Prem Senthil M, Khadka J, Pesudovs K
Discipline of Optometry and Vision Science, NHMRC Centre for Clinical Eye Research, Flinders University of South Australia, Adelaide, South Australia, Australia.
Eye (Lond). 2017 May;31(5):741-748. doi: 10.1038/eye.2016.315. Epub 2017 Jan 13.
PurposeRetinitis pigmentosa (RP) is the most common retinal degeneration causing blindness. Although their clinical problems are amenable for the clinical diagnosis, their day-to-day problems for having to live with the disease are mostly unexplored. This study aims to explore and understand the issues and impact of people with RP on quality of life (QoL).MethodsA qualitative research methodology to facilitate the understanding of the experiences of people with RP was carried out. Data were collected through audio-recorded semi-structured interviews. Thematic analysis occurred through the process of line-by-line coding, aggregation, and theme development using the NVivo-10 software.ResultsTwenty-three interviews were conducted (mean age=56 years; females, 14). We identified five major QoL themes: (1) struggle to perform important day-to-day tasks; (2) concerns about disease progression, disease outcome and personal safety; (3) facing a lot of emotional and psychological challenges; (4) experiencing a myriad of visual symptoms; and (5) adopting different strategies to cope and manage stressful circumstances. Difficulty in performing important day-to-day tasks was the most prominent QoL issue among these people. Their major concerns were going blind and uncertainties about their future. They face a lot of emotional and psychological challenges to adapt to the physiological stress associated with the progressive vision loss. However, they adopt several coping strategies to manage the stressful circumstances.ConclusionsPeople with RP experience a myriad of QoL issues. Despite all the hardship, they remain optimistic and learn to accept their eye condition and move on in life.
目的
视网膜色素变性(RP)是导致失明的最常见视网膜退行性疾病。尽管其临床问题适合临床诊断,但患者在日常生活中与疾病共存所面临的问题大多未被探索。本研究旨在探讨和了解RP患者的问题及其对生活质量(QoL)的影响。
方法
采用定性研究方法以促进对RP患者经历的理解。通过音频记录的半结构化访谈收集数据。使用NVivo-10软件通过逐行编码、汇总和主题开发的过程进行主题分析。
结果
进行了23次访谈(平均年龄=56岁;女性14名)。我们确定了五个主要的生活质量主题:(1)难以完成重要的日常任务;(2)对疾病进展、疾病结果和个人安全的担忧;(3)面临诸多情感和心理挑战;(4)经历大量视觉症状;(5)采取不同策略应对和管理压力环境。在这些人中,难以完成重要的日常任务是最突出的生活质量问题。他们主要担心失明和未来的不确定性。他们面临诸多情感和心理挑战以适应与渐进性视力丧失相关的生理压力。然而,他们采取多种应对策略来管理压力环境。
结论
RP患者经历了诸多生活质量问题。尽管困难重重,但他们仍保持乐观,学会接受自己的眼部状况并继续生活。