AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract s...AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.展开更多
AIM:To compare and analyse the diagnostic efficacy of the College of Optometrists Vision Development Quality of Life Questionnaire(COVD-QOL)and the Convergence Insufficiency Symptom Survey(CISS)in detecting convergenc...AIM:To compare and analyse the diagnostic efficacy of the College of Optometrists Vision Development Quality of Life Questionnaire(COVD-QOL)and the Convergence Insufficiency Symptom Survey(CISS)in detecting convergence insufficiency and to compare their diagnostic value in clinical applications.METHODS:Using the diagnostic test method,62 adult patients with convergence insufficiency(age:24.74±3.75y)and 62 normal participants(age:23.61±3.13y)who visited the Optometry Clinic of West China Hospital of Sichuan University from April 2021 to January 2023 were included.All subjects completed the CISS and COVD-QOL.Statistical analysis of the sensitivity and specificity of the CISS and COVD-QOL and comparison and joint experimental analysis of their diagnostic efficacy were performed.RESULTS:The sensitivity of the CISS and COVD-QOL for convergence insufficiency was 64.5%and 71.0%,respectively,while the specificity was 96.8%and 67.7%,respectively.Compared to the CISS alone,the combination of the CISS and COVD-QOL demonstrated lower sensitivity and specificity.The areas under the receiver operating characteristic curve of CISS,COVD-QOL and CISS combined with COVD-QOL were 0.806,0.694 and 0.782,respectively.CONCLUSION:Considering the low sensitivity of the CISS and the low specificity of the COVD-QOL,it is recommended to supplement these questionnaires with other screening tests for the detection of convergence insufficiency.展开更多
AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision...AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision Rehabilitation,Faculty of Medicine,Ankara University.For statistical analyses,the Spearman's correlation coefficient,Cronbach's alpha coefficient and Confirmatory Factor Analysis(CFA) were used.RESULTS:According to results of CFA,the item in the 'Adjustment' subscale because of having the factor loading below 0.40,was excluded from the questionnaire.The reliability of the questionnaire was assessed according to Cronbach's alpha coefficients.The reliability of the 'Distance Vision,Mobility,and Lighting' subscale was ?琢=0.863;of the 'Adjustment' subscale was ?琢=0.694;'Reading and Fine Work' was ?琢=0.791,and 'Activities of Daily Living' was ?琢= 0.770.So these results indicate that the questionnaire is reliable to measure the vision related quality of life of low-vision patients.The correlations between the subscales were also analyzed,and the correlation between 'Adjustment' and 'Reading and Fine Work' was found to be the lowest(rs=0.336,P <0.001),whereas the strongest correlation was found between the 'Reading and Fine Work',and 'Activities of Daily Living'.Additionally,the 'Adjustment' dimension showed the strongest correlation with only 'Distance Vision,Mobility,and Lighting' dimension.CONCLUSION:After removing the last item in the second dimension,the Turkish adaptation of all dimensions of the LVQOL has been shown to be reliable,valid and suitable for use in patients with low vision in Turkey.展开更多
AIM:To evaluate the quality of life(QOL)and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes.METHODS:This cross-sectional study was conducte...AIM:To evaluate the quality of life(QOL)and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes.METHODS:This cross-sectional study was conducted on 100 adult participants with high myopia(defined as refractive error≤-5.00 D or worse,and uncorrected visual acuity worse than 6/18 in the better seeing eye)attending ophthalmology centres in Nigeria from 2 October 2021 to 30 August 2022.The means and standard deviations were calculated for each of the four