究中心,福建福州市 350000

收稿日期:2021-10-22 修回日期:2021-12-08 出版日期:2022-01-25 发布日期:2022-02-11
通讯作者: 董理权,施文建 E-mail:gyzaaaa@sohu.com;wenjianshi@qq.com
作者简介:陈婷(1990-),女,汉族,福建福鼎市人,医师,主要研究方向：眼视光、低视力与视障康复。
基金资助:
1. 国家重点研发计划项目(2018YFC2002602);国家重点研发计划项目(2018YFC0116503);2. 福建省自然科学基金项目(2020J01216);3. 泉州市科技计划项目(2019N112S)

Survey on vision-related quality of life for visual impairment students in special school

CHEN Ting¹,XIE Ganlin²,YE Wenwen¹,MENG Zhiyong¹,XIE Yuhong¹,HUANG Luoming³,HU Jianmin^1,³,DONG Liquan²(),SHI Wenjian¹()

1. Department of Ophthalmology, the Second Affiliated Hospital of Fujian Medical University; Engineering Research Center of Visual Impairment Assistive Technology, Fujian Province University, Quanzhou, Fujian 362000, China
2. China Assistive Devices and Technology Center for Persons with Disabilities, Beijing 100050, China
3. School of Medical Technology and Engineering, Fujian Medical University; Research Center for Juvenile Myopia Prevention and Control of Fujian Province, Fuzhou, Fujian 350000, China

Received:2021-10-22 Revised:2021-12-08 Published:2022-01-25 Online:2022-02-11
Contact: DONG Liquan,SHI Wenjian E-mail:gyzaaaa@sohu.com;wenjianshi@qq.com
Supported by:
National Key Research and Development Program(2018YFC2002602);National Key Research and Development Program(2018YFC0116503);Natural Science Foundation of Fujian Province(2020J01216);Quanzhou City Science & Technology Program(2019N112S)

摘要/Abstract

摘要：

目的调查泉州市特殊教育学校普通班视障学生的生活质量现状及其影响因素。方法 2020年11月对普通班最好眼最佳矫正视力> 0.02的52例学生(年龄7~26岁)进行近视力检查、对比敏感度检查和中文版低视力生活质量量表(CLVQOL)调查。以研究对象最好眼最佳矫正远视力为依据,分为二级盲、一级低视力、二级低视力3组。结果三组间远视力(Z = 45.671, P < 0.001)、近视力(Z = 24.972, P < 0.001)、对比敏感度(Z = 13.285, P = 0.001)均存在非常显著性差异。近视力与远视力呈正相关(r = 0.74, P < 0.001),对比敏感度与远、近视力均呈负相关(r = -0.58, r = -0.57, P < 0.001);CLVQOL总分与对数对比敏感度呈正相关(r = 0.44, P < 0.001)。三组间CLVQOL总分(Z = 10.145, P = 0.006)、远视力维度(Z = 13.586, P = 0.001)、心理调节能力维度(Z = 7.824, P = 0.020)、阅读精细工作维度(Z = 7.923, P = 0.019)评分有显著性差异。结论不同视障程度学生生活质量存在差异,特别是在远视力、心理调节能力、精细阅读等方面。对比敏感度与生活质量相关,对视障学生进行视功能评估时候应进行对比敏感度检查。

关键词: 视力障碍, 学生, 对比敏感度, 生活质量

Abstract:

Objective To investigate visual impairment students' quality of life and its influencing factors in Braille learning class at Quanzhou Special School. Methods November, 2020, 52 students (aged seven to 26) with the best corrected distance visual acuity of the better eye above 0.02 were investigated with near visual acuity, contrast sensitivity and Chinese-version Low Vision Quality of Life Questionnaire (CLVQOL). The subjects were divided into second grade blindness group, first grade low vision group and second grade low vision group according to the best corrected distance visual acuity of the better eye. Results There were significant differences in distance visual acuity (Z = 45.671, P < 0.001), near visual acuity (Z = 24.972, P < 0.001), and contrast sensitivity (CS) ( Z = 13.285, P = 0.001) among three groups. There was a correlation between near visual acuity and distance visual acuity (r = 0.74, P < 0.001), CS to distance visual acuity (r = -0.58, P < 0.001) and near visual acuity (r = -0.57, P < 0.001), score of CLVQOL and CS (r = 0.44, P < 0.001). There were significant differences in the total score (Z = 10.145, P = 0.006), distance visual acuity subscale (Z = 13.586, P = 0.001), psychological adjustment subscale (Z = 7.824, P = 0.020), reading and fine work subscale (Z = 7.923, P = 0.019) of CLVQOL among the three groups. Conclusion Quality of life is different with the visual impairment for students in special school, especially the distance visual acuity, psychological adjustment and fine reading. CS correlates to the quality of life of visually impaired students, which needs to be a part of evaluation of visual function.

