Chai Y, Shao Y, Lin S, Xiong K-Y, Chen W-S, Li Y-Y, Yi J-L, Zhang L, Tan G, Tang J
Department of Ophthalmology, Jiangxi Children's Hospital, Nanchang, Jiangxi Province, China.
J Int Med Res. 2009 Jul-Aug;37(4):1108-14. doi: 10.1177/147323000903700415.
The potential impact of the surgical correction of strabismus on vision-related quality of life (VRQOL) and the symptoms of anxiety and depression in children with strabismus remain unclear. The present study included 60 children with strabismus: 30 with heterophoria and 30 with heterotropia. A healthy age- and gender-matched control group (n = 60) was also recruited. The psychological instruments that were used were the short-form 25-item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ-25) and the Hospital Anxiety and Depression Scale (HADS). The results demonstrated that eight of the 12 NEI-VFQ-25 subscales were significantly impaired in children with strabismus compared with matched controls. Compared with pre-operative values, significant improvements were noted after surgery in the NEI-VFQ-25 summary score, and the anxiety and depression scores. This study demonstrated that the NEI-VFQ-25 instrument can be used in strabismus children and that surgical interventions can improve VRQOL, anxiety and depression in strabismus patients.
斜视手术矫正对斜视儿童视力相关生活质量（VRQOL）以及焦虑和抑郁症状的潜在影响仍不明确。本研究纳入了60例斜视儿童：30例隐斜视和30例显斜视。还招募了一个年龄和性别匹配的健康对照组（n = 60）。所使用的心理测量工具为25项简版美国国立眼科研究所视觉功能问卷（NEI-VFQ-25）和医院焦虑抑郁量表（HADS）。结果表明，与匹配的对照组相比，斜视儿童的12个NEI-VFQ-25子量表中有8个显著受损。与术前值相比，术后NEI-VFQ-25总分以及焦虑和抑郁得分均有显著改善。本研究表明，NEI-VFQ-25工具可用于斜视儿童，手术干预可改善斜视患者的VRQOL、焦虑和抑郁状况。
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