domains of World Health Organization Quality of life scale(WHOQOL-BREF)using the transformed scores.The Beck Depression Inventory(BDI)scale was used to assess the level of depression.RESULTS:The highest and the lowest mean scores of WHOQOL-BREF domains were found for the psychological and physical health domains(mean percentage scores were 67.0[95% confidence intervals(CI)64.1-68.9]and 55.3(95%CI 51.8-58.8,P<0.001),respectively.One-way analysis of variance(ANOVA)revealed significant differences in physical health with educational status(higher among those with tertiary education:mean difference 0.9,95%CI-0.2-2.1;P=0.049),differences in psychological health with working status(higher among those who were working 1.2,95%CI 0.3-2.1;P=0.012).Also,the result showed a statistically significant association between environmental health and marital status(higher among non-married:1.7,95%CI-0.9-2.3;P=0.012)while overall health was associated with place of residence(higher in urban areas:2.3,95%CI 1.2-3.5;P=0.024).For depression,one in every nine participants reported major depressive symptom,mostly younger people(aged 16-29 vs 30-49y:17.0%vs 0,P=0.019),and slightly more women than men(14.3%vs 0,P=0.064).There were significant negative correlations between the depression scores and psychological health(r=-0.48,P<0.001),physical health(r=-0.29,P=0.002),social and relationship(r=-0.49,P<0.001),environmental(r=-0.48,P<0.001)and overall health(r=-0.49,P<0.001)CONCLUSION:People with high myopia have a relatively moderate QOL,but poor physical health,particularly the younger age group,and women who are more likely to experience clinically relevant depression.Eye care professionals should consider possible referrals for counselling for people with high myopia.展开更多
AIM: To develop a short,enhanced functional ability Quality of Vision(faVIQ) instrument based on previous questionnaires employing comprehensive modern statistical techniques to ensure the use of an appropriate respon...AIM: To develop a short,enhanced functional ability Quality of Vision(faVIQ) instrument based on previous questionnaires employing comprehensive modern statistical techniques to ensure the use of an appropriate response scale,items and scoring of the visual related difficulties experienced by patients with visual impairment. · METHODS: Items in current quality-of-life questionnaires for the visually impaired were refined by a multi-professional group and visually impaired focus groups. The resulting 76 items were completed by 293 visually impaired patients with stable vision on two occasions separated by a month. The faVIQ scores of 75 patients with no ocular pathology were compared to 75 age and gender matched patients with visual impairment. ·RESULTS: Rasch analysis reduced the faVIQ items to 27. Correlation to standard visual metrics was moderate(r =0.32-0.46) and to the NEI-VFQ was 0.48. The faVIQ was able to clearly discriminate between age and gender matched populations with no ocular pathology and visual impairment with an index of 0.983 and 95% sensitivity and 95% specificity using a cut off of 29.·CONCLUSION: The faVIQ allows sensitive assessment of quality-of-life in the visually impaired and should support studies which evaluate the effectiveness of low vision rehabilitation services.展开更多
目的探讨研究马斯洛需要层次理论下全面护理对白内障超声乳化手术患者的影响。方法前瞻性随机选取2021年1月—2023年1月北京航天总医院收治的400例行白内障超声乳化手术患者为研究对象,依据不同护理方法分为对照组(n=200)和观察组(n=200...目的探讨研究马斯洛需要层次理论下全面护理对白内障超声乳化手术患者的影响。方法前瞻性随机选取2021年1月—2023年1月北京航天总医院收治的400例行白内障超声乳化手术患者为研究对象,依据不同护理方法分为对照组(n=200)和观察组(n=200)。对照组给予常规围术期护理,观察组予以马斯洛需要层次理论下全面护理。对比两组心理状态[采用抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评估]、低视力生活质量(Low Vision Quality of Life Questionnaire,LVQOL)、认知情况评分、并发症发生率。结果干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P均<0.05)。干预后,观察组远视力、移动、光感、调节功能、读与精细工作、日常生活评分均优于对照组,差异有统计学意义(P均<0.05)。干预后,观察组疾病掌握、手术了解、预后认知评分均高于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为5.50%(11/200)低于对照组的11.00%(22/200),差异有统计学意义(χ^(2)=3.996,P<0.05)。结论马斯洛需要层次理论下全面护理在白内障超声乳化手术中应用可改善患者的心理状态与疾病认知水平,对视力提升起到更好的预后效果,有利于降低术后并发症的发生,具有较好的临床研究价值。展开更多
