Kaur Divjyot, Gupta Anita, Singh Gursatinder
Junior Resident, Department of Pharmacology, Government Medical College, Patiala, Punjab, India.
Professor and Head, Department of Pharmacology, Government Medical College, Patiala, Punjab, India.
J Curr Glaucoma Pract. 2012 Jan-Apr;6(1):9-12. doi: 10.5005/jp-journals-10008-1101. Epub 2012 Oct 16.
Chronic diseases are invariably associated with decreased functioning ability of the individual in one form or the other depending upon the system/organ involved. Disability consequent to the disease is the major factor affecting the patient's physical and psychosocial well-being; in other words, the 'Quality of Life (QOL)'. Besides the disease itself, the treatment and its consequences are also major determinants of QOL of the patients. Globally, glaucoma, which is emerging as one of the leading causes of blindness, is one such chronic ophthalmic disease characterized by a progressive loss of visual function and a potential to cause irreversible blindness, if not treated at an early stage. Patients of glaucoma need to take lifelong medications in order to keep their intraocular pressure within limits. It's impact on the daily life of patients cannot be overexpressed and compounded by the fact that it remains asymptomatic for a considerable time after the disease has set in; has led to new imperatives in diagnosis, treatment and epidemiological and outcome studies. Assessment of the debilitating effect of glaucoma and side effects of its treatment on the emotional and physical QOL of the patient is therefore an important criterion for arriving at the treatment regimen. An extensive literature search was done on Pubmed Central, Pubmed and Google Scholar using the keywords 'glaucoma', 'quality of life in glaucoma', 'management in POAG' and 'QOL assessment tools'. Various tools available for the assessment of QOL, and their advantages and limitations have been reviewed in this article.
慢性病总是与个体某种形式的功能能力下降相关，这取决于所涉及的系统/器官。疾病导致的残疾是影响患者身体和心理社会福祉的主要因素；换句话说，就是“生活质量（QOL）”。除了疾病本身，治疗及其后果也是患者生活质量的主要决定因素。在全球范围内，青光眼正成为导致失明的主要原因之一，它是一种慢性眼科疾病，其特征是视力功能逐渐丧失，如果不及早治疗，有可能导致不可逆转的失明。青光眼患者需要终身服药，以将眼压控制在正常范围内。它对患者日常生活的影响再怎么强调都不为过，而且由于疾病发生后的相当长一段时间内它都没有症状，这使得青光眼在诊断、治疗以及流行病学和预后研究方面出现了新的要求。因此，评估青光眼的致残作用及其治疗对患者情绪和身体生活质量的副作用，是制定治疗方案的重要标准。我们使用关键词“青光眼”“青光眼患者的生活质量”“原发性开角型青光眼的管理”和“生活质量评估工具”在PubMed Central、PubMed和谷歌学术上进行了广泛的文献检索。本文综述了目前可用于评估生活质量的各种工具及其优缺点。
