Dev Mahesh Kumar, Paudel Nabin, Joshi Niraj Dev, Shah Dev Narayan, Subba Shishir
Department of Ophthalmology, Institute of Medicine, B, P, Koirala Lions Center for Ophthalmic Studies, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
BMC Health Serv Res. 2014 Aug 15;14:345. doi: 10.1186/1472-6963-14-345.
Visual impairment (VI) affects physical, psychological, and emotional well-being, and social life as well. The purpose of this exploratory study was to assess the psycho-social impact of VI on health-related quality of life (HRQoL) among nursing home residents.
This cross-sectional study involved 272 residents of 60 years or older residing in seven nursing homes of the Kathmandu Valley, Nepal. Comprehensive ocular examinations, including near and distance vision assessment and refractions were carried out. VI was defined as visual acuity (VA) less than 6/18 in the better eye. Residents were divided into two groups: one group did not have VI (in whom VA was greater than or equal to 6/18 in the better eye), and the other had VI (in whom VA was worse than 6/18 in the better eye).Face-to-face interviews were conducted filling out a 36-item The Medical Outcomes Study Short-Form (SF-36) questionnaire. The SF-36 questionnaire was scored according to the scoring algorithm SF-36 subscales.
The mean age of residents was 74.68 ± 8.19 years (range, 60-99 years) and the majority were female (78.68%). The mean composite score of SF-36 was 46.98 ± 13.08. VI detrimentally affected scores of both the physical and the mental components, but the impact of VI was slightly greater for the physical component than that for the mental component. There was a trend towards a lower composite score as well as each subscale score of the SF-36 in participants with VI than in those without VI.
VI has a negative effect on HRQoL. HRQoL is reduced among nursing home residents and the reduction in the HRQoL bears a positive association with VI.
视力损害（VI）会影响身体、心理和情感健康以及社会生活。这项探索性研究的目的是评估视力损害对养老院居民健康相关生活质量（HRQoL）的心理社会影响。
这项横断面研究涉及尼泊尔加德满都谷地七家养老院的272名60岁及以上的居民。进行了全面的眼部检查，包括近视力和远视力评估以及验光。视力损害定义为较好眼的视力（VA）低于6/18。居民被分为两组：一组没有视力损害（较好眼的VA大于或等于6/18），另一组有视力损害（较好眼的VA低于6/18）。通过面对面访谈填写一份36项的医学结果研究简表（SF-36）问卷。根据SF-36分量表的评分算法对SF-36问卷进行评分。
居民的平均年龄为74.68±8.19岁（范围为60 - 99岁），大多数为女性（78.68%）。SF-36的平均综合评分为46.98±13.08。视力损害对身体和心理成分的评分均有不利影响，但视力损害对身体成分的影响略大于对心理成分的影响。与没有视力损害的参与者相比，有视力损害的参与者的SF-36综合评分以及每个分量表评分有降低的趋势。
视力损害对健康相关生活质量有负面影响。养老院居民的健康相关生活质量降低，且健康相关生活质量的降低与视力损害呈正相关。
Zotero 插件