Key words: visual impairment, students, contrast sensitivity, quality of life

中图分类号:

陈婷,谢甘霖,叶文文,孟志勇,谢玉红,黄烙明,胡建民,董理权,施文建. 特殊教育学校视力障碍学生视觉相关生活质量调查[J]. 《中国康复理论与实践》, 2022, 28(1): 119-124.

CHEN Ting,XIE Ganlin,YE Wenwen,MENG Zhiyong,XIE Yuhong,HUANG Luoming,HU Jianmin,DONG Liquan,SHI Wenjian. Survey on vision-related quality of life for visual impairment students in special school[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 119-124.

图/表 3

表1

表2

表3

参考文献 36

[1]	ABDOLALIZADEH P, CHAIBAKHSH S, FALAVARJANI K. Global burden of paediatric vision impairment: A trend analysis from 1990 to 2017[J]. Eye (Lond), 2021, 35(8):2136-2145. doi: 10.1038/s41433-021-01598-8
[2]	SOLEBO A, RAHI J. Epidemiology, aetiology and management of visual impairment in children[J]. Arch Dis Child, 2014, 99(4):375-379. doi: 10.1136/archdischild-2012-303002
[3]	XU T, WANG B, LIU H, et al. Prevalence and causes of vision loss in china from 1990 to 2019: Findings from the global burden of disease study 2019[J]. Lancet Public Health, 2020, 5(12):e682-e691. doi: 10.1016/S2468-2667(20)30254-1
[4]	鲁心灵, 李欣, 邱卓英, 等. 视力残疾人康复需求和康复服务发展状况Logistic回归分析研究[J]. 中国康复理论与实践, 2020, 26(5):513-517.
	LU X L, LI X, QIU Z Y, et al. Unmet needs and services of rehabilitation for people with visual disability using logistic regression analysis[J]. Chin J Rehabil Theory Pract, 2020, 26(5):513-517.
[5]	邱卓英, 李欣, 李沁燚, 等. 中国残疾人康复需求与发展研究[J]. 中国康复理论与实践, 2017, 23(8):869-874.
	QIU Z Y, LI X, LI Q Y, et al. Research on unmet needs and service development of rehabilitation for people with disabilities in China[J]. Chin J Rehabil Theory Pract, 2017, 23(8):869-874.
[6]	BINNS A, BUNCE C, DICKINSON C, et al. How effective is low vision service provision? A systematic review[J]. Surv Ophthalmol, 2012, 57(1):34-65. doi: 10.1016/j.survophthal.2011.06.006
[7]	GAO G, YU M, DAI J, et al. Demographic and clinical characteristics of a paediatric low vision population in a low vision clinic in China[J]. Clin Exp Optom, 2016, 99(3):274-279. doi: 10.1111/cxo.12294
[8]	盛威威, 李欣, 邱卓英, 等. 残疾儿童康复需求与康复服务发展研究[J]. 中国康复理论与实践, 2020, 26(5):502-507.
	SHENG W W, LI X, QIU Z Y, et al. Unmet needs and service of rehabilitation for children with disabilities[J]. Chin J Rehabil Theory Pract, 2020, 26(5):502-507.
[9]	邹海东, 张晳, 许迅, 等. 低视力者生活质量量表中文版的研制和信度与效度考评[J]. 中华眼科杂志, 2005, 41(3):246-251.
	ZOU H D, ZHANG X, XU X, et al. Development and evaluation of psychometric tests of the Chinese-version of Low Vision Quality of Life Questionnaire[J]. Chin J Ophthalmol, 2005, 41(3):246-251.
[10]	国家重点研发计划2020YFC2008200项目组, 中华医学会眼科学分会眼视光学组, 中国医师协会眼科医师分会眼视光专业委员会. 中国低视力康复临床指南(2021)[J]. 中华眼视光学与视觉科学杂志, 2021, 23(3):161-170.
	Research Panel of the National Key R&D Project 2020YFC2008200, Chinese Optometric Association of Chinese Ophthalmological Society, Optometry Committee of Chinese Ophthalmologists Association. Chinese Low Vision Rehabilitation Clinical Guideline (2021)[J]. Chin J Optom Ophthalmol Vis Sci, 2021, 23(3):161-170.