Background：Age-related macular degeneration （AMD） is the leading cause of irreversible vision loss among the older population.In China,treatment of age-related ocular diseases is becoming a priority in eye care ser...Background：Age-related macular degeneration （AMD） is the leading cause of irreversible vision loss among the older population.In China,treatment of age-related ocular diseases is becoming a priority in eye care services.This study was to investigate the clinical characteristics and quality of life of Chinese patients with wet AMD and current treatment types,to evaluate short-term gains in different treatments,and to investigate associations between visual function and vision-related quality of life （VRQoL）.Methods：A prospective,observational,noninterventional study was conducted.Basic data were collected from patients with clinical diagnoses of wet AMD before clinical assessments at baseline.VRQoL was measured with the Chinese version of the National Eye Institute Visual Function Questionnaire-25 （NEI VFQ-25）.Correlations of the NEI VFQ-25 subscale scores with best-corrected visual acuity （BCVA） and between-group differences were analyzed.Results：A total of 80 wet AMD patients were enrolled,with the mean age of 68.40 years.About one-quarter ofwetAMD patients received intravitreal （IVT） ranibizumab treatment,and 67％ of them were treated on apro re nata basis.The visual acuity of patients treated with IVT ranibizumab at month 3 after treatment was significantly increased,whereas patients treated with traditional Chinese medicine achieved no significant improvement.Cronbach＇s α for the NEI VFQ-25 subscales ranged from 0.697 to 0.843.Eight subscale and overall composite scores were moderately correlated with the BCVA of the better-seeing eye.Significant differences in the overall NEI VFQ-25 scores and other subscales were observed between patients with BCVA in the better-seeing eye of less than 50 letters and the others.Conclusions：Patients treated with IVT ranibizumab experienced better vision improvement at short-term follow-up.The Chinese version of the NEI VFQ-25 is a valid and reliable tool for assessing the VRQoL of Chinese wet AMD patients.展开更多
目的评价复明工程中白内障患者术后视功能(vision function,VF)及生存质量(quality of life,QOL)的改善状况。方法采用VF-QOL问卷对我院2009年10月至2010年3月行免费白内障手术的患者进行VF及QOL评估。采用标准对数视力表对视力进行分级...目的评价复明工程中白内障患者术后视功能(vision function,VF)及生存质量(quality of life,QOL)的改善状况。方法采用VF-QOL问卷对我院2009年10月至2010年3月行免费白内障手术的患者进行VF及QOL评估。采用标准对数视力表对视力进行分级,将所有患者分为视力损伤组、单眼盲组、中度盲组和严重盲组;根据年龄分为60岁及以下组、61～70岁组、71～80岁组和81岁及以上组。结果在接受完整调查的204例患者中,术后1个月、6个月VF为80.73±14.68、81.41±13.85,均较术前44.86±23.38显著提高(均为P<0.01)。术后1个月、6个月QOL为90.27±13.68、90.09±13.66,均较术前66.50±23.13显著提高(均为P<0.01);术后1个月VF及QOL与6个月相比差异均无统计学意义(均为P>0.05)。术后1个月,严重盲组VF的提高值为51.52±21.20,较单眼盲组31.73±21.77明显增加(P<0.05);严重盲组、中度盲组QOL的提高值为35.07±26.35、43.69±20.39,较视力损伤组19.38±17.25明显增加(均为P<0.05)。术后1个月,81岁以上组VF提高值与其他各组比较差异有统计学意义,QOL提高值与60岁以下组有显著差异(均为P<0.05)。结论复明工程术后患者的VF及QOL显著提高且效果稳定,但视力组间及年龄组间的VF及QOL提高程度不同。问卷调查不仅可以让医师全面了解患者的生存状态,而且可以根据分析结果对重点人群进行特殊护理。展开更多
目的:调查引导式教育训练对视力障碍学生生活质量的影响。方法:前瞻性随机对照临床研究。选取2020年在泉州特殊教育学校就读视力障碍学生,按照入组条件随机分为引导式教育训练组和对照组,引导式教育训练组进行引导式教育训练,对照组进...目的:调查引导式教育训练对视力障碍学生生活质量的影响。方法:前瞻性随机对照临床研究。选取2020年在泉州特殊教育学校就读视力障碍学生,按照入组条件随机分为引导式教育训练组和对照组,引导式教育训练组进行引导式教育训练,对照组进行常规康复训练。采用中文版低视力者生活质量量表(Chinese-version low vision quality of life questionnaire,CLVQOL)评估视力障碍学生的基线和训练3个月的生活质量,并进行比较分析。结果:72例视力障碍学生全部完成了基线和随访时的生活质量问卷调查。进行基线检查时,各组CLVQOL评分总分差异无统计学意义(P>0.05)。3个月后,各组CLVQOL评分总分均增加,引导式教育训练组从基线59(48.5,80.5)上升到105(97.5,119.5),差异有统计学意义(Z=−4.781,P<0.001);对照组从基线69(56,85)上升到106(80,112),差异有统计学意义(Z=−4.438,P<0.001);引导式教育训练组在CLVQOL评分总分(P=0.021)及阅读和精细工作维度(P=0.004)、日常生活能力维度(P=0.003)的评分差值均高于对照组。结论:引导式教育训练是一种重要的低视力康复训练方法,可以明显提高患者的生活质量。展开更多
文摘AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.
