眼科住院患者视觉功能与生存质量的相关分析

Correlation analysis of the visual function and quality of life in ophthalmologic inpatients

目的：调查眼科常见疾病住院患者的生存质量，分析其与视功能之间的关系及相关影响因素。方法采用视功能调查问卷（ NEI-VFQ-25）对128例眼科住院患者进行调查，分析影响调查问卷量表得分的相关因素。结果本组患者NEI-VFQ-25量表平均得分（58．1±22．0）分，总体健康状况得分平均（40．8±24．3）分，其中双眼盲患者（18．8±11．0）分，单眼盲患者（52．4±18．1）分，非低视力组（69．6±18．3）分，单眼低视力组（60．2±21．2）分，双眼低视力组（52．2±23．8）分。不同年龄组、不同视力患者生存质量得分比较差异有统计学意义（F值分别为4．966，8．557；P＜0．01）；患者好眼视力与年龄呈负相关（r＝-0．306，P＜0．01）。结论视力和年龄均影响调查量表得分，双眼盲患者调查量表得分下降明显，护士要准确评估患者的自理能力，提供必要的生活和心理护理，做好宣教工作，提升患者的生存质量。

Objective To investigate the quality of life （ QOL ） in ophthalmologic inpatients with common diseases , and to analyze the relation between QOL and visual function and the related influence factors . Methods One hundred and twenty-eight ophthalmologic inpatients were surveyed by the America National Eye Institute 25-Item Visual Function Questionnaire （ NEI-VFQ-25 ） , and the related influence factors were analyzed.Results The average score of NEI-VFQ-25 in patients was （58.1 ±22.0）.The average score of total health status was （40.8 ±24.3）, and the score in bilateral blind patients was （18.8 ±11.0）, and the score in unilateral blind patients was （52.4 ±18.1）, and the score in non low vision patients was （69.6 ±18.3）, and the score in unilateral low vision patients was （60.2 ±21.2）, and the score in bilateral low vision patients was （52.2 ±23.8）.The difference was found in the score of QOL in different age and vision patients （F=4.966, 8.557, respectively;P〈0.01）.The vision of good eye was negatively related to the age （r=-0.306,P〈0.01）.Conclusions The vision and age can affect the score of scales , and the score of bilateral blind patients is significantly decreased .The nurses should correctly assess self-care ability of inpatients , and provide the necessary physical and mental nursing , and do conduct propaganda well so as to improve the QOL in patients .