视力障碍对 3-16 岁儿童生活质量的影响。
The effect of visual impairment on quality of life of children aged 3-16 years.
机构信息
Optometry Department, Oxford Eye Hospital, West Wing (LG1), John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK.
出版信息
Br J Ophthalmol. 2011 May;95(5):642-5. doi: 10.1136/bjo.2010.182386. Epub 2010 Sep 18.
BACKGROUND
It is well known that visual impairment (VI) has a detrimental effect on Quality of Life (QoL) in adults. Little is known about the effects of VI in childhood.
AIMS
To evaluate the effects of VI on QoL of children. To the authors' knowledge, this is the first study containing a comparison arm for children with VI.
METHODS
QoL in children with VI (n=24, age 10.13±2.89, 18 male, 6 female) was compared with an age-matched comparison group (n=24, age 9.83±2.81, 18 male, 6 female) using the Low Vision Quality of Life Questionnaire. Factors (distance and near visual acuity and age) that could be used as predictors of QoL were assessed. These were measured with standard clinical tests.
RESULTS
Children with VI had significantly lower QoL scores than the comparison group (p<0.001), resulting in a 35.6% reduction in total QoL score. QoL scores in children with VI were correlated with distance and near visual acuity (p<0.05). 38% of the variance could be predicted by these factors and age.
CONCLUSIONS
Consideration of the effects of this reduced QoL must be made. Further studies are needed to establish the benefit to QoL of different habilitation strategies.
背景
众所周知，视力障碍（VI）会对成年人的生活质量（QoL）产生不利影响。但对于儿童的 VI 对 QoL 的影响却知之甚少。
目的
评估 VI 对儿童 QoL 的影响。据作者所知，这是第一项包含 VI 儿童对照臂的研究。
方法
使用低视力生活质量问卷（Low Vision Quality of Life Questionnaire）比较了 24 名 VI 儿童（年龄 10.13±2.89 岁，18 名男性，6 名女性）和 24 名年龄匹配的对照组儿童（年龄 9.83±2.81 岁，18 名男性，6 名女性）的 QoL。评估了可能作为 QoL 预测因素的因素（远视力和近视力以及年龄）。这些是用标准临床测试测量的。
结果
VI 儿童的 QoL 评分明显低于对照组（p<0.001），导致总 QoL 评分降低了 35.6%。VI 儿童的 QoL 评分与远视力和近视力相关（p<0.05）。这些因素和年龄可以预测 38%的方差。
结论
必须考虑到这种降低的 QoL 的影响。需要进一步研究来确定不同康复策略对 QoL 的益处。
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