[11]	涂昌森, 倪灵芝, 江龙飞, 等. 助视器提升低视力患者生活质量[J]. 中华眼视光学与视觉科学杂志, 2019, 21(6):460-463.
	TU C S, NI L Z, JIANG L F, et al. Visual aids improve the quality of life of low vision patients[J]. Chin J Optom Ophthalmol Vis Sci, 2019, 21(6):460-463.
[12]	BAMASHMUS M, AL-AKILY S. Profile of childhood blindness and low vision in Yemen: a hospital-based study[J]. East Mediterr Health J, 2010, 16(4):425-428. doi: 10.26719/2010.16.4.425
[13]	黄丽娟, 颜玉缘, 胡建民, 等. 泉州市盲校学生视力损伤病因[J]. 中华眼视光学与视觉科学杂志, 2017, 19(11):673-676.
	HUANG L J, YAN Y Y, HU J M, et al. Etiology of visual impairment of students in Quanzhou blind school[J]. Chin J Optom Ophthalmol Vis Sci, 2017, 19(11):673-676.
[14]	廖瑞端, 李荣需, 黄静文, 等. 广州市盲校学生盲与低视力状况调查[J]. 中国康复理论与实践, 2008, 14(8):795-796.
	LIAO R D, LI R X, HUANG J W, et al. Etiology of visual impairment of students in Guangzhou blind school[J]. Chin J Rehabil Theory Pract, 2008, 14(8):795-796.
[15]	HUANG L, NNAMANI SILVA O, WU Y, et al. Causes of vision loss at China's largest blind school during a period of significant economic growth: 2008-2016[J]. J AAPOS, 2020, 24:153.e1-153.e5. doi: 10.1016/j.jaapos.2020.03.004
[16]	石玉, 许作敏. 华东地区七所盲校儿童致盲原因调查[J]. 中华眼科杂志, 2002, 38(12):747-749.
	SHI Y, XU Z M. An investigation on causes of blindness of children in seven blind schools in East China[J]. Chin J Ophthalmol, 2002, 38(12):747-749.
[17]	陶利娟, 杨慧玲, 郭燕, 等. 长沙市盲校学生视力调查及致盲原因分析[J]. 中国斜视与小儿眼科杂志, 2009, 17(2):74-76.
	TAO L J, YANG H L, GUO Y, et al. The investigation and analysis of the causes of blindness and visual acuities of students in Changsha Blind School[J]. Chin J Strab Pediat Ophth, 2009, 17(2):74-76.
[18]	WRIGHT C, DRASDO N. The influence of age on the spatial and temporal contrast sensitivity function[J]. Doc Ophthalmol, 1985, 59(4):385-395. doi: 10.1007/BF00159172
[19]	MOSELEY M, HILL A. Contrast sensitivity testing in clinical practice[J]. Br J Ophthalmol, 1994, 78(10):795-797. doi: 10.1136/bjo.78.10.795
[20]	THURMAN S, DAVEY P, MCCRAY K, et al. Predicting individual contrast sensitivity functions from acuity and letter contrast sensitivity measurements[J]. J Vis, 2016, 16(15):15.
[21]	Group W. What quality of life? The WHOQOL Group. World Health Organization Quality of Life Assessment[J]. World Health Forum, 1996, 17(4):354.
[22]	BURTON M J, RAMKE J, MARQUES A P, et al. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020[J]. Lancet Glob Health, 2021, 9:e489-e551. doi: 10.1016/S2214-109X(20)30488-5
[23]	ALDARRAB A, AL Q M, AL T S, et al. Functional visual ability and quality of life in children with glaucoma[J]. Am J Ophthalmol, 2019, 200:95-99. doi: 10.1016/j.ajo.2018.12.023