文摘AIM:To compare and analyse the diagnostic efficacy of the College of Optometrists Vision Development Quality of Life Questionnaire(COVD-QOL)and the Convergence Insufficiency Symptom Survey(CISS)in detecting convergence insufficiency and to compare their diagnostic value in clinical applications.METHODS:Using the diagnostic test method,62 adult patients with convergence insufficiency(age:24.74±3.75y)and 62 normal participants(age:23.61±3.13y)who visited the Optometry Clinic of West China Hospital of Sichuan University from April 2021 to January 2023 were included.All subjects completed the CISS and COVD-QOL.Statistical analysis of the sensitivity and specificity of the CISS and COVD-QOL and comparison and joint experimental analysis of their diagnostic efficacy were performed.RESULTS:The sensitivity of the CISS and COVD-QOL for convergence insufficiency was 64.5%and 71.0%,respectively,while the specificity was 96.8%and 67.7%,respectively.Compared to the CISS alone,the combination of the CISS and COVD-QOL demonstrated lower sensitivity and specificity.The areas under the receiver operating characteristic curve of CISS,COVD-QOL and CISS combined with COVD-QOL were 0.806,0.694 and 0.782,respectively.CONCLUSION:Considering the low sensitivity of the CISS and the low specificity of the COVD-QOL,it is recommended to supplement these questionnaires with other screening tests for the detection of convergence insufficiency.
文摘AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision Rehabilitation,Faculty of Medicine,Ankara University.For statistical analyses,the Spearman's correlation coefficient,Cronbach's alpha coefficient and Confirmatory Factor Analysis(CFA) were used.RESULTS:According to results of CFA,the item in the 'Adjustment' subscale because of having the factor loading below 0.40,was excluded from the questionnaire.The reliability of the questionnaire was assessed according to Cronbach's alpha coefficients.The reliability of the 'Distance Vision,Mobility,and Lighting' subscale was ?琢=0.863;of the 'Adjustment' subscale was ?琢=0.694;'Reading and Fine Work' was ?琢=0.791,and 'Activities of Daily Living' was ?琢= 0.770.So these results indicate that the questionnaire is reliable to measure the vision related quality of life of low-vision patients.The correlations between the subscales were also analyzed,and the correlation between 'Adjustment' and 'Reading and Fine Work' was found to be the lowest(rs=0.336,P <0.001),whereas the strongest correlation was found between the 'Reading and Fine Work',and 'Activities of Daily Living'.Additionally,the 'Adjustment' dimension showed the strongest correlation with only 'Distance Vision,Mobility,and Lighting' dimension.CONCLUSION:After removing the last item in the second dimension,the Turkish adaptation of all dimensions of the LVQOL has been shown to be reliable,valid and suitable for use in patients with low vision in Turkey.
