Owsley Cynthia, McGwin Gerald, Scilley Kay, Meek G Christine, Seker Deidre, Dyer Allison
Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, 700 S. 18th Street, Suite 609, Birmingham, AL 35294-0009, USA.
Br J Ophthalmol. 2007 Oct;91(10):1359-63. doi: 10.1136/bjo.2007.118547. Epub 2007 May 23.
To assess the impact of cataract surgery in nursing home residents on health-related quality of life, as compared to those who have cataracts but who do not undergo surgery.
A prospective cohort study enrolled 30 nursing home residents (>or=60 years old) who had cataracts and underwent cataract surgery, and evaluated vision-targeted and generic health-related quality of life and depressive symptoms before and approximately 4 months after surgery. This cataract surgery group was compared to 15 nursing home residents who had cataracts but who did not have surgery, over the same timeframe.
Visual acuity for near and distance and contrast sensitivity improved following cataract surgery (p<0.001). Adjusting for age differences in the two groups, the cataract surgery group exhibited significant score improvement in the general vision (p = 0.005), reading (p = 0.001), psychological distress (p = 0.015), and social interaction (p = 0.033) subscales of the Nursing Home Vision-targeted Health-Related Quality of Life Questionnaire and the VF-14 (p = 0.004). There were no group differences in the SF-36, Geriatric Depression Scale or the Cataract Symptom Score.
Nursing home residents who underwent cataract surgery because of functional problems experienced significant improvements in their vision-targeted health-related quality of life, in addition to dramatically improved vision.
评估养老院居民白内障手术对健康相关生活质量的影响，并与患有白内障但未接受手术的居民进行比较。
一项前瞻性队列研究纳入了30名患有白内障并接受白内障手术的养老院居民（年龄≥60岁），并在手术前及术后约4个月评估了以视力为目标的和一般的健康相关生活质量以及抑郁症状。在相同时间段内，将该白内障手术组与15名患有白内障但未接受手术的养老院居民进行比较。
白内障手术后，近视力、远视力及对比敏感度均有所改善（p<0.001）。在调整两组年龄差异后，白内障手术组在《养老院以视力为目标的健康相关生活质量问卷》的总体视力（p = 0.005）、阅读（p = 0.001）、心理困扰（p = 0.015）和社会交往（p = 0.033）子量表以及VF - 14（p = 0.004）方面的得分有显著提高。在SF - 36、老年抑郁量表或白内障症状评分方面，两组无差异。
因功能问题接受白内障手术的养老院居民，除视力显著改善外，其以视力为目标的健康相关生活质量也有显著提高。
