青光眼患者小梁切除术后生存质量的评价

Clinical study of the quality of life and influence factors in glaucoma patients after trabeculectomy

目的:评价青光眼患者小梁切除术后的生存质量及其影响因素。方法:采用视功能损害患者生存质量量表对123例青光眼患者小梁切除术后的生存质量进行评价。结果:青光眼患者小梁切除术后的生活质量得分较低,视力损害严重影响着患者的生存质量得分,多因素逐步直线回归显示:影响总分的主要因素是视力损伤程度(β=-10.139,P=0.000)、健康教育(β=2.576,P=0.000)、手术次数(β=-3.598,P=0.002)及性别(β=3.807,P=0.013)。结论:青光眼患者小梁切除术后的生存质量得分较低,因此不仅要重视患者的临床治疗,在保护青光眼患者视功能的同时,根据患者的职业、经济状况等进行综合治疗,给予必要的健康教育和心理治疗,解除患者的心理问题,对提高患者的生存质量有重要的意义。

AIM ：To evaluate the quality of life and influence factors in glaucoma patients after trabeculectomy. METHODS：The quality of life of 123 cases of glaucoma after trabeculectomy patients were evaluated with a scale of life quality for diseases with visual impairment. RESULTS ：The quality of life scores of glaucoma patients after trabeculectomy were low. The Visual status was the significant factor to the patient＇s quality of life; The analysis of multiple stepwise linear regression indicated the visual status （ 15 = -10.139, P= 0.000）, health education （6=2.576, P=0.000）, number of operations （6 =-3.598, P=0.002） and gender （β=3.807, P=0.013） are the main influencing factors. CONCLUSION ： The scores of quality of life of glaucoma patients after trabeculectomy were low. Therefore, doctors should not only pay attention to the clinical treatment of patients with glaucoma, but also take care of the quality of life according to the patient＇s occupation, economic status when protecting visual function. It is necessary to give some health education and psychological treatment to improve their quality of life.