文摘AIM:To evaluate the quality of life(QOL)and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes.METHODS:This cross-sectional study was conducted on 100 adult participants with high myopia(defined as refractive error≤-5.00 D or worse,and uncorrected visual acuity worse than 6/18 in the better seeing eye)attending ophthalmology centres in Nigeria from 2 October 2021 to 30 August 2022.The means and standard deviations were calculated for each of the four domains of World Health Organization Quality of life scale(WHOQOL-BREF)using the transformed scores.The Beck Depression Inventory(BDI)scale was used to assess the level of depression.RESULTS:The highest and the lowest mean scores of WHOQOL-BREF domains were found for the psychological and physical health domains(mean percentage scores were 67.0[95% confidence intervals(CI)64.1-68.9]and 55.3(95%CI 51.8-58.8,P<0.001),respectively.One-way analysis of variance(ANOVA)revealed significant differences in physical health with educational status(higher among those with tertiary education:mean difference 0.9,95%CI-0.2-2.1;P=0.049),differences in psychological health with working status(higher among those who were working 1.2,95%CI 0.3-2.1;P=0.012).Also,the result showed a statistically significant association between environmental health and marital status(higher among non-married:1.7,95%CI-0.9-2.3;P=0.012)while overall health was associated with place of residence(higher in urban areas:2.3,95%CI 1.2-3.5;P=0.024).For depression,one in every nine participants reported major depressive symptom,mostly younger people(aged 16-29 vs 30-49y:17.0%vs 0,P=0.019),and slightly more women than men(14.3%vs 0,P=0.064).There were significant negative correlations between the depression scores and psychological health(r=-0.48,P<0.001),physical health(r=-0.29,P=0.002),social and relationship(r=-0.49,P<0.001),environmental(r=-0.48,P<0.001)and overall health(r=-0.49,P<0.001)CONCLUSION:People with high myopia have a relatively moderate QOL,but poor physical health,particularly the younger age group,and women who are more likely to experience clinically relevant depression.Eye care professionals should consider possible referrals for counselling for people with high myopia.
基金Supported by the Royal National Institute of the Blind,UK(No.226227)
文摘AIM: To develop a short,enhanced functional ability Quality of Vision(faVIQ) instrument based on previous questionnaires employing comprehensive modern statistical techniques to ensure the use of an appropriate response scale,items and scoring of the visual related difficulties experienced by patients with visual impairment. · METHODS: Items in current quality-of-life questionnaires for the visually impaired were refined by a multi-professional group and visually impaired focus groups. The resulting 76 items were completed by 293 visually impaired patients with stable vision on two occasions separated by a month. The faVIQ scores of 75 patients with no ocular pathology were compared to 75 age and gender matched patients with visual impairment. ·RESULTS: Rasch analysis reduced the faVIQ items to 27. Correlation to standard visual metrics was moderate(r =0.32-0.46) and to the NEI-VFQ was 0.48. The faVIQ was able to clearly discriminate between age and gender matched populations with no ocular pathology and visual impairment with an index of 0.983 and 95% sensitivity and 95% specificity using a cut off of 29.·CONCLUSION: The faVIQ allows sensitive assessment of quality-of-life in the visually impaired and should support studies which evaluate the effectiveness of low vision rehabilitation services.
