干眼患者生命质量研究

Quality of Life of Patients with Dry Eye

目的探讨干眼患者生命质量。方法采用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120例干眼患者的生命质量(QL)进行评价研究。结果干眼患者的全面健康相关生存质量下降,尤其在情绪对角色功能的影响(RE)、躯体功能对角色功能的影响(RP)、健康总体自评(GH)、社会功能(SF)、心理功能(MH)、活力(VT)和疼痛(BP)方面较为突出,在部分维度上,干燥综合征水样液缺乏性患者(SSATD)生存质量最低,屏幕终端综合征患者(VDT)最高。上述结果与视觉相关生存质量检测结果相关。社会因素和医学因素对QL也均有显著影响。结论应该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,有针对性地根据患者的具体情况制订合理治疗方案以使其得到最恰当的治疗。

Objective To assess quality of life（QL）of patients with dry eye.Methods A total of 120 patients with dry eye were surveyed by using the MOS 36-item short form health survey（SF-36）and the scale of life quality for diseases with visual impairment（SQOL-DVI）.Results For patients with dry eye,total QL related to health showed a decrease according to SF-36,especially on role limitation due to emotional problem（RE）,role limitation due to physical problem（RP）,general health（GH）,social functioning（SF）,mental health（MH）,vitality（VT）and bodily pain（BP）.In some dimensions of SF-36,the patients with aqueous tear deficiency with Sjgren syndrome（SSATD）showed the lowest QL,whereas those with video display terminal syndrome（VDT）demonstrated the highest QL.The corresponding results were also obtained in SQOL-DVI.Social factors and medical factors also influenced QL significantly.Conclusion Clinical physicians should pay much attention to the social psychology states and the factors that affect QL of dry eye patients,and give them proper treatment by establishing individual therapy based on specific conditions of patients.