[24]	CHADHA R K, SUBRAMANIAN A. The effect of visual impairment on quality of life of children aged 3-16 years[J]. Br J Ophthalmol, 2011, 95:642-645. doi: 10.1136/bjo.2010.182386
[25]	WOLFFSOHN J, COCHRANE A. Design of the Low Vision Quality-Of-Life Questionnaire (LVQOL) and measuring the outcome of low-vision rehabilitation[J]. Am J Ophthalmol, 2000, 130(6):793-802. doi: 10.1016/S0002-9394(00)00610-3
[26]	GAO G, OUYANG C, DAI J, et al. Baseline traits of patients presenting at a low vision clinic in Shanghai, China[J]. BMC Ophthalmol, 2015, 15:16. doi: 10.1186/s12886-015-0013-3
[27]	ADIGUN K, OLULEYE T, LADIPO M, et al. Quality of life in patients with visual impairment in Ibadan: a clinical study in primary care[J]. J Multidiscip Healthc, 2014, 7:173-178.
[28]	Wor1d Health Organization. Follow-up to the Political Declaration of the High-level Meeting of The General Assembly on the Prevention and Control of Non-communicable Diseases[A]. Geneva:World Health Organization, 2013.
[29]	Wor1d Health Organization. Rehabilitation 2030: a call for action[A]. Geneva: World Health Organization, 2017.
[30]	邱卓英, 郭键勋, 杨剑, 等. 康复2030:促进实现«联合国2030年可持续发展议程»相关目标[J]. 中国康复理论与实践, 2017, 23(4):373-378.
	QIU Z Y, KWOK J K F, YANG J, et al. Rehabilitation 2030: realization of United Nation Sustainable Development Goals 2030[J]. Chin J Rehabil Theory Pract, 2017, 23(4):373-378.
[31]	SUPERSTEIN R, BOYANER D, OVERBURY O, et al. Glare disability and contrast sensitivity before and after cataract surgery[J]. J Cataract Refract Surg, 1997, 23(2):248-253. doi: 10.1016/S0886-3350(97)80349-5
[32]	ADAMSONS I, VITALE S, STARK W, et al. The association of postoperative subjective visual function with acuity, glare, and contrast sensitivity in patients with early cataract[J]. Arch Ophthalmol, 1996, 114(5):529-536. doi: 10.1001/archopht.1996.01100130521004
[33]	赵云娥, 毛崇溶, 王勤美, 等. 早期白内障患者对比敏感度测定及手术时机研究[J]. 眼视光学杂志, 2002, 4(3):132-133.
	ZHAO Y E, MAO C R, WANG Q M, et al. Study on contrast sensitivity and operation time in patients with early cataract[J]. Chin J Optom Ophthalmol, 2002, 4(3):132-133.
[34]	ESHRAGHI H, SANVICENTE C, GOGTE P, et al. Measuring contrast sensitivity in specific areas of vision: a meaningful way to assess quality of life and ability to perform daily activities in glaucoma[J]. Ophthalm Epidemiol, 2019, 26(5):301-310. doi: 10.1080/09286586.2019.1616773
[35]	EKICI F, LOH R, WAISBOURD M, et al. Relationships between measures of the ability to perform vision-related activities, vision-related quality of life, and clinical findings in patients with glaucoma[J]. JAMA Ophthalmol, 2015, 133:1377-1385. doi: 10.1001/jamaophthalmol.2015.3426
[36]	ROSSOUW P, GUICHARD M M, HATZ K, et al. Contrast sensitivity and binocular reading speed best correlating with near distance vision-related quality of life in bilateral nAMD[J]. Ophthalmic Physiol Opt, 2020, 40:760-769. doi: 10.1111/opo.v40.6

