青光眼患者的生存质量及其影响因素研究

Quality of life in patients with glaucoma and its influencing factors

目的:评价青光眼患者的生存质量并探讨影响其生存质量的因素。方法:采用国家眼科研究所视功能问卷-25,对126例青光眼患者的生活质量进行评价。结果:青光眼患者的生存质量普遍下降,不同程度的视力损害明显影响着患者的生存质量得分(P<0.01)。多因素逐步直线回归显示:生存质量的得分与年龄、经济收入、遵医行为有密切关系(P<0.05)。结论:在保护青光眼患者视功能的同时,要重视其社会、心理等因素,给予其必要的健康教育和心理辅导,以期提高其生存质量。

AIM：To evaluate the quality of life in glaucoma patients and to explore the factors that affect their quality of life. METHODS：Totally 126 patients with glaucoma were evaluated the quality of life with the National Eye Institute visual function questionnaire. RESULTS：The scores of the patients with glaucoma were generally decreased, especially in patients with the obvious change of the visual acuity and the visual field, elder patients, and people whose physical function was decline, with lower education levels, poorer compliance and no medical insurance and no stable income. There were obvious difference （P0.05）. The multiple factor stepwise linear regression analysis showed that the scores of the quality of life was closely related to the visual function, the age, the income, the compliance behavior, the mentation and the social activity （P0.05）. CONCLUSION：With the protection of visual function in patients with glaucoma, we must pay attention to their social, psychological and other factors and give the enough health education and psychological counseling to improve their quality of life.