文摘目的探讨研究马斯洛需要层次理论下全面护理对白内障超声乳化手术患者的影响。方法前瞻性随机选取2021年1月—2023年1月北京航天总医院收治的400例行白内障超声乳化手术患者为研究对象,依据不同护理方法分为对照组(n=200)和观察组(n=200)。对照组给予常规围术期护理,观察组予以马斯洛需要层次理论下全面护理。对比两组心理状态[采用抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)评估]、低视力生活质量(Low Vision Quality of Life Questionnaire,LVQOL)、认知情况评分、并发症发生率。结果干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P均<0.05)。干预后,观察组远视力、移动、光感、调节功能、读与精细工作、日常生活评分均优于对照组,差异有统计学意义(P均<0.05)。干预后,观察组疾病掌握、手术了解、预后认知评分均高于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为5.50%(11/200)低于对照组的11.00%(22/200),差异有统计学意义(χ^(2)=3.996,P<0.05)。结论马斯洛需要层次理论下全面护理在白内障超声乳化手术中应用可改善患者的心理状态与疾病认知水平,对视力提升起到更好的预后效果,有利于降低术后并发症的发生,具有较好的临床研究价值。
文摘Background：Age-related macular degeneration （AMD） is the leading cause of irreversible vision loss among the older population.In China,treatment of age-related ocular diseases is becoming a priority in eye care services.This study was to investigate the clinical characteristics and quality of life of Chinese patients with wet AMD and current treatment types,to evaluate short-term gains in different treatments,and to investigate associations between visual function and vision-related quality of life （VRQoL）.Methods：A prospective,observational,noninterventional study was conducted.Basic data were collected from patients with clinical diagnoses of wet AMD before clinical assessments at baseline.VRQoL was measured with the Chinese version of the National Eye Institute Visual Function Questionnaire-25 （NEI VFQ-25）.Correlations of the NEI VFQ-25 subscale scores with best-corrected visual acuity （BCVA） and between-group differences were analyzed.Results：A total of 80 wet AMD patients were enrolled,with the mean age of 68.40 years.About one-quarter ofwetAMD patients received intravitreal （IVT） ranibizumab treatment,and 67％ of them were treated on apro re nata basis.The visual acuity of patients treated with IVT ranibizumab at month 3 after treatment was significantly increased,whereas patients treated with traditional Chinese medicine achieved no significant improvement.Cronbach＇s α for the NEI VFQ-25 subscales ranged from 0.697 to 0.843.Eight subscale and overall composite scores were moderately correlated with the BCVA of the better-seeing eye.Significant differences in the overall NEI VFQ-25 scores and other subscales were observed between patients with BCVA in the better-seeing eye of less than 50 letters and the others.Conclusions：Patients treated with IVT ranibizumab experienced better vision improvement at short-term follow-up.The Chinese version of the NEI VFQ-25 is a valid and reliable tool for assessing the VRQoL of Chinese wet AMD patients.
文摘目的评价复明工程中白内障患者术后视功能(vision function,VF)及生存质量(quality of life,QOL)的改善状况。方法采用VF-QOL问卷对我院2009年10月至2010年3月行免费白内障手术的患者进行VF及QOL评估。采用标准对数视力表对视力进行分级,将所有患者分为视力损伤组、单眼盲组、中度盲组和严重盲组;根据年龄分为60岁及以下组、61～70岁组、71～80岁组和81岁及以上组。结果在接受完整调查的204例患者中,术后1个月、6个月VF为80.73±14.68、81.41±13.85,均较术前44.86±23.38显著提高(均为P<0.01)。术后1个月、6个月QOL为90.27±13.68、90.09±13.66,均较术前66.50±23.13显著提高(均为P<0.01);术后1个月VF及QOL与6个月相比差异均无统计学意义(均为P>0.05)。术后1个月,严重盲组VF的提高值为51.52±21.20,较单眼盲组31.73±21.77明显增加(P<0.05);严重盲组、中度盲组QOL的提高值为35.07±26.35、43.69±20.39,较视力损伤组19.38±17.25明显增加(均为P<0.05)。术后1个月,81岁以上组VF提高值与其他各组比较差异有统计学意义,QOL提高值与60岁以下组有显著差异(均为P<0.05)。结论复明工程术后患者的VF及QOL显著提高且效果稳定,但视力组间及年龄组间的VF及QOL提高程度不同。问卷调查不仅可以让医师全面了解患者的生存状态,而且可以根据分析结果对重点人群进行特殊护理。
文摘目的:调查引导式教育训练对视力障碍学生生活质量的影响。方法:前瞻性随机对照临床研究。选取2020年在泉州特殊教育学校就读视力障碍学生,按照入组条件随机分为引导式教育训练组和对照组,引导式教育训练组进行引导式教育训练,对照组进行常规康复训练。采用中文版低视力者生活质量量表(Chinese-version low vision quality of life questionnaire,CLVQOL)评估视力障碍学生的基线和训练3个月的生活质量,并进行比较分析。结果:72例视力障碍学生全部完成了基线和随访时的生活质量问卷调查。进行基线检查时,各组CLVQOL评分总分差异无统计学意义(P>0.05)。3个月后,各组CLVQOL评分总分均增加,引导式教育训练组从基线59(48.5,80.5)上升到105(97.5,119.5),差异有统计学意义(Z=−4.781,P<0.001);对照组从基线69(56,85)上升到106(80,112),差异有统计学意义(Z=−4.438,P<0.001);引导式教育训练组在CLVQOL评分总分(P=0.021)及阅读和精细工作维度(P=0.004)、日常生活能力维度(P=0.003)的评分差值均高于对照组。结论:引导式教育训练是一种重要的低视力康复训练方法,可以明显提高患者的生活质量。
