眼外伤术后低视力者生活质量影响因素分析及应对策略  

Analysis of factors influencing quality of life of patients with low vision after ocular trauma and corresponding strategies

作　　者：凡荣欢[1] 何敏 徐玉琦 杨雨意 纪梓丹 FAN Rong-huan;HE Min;XU Yu-qi;YANG Yu-yi;JI Zi-dan(Shantou University,Chinese University of Hong Kong and Shantou International Ophthalmic Center,Shantou 515000,Guangdong,China)

机构地区：[1]汕头大学·香港中文大学联合汕头国际眼科中心病区,广东汕头515000

出　　处：《川北医学院学报》2021年第3期337-339,共3页Journal of North Sichuan Medical College

基　　金：广东省汕头市科技计划医疗卫生类别项目申报书(1807252140113)。

摘　　要：目的:探究眼外伤术后低视力者生活质量影响因素分析及应对策略。方法:回顾性分析163例眼外伤手术患者临床资料,按照视力将其分为观察组(n=87)和对照组(n=76)。比较两组患者术后生活质量,并分析观察组生活质量的影响因素。结果:观察组低视力者生活质量量表(LVQOL)评分低于对照组(P<0.05)。单因素及多因素Logistic分析显示,视力<0.1、抑郁自评量表(SDS)评分≥72分、焦虑自评量表(SAS)评分≥69分、独居、脑力劳动者及无固定收入为眼外伤术后低视力者生活质量的独立影响因素(P<0.05)。结论:眼外伤术后低视力者生活质量影响因素主要与视力、心理状态、独居、职业类型及收入情况有关,临床上应针对以上影响因素实施合适的应对策略,以提高患者的生活质量。Objective:To explore the influencing factors and coping strategies of low vision patients after ocular trauma surgery.Methods:The clinical data of 163 patients with ocular trauma were retrospectively analyzed,they were divided into observation group(n=87)and control group(n=76)according to visual acuity.The quality of life after operation was compared between the two groups.The factors influencing the quality of life in the observation group were analyzed.Results:The quality of life scale(LVQOL)score of patients with low vision in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Univariate and multivariate logistic analysis showed that vision<0.1,SDS score≥72,SAS score≥69,living alone,mental workers and non-fixed income were independent factors influencing the quality of life of patients with low vision after ocular trauma(P<0.05).Conclusion:The influencing factors of life quality of patients with low vision after ocular trauma are mainly related to vision,psychological state,living alone,occupation type and income,so appropriate coping strategies should be implemented in clinical practice to improve the life quality of patients.

关 键 词：眼外伤术后低视力 生活质量 影响因素 应对策略 

分 类 号：R779.1[医药卫生—眼科]