项目		二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	F/χ²值	P值
性别	男	10	10	12	1.904	0.386
	女	4	10	6
年龄/岁		17.12±4.86	17.22±4.04	17.48±3.78	0.033	0.968
诊断	先天性白内障	3	3	10	—	—
	视神经病变/萎缩	4	5	1
	先天性青光眼	3	3	3
	先天性小眼球	0	0	1
	白化病	0	1	1
	角膜病变	0	1	2
	视网膜色素变性	1	1	0
	视锥细胞营养不良	0	2	0
	早产儿视网膜病变	1	1	0
	家族性渗出性视网膜病变	0	2	0
	颅内占位	1	0	0
	黄斑变性	1	0	0
	原始玻璃体增生症	0	1	0

项目	二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	Z值	P值
远视力	1.70(1.52, 1.70)	1.22(1.10, 1.30)	0.92(0.82, 1.00)	45.671	< 0.001
近视力	1.52(1.10, 1.70)	1.00(0.73,1.30)	0.60(0.52, 0.85)	24.972	< 0.001
CS	0.48(0.24, 0.72)	0.84(0.56, 1.38)	1.36(1.20, 1.54)	13.285	< 0.001

项目	二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	Z值	P值
总分	2.06(1.76, 2.79)	2.32(1.65, 3.16)	3.33(2.43, 3.70)	10.145	0.006
远视力	2.04(1.83, 2.85)	2.42(1.69, 3.00)	3.33(2.65, 3.83)	13.586	0.001
心理调节能力	2.00(1.50, 2.44)	2.38(2.00, 3.44)	3.13(2.19, 3.75)	7.824	0.020
阅读精细工作	2.30(1.35, 2.70)	1.90(1.40, 3.15)	3.40(2.20, 4.05)	7.923	0.019
日常生活能力	2.50(2.00, 3.00)	2.38(1.75, 3.75)	2.63(2.00, 4.06)	0.946	0.623

特殊教育学校视力障碍学生视觉相关生活质量调查

Survey on vision-related quality of life for visual impairment students in special school

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 3

参考文献 36

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	孙莹, 张强, 章鑫鑫, 王若晨. 视力障碍青少年心理韧性特点的质性研究[J]. 《中国康复理论与实践》, 2024, 30(1): 29-35.
[2]	王梓彤, 马松翠, 徐丽丽, 马瑞, 孙旭, 程梅. 肢体残疾人自我效能感、照顾质量与生活质量的关系[J]. 《中国康复理论与实践》, 2023, 29(3): 340-348.
[3]	孙喜妹, 刘华, 柴良伟, 李凯洋, 马景. 治疗性运动对头前倾并发颈痛患者颈部功能和生活质量影响的Meta分析[J]. 《中国康复理论与实践》, 2023, 29(2): 214-222.
[4]	付文娟, 侯剑华, 于肖楠, 陈天勇. 脑损伤康复期患者及配偶的共同二元应对与婚姻满意度和生活质量的关系：基于共同命运模型的分析[J]. 《中国康复理论与实践》, 2023, 29(12): 1446-1453.
[5]	杨亚茹, 杨剑. 基于ICD-11和ICF的活动和参与与生活质量测量工具的内容比较[J]. 《中国康复理论与实践》, 2023, 29(12): 1454-1464.
[6]	房晓庆, 丁雪梅, 王一杰, 李新征, 张晓丽. 残疾大学生的择业心理特征[J]. 《中国康复理论与实践》, 2023, 29(10): 1227-1232.
[7]	叶绿, 王斌, 邱服冰. 大学生身体活动的心理行为健康和功能效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2023, 29(1): 38-47.
[8]	崔家宝, 林舰, 刘育成, 王鹏, 曾洪发. 大学生太极拳活动的心理健康效益：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2023, 29(1): 48-54.
[9]	张玉红,王春晖,努尔署瓦克•托列别克,刘巧云. 听觉障碍中学生就业期望特征调查[J]. 《中国康复理论与实践》, 2022, 28(9): 1104-1109.
[10]	靳梦蝶,周璇,李欣,岳一鸣,诸小青,袁海燕,杜青. 特定运动疗法对特发性脊柱侧弯的效果[J]. 《中国康复理论与实践》, 2022, 28(7): 841-847.
[11]	席晓明,毕鸿雁. 腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果[J]. 《中国康复理论与实践》, 2022, 28(2): 220-226.
[12]	崔德刚,邱芬,邱服冰,汤修齐,刘静,朱肖肖,李中浩. 基于ICF成年人休闲体育活动改善心理健康、生活质量和福祉的系统综述[J]. 《中国康复理论与实践》, 2021, 27(9): 1038-1047.
[13]	曹海豪,孙文玉,席晓明,王丽敏,毕鸿雁. 五禽戏对帕金森病患者平衡功能、步行能力及生活质量的效果[J]. 《中国康复理论与实践》, 2021, 27(9): 1087-1092.
[14]	张诗雅,孙梅,吕军,夏聪,郑红颖,陈刚,唐蕾,王晓茜. 发达地区残疾儿童生活质量现状及其影响因素分析——以上海市为例[J]. 《中国康复理论与实践》, 2021, 27(10): 1127-1134.
[15]	陈雨牵,孙梅,吕军,邱服冰,邱芬,李安巧,夏聪,郑红颖. 残疾儿童照护者生活质量及其影响因素分析[J]. 《中国康复理论与实践》, 2021, 27(10): 1144-1151.