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中心性浆液性脉络膜视网膜病变患者的生活质量——中年人群视力威胁的主要原因。

Quality of life of patients with central serous chorioretinopathy - a major cause of vision threat among middle-aged individuals.

作者信息

Karska-Basta Izabella, Pociej-Marciak Weronika, Chrząszcz Michał, Żuber-Łaskawiec Katarzyna, Sanak Marek, Romanowska-Dixon Bożena

机构信息

Clinic of Ophthalmology and Ocular Oncology, Department of Ophthalmology, Jagiellonian University, Krakow, Poland.

Clinic of Ophthalmology and Ocular Oncology, University Hospital, Krakow, Poland.

出版信息

Arch Med Sci. 2020 Jan 29;17(3):724-730. doi: 10.5114/aoms.2020.92694. eCollection 2021.

Abstract

INTRODUCTION

The 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) was designed to measure the vision-related quality of life (QoL). We aimed to assess the effect of disease duration, disease type (i.e., acute vs. chronic and unilateral vs. bilateral), and selected sociodemographic data on the QoL of patients with central serous chorioretinopathy (CSC).

MATERIAL AND METHODS

The study included 79 patients diagnosed with CSC. The QoL was assessed using the NEI VFQ-25. The statistical analysis was performed using IBM SPSS Statistics 24.

RESULTS

A significant positive correlation was found between deterioration in peripheral vision as assessed by the NEI VFQ-25 and duration of CSC ( = -0.22, = 0.046). Compared with women, men obtained higher scores on the scales assessing general health, mental health, ocular pain and role limitations ( = 0.018, = 0.027, = 0.009 and = 0.007, respectively). Patients with acute CSC reported higher levels of social functioning as compared with those with chronic CSC ( = 0.04). There were no differences in any of the scales between patients with unilateral and bilateral CSC. Elderly patients obtained lower scores on 9 of the 12 analyzed scales, as compared with younger patients ( < 0.05).

CONCLUSIONS

Patients with CSC do not assess their QoL in negative terms, which may be related to the fact that the disease presents with transient symptoms. However, the QoL deteriorated with longer disease duration. Men with CSC have better vision-related QoL than women.

摘要

引言

25项国家眼科研究所视觉功能问卷(NEI VFQ - 25)旨在测量与视力相关的生活质量(QoL)。我们旨在评估疾病持续时间、疾病类型(即急性与慢性、单侧与双侧)以及选定的社会人口统计学数据对中心性浆液性脉络膜视网膜病变(CSC)患者生活质量的影响。

材料与方法

该研究纳入了79例诊断为CSC的患者。使用NEI VFQ - 25评估生活质量。采用IBM SPSS Statistics 24进行统计分析。

结果

NEI VFQ - 25评估的周边视力恶化与CSC持续时间之间存在显著正相关(=-0.22,=0.046)。与女性相比,男性在评估总体健康、心理健康、眼痛和角色限制的量表上得分更高(分别为=0.018,=0.027,=0.009和=0.007)。与慢性CSC患者相比,急性CSC患者报告的社会功能水平更高(=0.04)。单侧和双侧CSC患者在任何量表上均无差异。与年轻患者相比,老年患者在12个分析量表中的9个上得分较低(<0.05)。

结论

CSC患者并未负面评估其生活质量,这可能与该疾病表现为短暂症状这一事实有关。然而,生活质量会随着疾病持续时间的延长而恶化。患有CSC的男性比女性具有更好的与视力相关的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c28/8130458/4c7f8ac798ef/AMS-17-3-115937-g001.jpg

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