Magacho Leopoldo, Lima Francisco E, Nery Ana Carla S, Sagawa Antônio, Magacho Bernardo, Avila Marcos P
Department of Ophthalmology (CEROF), Federal University of Goiás, Goiânia, Brazil.
Ophthalmic Epidemiol. 2004 Oct;11(4):263-70. doi: 10.1080/09286580490515251.
To verify the quality of life in a Brazilian glaucoma population and the influence of possible modifiers (e.g., visual acuity, visual field impairment).
Forty-five consecutive patients from CEROF - Federal University of Goias, Brazil were included prospectively in the study. The quality of life was assessed using the Portuguese version of the VFQ. Possible modifiers were evaluated, initially separately with the Spearman's Correlation and then together in a regression model.
The mean age was 59.6 +/- 12.4 years. The mean quality of life score was 79 +/- 15 (range 45-100). Age (r = -0.402, p = 0.006), visual acuity in the better eye (r = -0.497, p = 0.001) and in the worse eye (r = -0.608, p < 0.001), Hodapp-Parrish-Anderson visual field grading scale in the better (r = -0.353, p = 0.01) and worse eye (r = -0.387, p = 0.009), visual field Mean Deviation (MD) in the better (r = 0.355, p = 0.01) and worse eye (r = 0.320, p = 0.04) and ability to perform a visual field test in both eyes (r = -0.397, p = 0.007) were significantly correlated with the quality of life scores. However, only age (younger, better quality of life, p = 0.008) and visual acuity in the better eye (direct relation, p = 0.04) were significant in the regression model (r = 0.633, r(2) = 0.401).
The VFQ may be a useful tool to assess the quality of life in glaucoma patients. The preliminary results indicate that age and visual acuity in the better eye are the main factors related to the quality of life in these patients.
验证巴西青光眼患者群体的生活质量以及可能的影响因素(如视力、视野损害)的作用。
前瞻性纳入巴西戈亚斯联邦大学CEROF的45例连续患者。使用葡萄牙语版的VFQ评估生活质量。对可能的影响因素进行评估,首先分别采用Spearman相关性分析,然后一起纳入回归模型。
平均年龄为59.6±12.4岁。平均生活质量得分为79±15(范围45 - 100)。年龄(r = -0.402,p = 0.006)、较好眼视力(r = -0.497,p = 0.001)和较差眼视力(r = -0.608,p < 0.001)、较好眼(r = -0.353,p = 0.01)和较差眼(r = -0.387,p = 0.009)的Hodapp - Parrish - Anderson视野分级量表、较好眼(r = 0.355,p = 0.01)和较差眼(r = 0.320,p = 0.04)的视野平均偏差(MD)以及双眼进行视野检查的能力(r = -0.397,p = 0.007)均与生活质量得分显著相关。然而,在回归模型(r = 0.633,r² = 0.401)中,只有年龄(年龄越小,生活质量越好,p = 0.008)和较好眼视力(直接关系,p = 0.04)具有显著意义。
VFQ可能是评估青光眼患者生活质量的有用工具。初步结果表明,年龄和较好眼视力是与这些患者生活质量相关的主要因素。