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埃塞俄比亚西北部一家综合专科医院中成年青光眼患者的视力相关生活质量及其相关因素

Vision-Related Quality of Life and Associated Factors Among an Adult Population with Glaucoma Attending a Comprehensive Specialized Hospital, Northwest Ethiopia.

作者信息

Guchi Girma Shallo, Mersha Getasew Alemu, Alimaw Yezinash Addis, Assem Abel Sinshaw, Fekadu Sofonias Addis

机构信息

Department of Ophthalmology, Madda Walabu University Goba Referral Hospital, Goba City, Ethiopia.

Department of Optometry, University of Gondar Comprehensive Specialized Hospital, Gondar City, Ethiopia.

出版信息

Clin Ophthalmol. 2023 Jan 18;17:225-237. doi: 10.2147/OPTH.S397775. eCollection 2023.

Abstract

BACKGROUND

Glaucoma is a group of ocular conditions that leads to irreversible blindness. It can affect the vision-related quality of life in many ways. In Ethiopia, limited information is available on how and to what extent the vision-related quality of life of the glaucoma population has been affected.

OBJECTIVE

This study attempted to assess the vision-related quality of life and associated factors among an adult population with glaucoma attending Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia.

METHODS

The cross-sectional study was conducted on the adult population with glaucoma attending Felege Hiwot Comprehensive Specialized Hospital. Systematic random sampling was employed to select 319 study participants. Descriptive and summary statistics were calculated. Simple and multiple linear regressions were performed to determine factors associated with vision-related quality of life. A p-value of <0.05 in multivariable regression was considered statistically significant at a 95% confidence level.

RESULTS

The mean glaucoma quality of life-15 score in this study was 47.85 ± 15.41. Below primary education, primary education, visual acuity of the better eye, visual acuity of the worse eye, and severe glaucoma were significantly associated with the glaucoma quality of life-15 score.

CONCLUSION AND RECOMMENDATION

The study observed poorer vision-related quality of life in the glaucoma population than previously reported in Ethiopia and around the globe. The vision-related quality of life was significantly associated with educational status, visual acuity of the better and worse eye, and stage of glaucoma in the better eye. Educating the glaucoma population on the nature of the disease, advice on early presentation, and better-coping strategies for the condition are warranted.

摘要

背景

青光眼是一组可导致不可逆性失明的眼部疾病。它可在许多方面影响与视力相关的生活质量。在埃塞俄比亚,关于青光眼患者的视力相关生活质量如何受到影响以及受影响程度的信息有限。

目的

本研究试图评估埃塞俄比亚西北部费莱格·希沃特综合专科医院成年青光眼患者的视力相关生活质量及其相关因素。

方法

对在费莱格·希沃特综合专科医院就诊的成年青光眼患者进行横断面研究。采用系统随机抽样方法选取319名研究参与者。计算描述性和汇总统计数据。进行单因素和多因素线性回归以确定与视力相关生活质量相关的因素。多变量回归中p值<0.05在95%置信水平下被认为具有统计学意义。

结果

本研究中青光眼生活质量-15评分的平均值为47.85±15.41。小学以下教育程度、小学教育程度、较好眼视力、较差眼视力以及重度青光眼与青光眼生活质量-15评分显著相关。

结论与建议

该研究观察到,埃塞俄比亚青光眼患者的视力相关生活质量比该国及全球此前报告的情况更差。视力相关生活质量与教育程度、较好眼和较差眼的视力以及较好眼的青光眼分期显著相关。有必要对青光眼患者进行疾病性质教育、早期就诊建议以及针对该疾病的更好应对策略指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eedf/9869180/83daab763146/OPTH-17-225-g0001.jpg

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