医疗相关工作人员飞秒激光辅助的LASIK术后生活质量调查  

A survey about life quality after FS-LASIK in medical workers

作　　者：梅波[1] 张卉卉[1] 周维[1] 赵春焕[1] 郑坤坤 易湘龙[1] 

机构地区：[1]新疆医科大学第一附属医院眼科

出　　处：《眼科新进展》2016年第5期443-446,共4页Recent Advances in Ophthalmology

基　　金：国家自然科学基金资助(编号:81260150);2012年高等学校博士学科点专项科研基金(编号:20126517120004);新疆医科大学第一附属医院2012青年科研专项基金(编号:2012QN08)~~

摘　　要：目的调查飞秒激光辅助的LASIK(femtosecond laser LASIK,FS-LASIK)手术对行近视手术的医疗相关工作人员生活质量及医疗活动的影响。方法对35例(70眼)医疗相关工作人员(包含医师、护士、技师)行FS-LASIK,记录术前及术后1 d、1周、1个月、3个月的裸眼视力、最佳矫正视力与等效球镜度数,应用屈光矫正者生命质量量表对术前及术后3个月患者的生活质量进行打分,并采取量表的方式进行手术前后屈光状态对医疗活动影响与对手术综合满意度的评价。结果 35例(70眼)患者术后1 d、1周、1个月及3个月,裸眼视力分别为1.11±0.26、1.18±0.23、1.24±0.22、1.23±0.23;等效球镜度数分别为(0.45±0.37)D、(0.34±0.41)D、(-0.17±0.57)D、(-0.28±0.55)D。术后3个月的随访过程中,无一例出现最佳矫正视力较术前降低。35例医护人员术前生活质量评分为(38.28±2.15)分,术后为(44.13±1.06)分,差异具有统计学意义(t=-13.85,P=0.00)。量表20个条目中,共有12个条目术前术后得分比较,差异均有统计学意义。在针对屈光状态对医疗活动影响的评价中,术前及术后3条指标得分对比,差异均有统计学意义(均为P<0.05)。对手术综合满意度评价中,最终得分为(9.62±1.05)分。结论医疗工作相关人员行FS-LASIK术后生活质量较术前有所提高,减少了屈光不正对医疗活动带来的不便,患者对手术结果有较高的满意度。Objective To investigate the effects of femtosecond laser LASIK（ FSLASIK） on life quality and medical activities of medical related staff. Methods Uncorrected visual acuity（ UCVA）,best corrected visual acuity（ BCVA）,spherical equivalent（ SE） were measured preoperatively and 1 day,1 week,1 month and 3 months postoperatively in 3 5 medical staffs（ including doctor,nurse and medical technician） who underwent FS-LASIK. Chinese version of the Quality of Life Impact of Refractive Correction（ QIRC） Questionnaire was used to measure the life quality before and 3 months after FSLASIK. At the same time,the patient＇s satisfaction and impact for medical activities were surveyed before and after FS-LASIK. R esults At 1 day,1 week,1 month,3 months after surgery,the uncorrected visual acuity were 1. 1 1 ± 0. 2 6,1. 1 8 ± 0. 2 3,1. 2 4 ± 0. 2 2 and1. 2 3 ± 0. 2 3,respectively,the spherical equivalent were（ 0. 4 5 ± 0. 3 7） D,（ 0. 3 4 ± 0.4 1 D,（- 0. 1 7 ± 0. 5 7） D and（- 0. 2 8 ± 0. 5 5） D. No best corrected visual acuity decreased after 3 month follow-up postoperatively. The overall life quality score for medical staffs improve from 3 8. 2 8 ± 2. 1 5 to 4 4. 1 3 ± 1. 0 6（ t =- 1 3. 8 5,P = 0. 0 0） after FSLASIK. In this questionnaire,a total of 1 2 items had significant differences in score changes before and after surgery. For the change in impact of refractive status for medical activities,all 3 items had significant differences in score changes before and after surgery（ P 〈0. 0 5）. The final patient＇s satisfaction score was 9. 6 2 ± 1. 0 5. C onclusion The life quality are significant improved in the majority of medical worker patients after FS-LASIK,the influences of refractive status for medical activities are reduced,and the patients have the well satisfaction.

关 键 词：飞秒激光 LASIK 医护人员 生活质量 

分 类 号：R779.6[医药卫生—眼科]