Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30303, USA.
J Pediatr Psychol. 2013 Jun;38(5):484-93. doi: 10.1093/jpepsy/jst009. Epub 2013 Mar 9.
To evaluate parenting stress following infants' cataract extraction surgery, and to determine if levels of stress differ between 2 treatments for unilateral congenital cataract in a randomized clinical trial.
At surgery, an intraocular lens (IOL) was implanted or children were left aphakic, treated with contact lens (CL). Stress measures were administered 3 months after surgery and at the first visit after the visual acuity (VA) assessment done at 12 months of age.
Caregivers in the IOL group reported higher levels of stress than those in the CL group 3 months after surgery, but there were no group differences in stress scores at the post-VA assessment. Stress scores did not change differentially for participants assigned to IOL versus CL treatments.
Treatment assignment did not have a significant impact on caregiver stress during infancy or on the change in stress during the child's first 2 years of life.
评估婴儿白内障手术后的父母压力，并确定在一项随机临床试验中，两种治疗单侧先天性白内障的方法是否存在压力水平差异。
在手术时，植入人工晶状体 (IOL) 或让儿童保持无晶状体状态，并用接触镜 (CL) 治疗。在手术后 3 个月和在 12 个月龄进行视力 (VA) 评估后的第一次就诊时进行压力测量。
手术后 3 个月，IOL 组的照顾者报告的压力水平高于 CL 组，但在 VA 评估后的压力评分中两组间没有差异。对于分配到 IOL 与 CL 治疗的参与者，压力评分没有差异。
治疗方案在婴儿期对照顾者的压力或在孩子生命的头 2 年中压力的变化没有显著影响。
