高度近视患者视觉相关生活质量的评估  

Assessment of vision-related quality of life in Chinese high myopia patients

作　　者：陈晓冲[1] 楚艳华[2] 韩梅[2] 王莹[2] 韩泉洪[2] 

机构地区：[1]天津医科大学眼科临床学院,天津300020 [2]天津市眼科医院

出　　处：《中国实用眼科杂志》2013年第3期368-372,共5页Chinese Journal of Practical Ophthalmology

基　　金：天津市卫生局科技基金（2010KG107）;天津市卫生局科技基金（2011KY32）

摘　　要：目的评估高度近视患者的视觉相关生活质量及其影响因素。方法门诊收集高度近视患者，采用美国眼科学会视功能调查问卷（NEIVRQ-25）对高度近视患者行视觉相关的生活质量问卷调查，统计学分析VRQ-25问卷得分是否受患者人口统计学指标（包括年龄、性别、受教育程度、工作状态等）及视力、近视屈光度和眼轴长的影响，对患者的生活质量及其影响因素进行评估。结果研究高度近视患者共63例，问卷总分受年龄、工作状态和系统并存病的影响，而与性别、受教育程度、飞蚊症及高度近视家族史无明显相关。患者的视力、近视屈光度和眼轴长对问卷12方面和总分存在影响。视力较差、近视屈光度较高和眼轴长较长的高度近视患者生活质量较差。结论VRQ-25问卷用于评估高度近视患者的生活质量，不仅反映了患者的视觉方面，而且包括精神状态和心理素质方面，具有较好的信度和效度。ObJective To evaluate vision-related quality of life （VRQoL） in high myopia patients from urban northern China and to tentatively analyze its influencing factors. Methods Patients with high myopia were recruited from the vitreous and retinal outpatient of Tianjin Eye Hospital. Vision-related quality of life was measured by the 25-item National Eye Institute Visual Function Questionnaire （NEI VFQ-25）. Standard face-to-face interviews were conducted. The corrections of VRQoL with the patients＇ demographic and ophthalmologic characteristics were analyzed. Results Sixty-three patients with a mean age of 48.4 years were studied. Important NEI VFQ-25 quality of vision suhscales （difficulty with distance activities, difficulty with near activities） tented to correlate negatively with increasing patients＇ age, myopic diopter and axial length, but positively with better VA. Conclusions The results imply that older high myopia patients have fewer scores on the NEI VFQ-25. Health care providers should take more considerations on those patients.

关 键 词：高度近视 生活质量 屈光度 眼轴长 视力 

分 类 号：R779.63[医药卫生—眼科]