Renieri Giulia, Pitz Susanne, Pfeiffer Norbert, Beutel Manfred E, Zwerenz Rüdiger
Department of Ophthalmology, University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Int J Rehabil Res. 2013 Mar;36(1):48-55. doi: 10.1097/MRR.0b013e328357885b.
The objective of the study was to assess the impact of low-vision aids on quality of life. Interviews included a modified version of the National Eye Institute Visual Functioning Questionnaire (Modified German NEI VFQ-25), the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination Blind, and Indicators of the Rehabilitation Status. These were conducted before and 5 months after low-vision rehabilitation that involved recommendation of devices and instructing patients on how to use them. Of a total of 88 patients interviewed before low-vision rehabilitation, 50 patients could be reached for the follow-up interview. A huge proportion of the sample reported clinically significant depression (30%) or anxiety (30%). There were no differences between participants or dropouts. After fitting of low-vision devices, patients reported a significant improvement in perceived near tasks (P<0.01), social functioning (P<0.01), and reading ability (P<0.001). The magnitude of change was moderate. No significant changes were found in Hospital Anxiety and Depression Scale, Mini-Mental State Examination Blind, and Indicators of the Rehabilitation Status. Low-vision rehabilitation appears to have a broader effect than simply improving visual performance, as it may positively influence social functioning. Even though this study had no control group, the influence of low-vision aids on social functioning has not been reported before and should encourage their use.
该研究的目的是评估低视力辅助器具对生活质量的影响。访谈内容包括美国国立眼科研究所视觉功能问卷的修订版（修订后的德国NEI VFQ - 25）、医院焦虑抑郁量表、简易精神状态检查表（盲人版）以及康复状况指标。这些访谈在低视力康复之前以及康复5个月后进行，低视力康复包括推荐设备并指导患者如何使用这些设备。在低视力康复前接受访谈的88名患者中，有50名患者能够联系上进行随访访谈。很大比例的样本报告有临床显著的抑郁（30%）或焦虑（30%）。参与者和退出者之间没有差异。佩戴低视力设备后，患者报告在感知近距任务（P<0.01）、社交功能（P<0.01）和阅读能力（P<0.001）方面有显著改善。变化幅度为中等。在医院焦虑抑郁量表、简易精神状态检查表（盲人版）和康复状况指标方面未发现显著变化。低视力康复似乎具有比单纯改善视觉表现更广泛的效果，因为它可能对社交功能产生积极影响。尽管这项研究没有对照组，但低视力辅助器具对社交功能的影响此前尚未见报道，这应该会鼓励其使用。
