Harutyunyan Tsovinar, Giloyan Aida, Petrosyan Varduhi
Turpanjian College of Health Sciences, American University of Armenia, Yerevan 0019, Armenia.
Healthcare (Basel). 2023 Aug 30;11(17):2429. doi: 10.3390/healthcare11172429.
Cataract surgery helps to enhance visual function and improve the quality of life of cataract patients. The present study assessed visual outcomes and explored health-related quality of life (HRQoL) and factors associated with it following cataract surgery in Armenia. An interviewer-administered survey along with the ophthalmologic examination was conducted among 248 patients. It explored socio-demographic characteristics, use of eye care services, smoking status, comorbidities, and receiving and giving social support. A Short Form Health Survey (SF-36) was used to measure HRQoL. Simple and multivariable linear regression was used for the analysis. About 72.8% of examined eyes had good visual outcomes, while 17.7% had borderline outcomes. Poor visual outcomes were detected in 9.5% of the eyes. The mean composite SF-36 score for physical health was 50.8, while the mean composite score for mental health was 49.9. Gender, socioeconomic status, having a non-communicable disease, and receiving and giving tangible social support were significantly associated with SF-36 physical component in the adjusted analysis, while the variables which demonstrated significant association with the mental component included socioeconomic status, having a non-communicable disease, and giving tangible support. The visual outcome after cataract surgery in Armenian patients is below WHO-recommended standards. The quality of ophthalmological surgical care should be monitored to maximize the visual outcome in Armenian patients, with a focus on women, patients with poor socioeconomic status, and those with non-communicable diseases.
白内障手术有助于提高视觉功能，改善白内障患者的生活质量。本研究评估了亚美尼亚白内障手术后的视觉效果，探讨了与健康相关的生活质量（HRQoL）及其相关因素。对248名患者进行了由访员实施的调查并进行了眼科检查。调查内容包括社会人口学特征、眼保健服务的使用情况、吸烟状况、合并症以及接受和给予社会支持的情况。使用简短健康调查问卷（SF-36）来衡量HRQoL。采用简单和多变量线性回归进行分析。约72.8%的受检眼睛视觉效果良好，17.7%的眼睛视觉效果临界。9.5%的眼睛视觉效果较差。身体健康方面SF-36综合评分的平均值为50.8，心理健康方面综合评分的平均值为49.9。在调整分析中，性别、社会经济地位、患有非传染性疾病以及接受和给予切实的社会支持与SF-36身体成分显著相关，而与心理成分显著相关的变量包括社会经济地位、患有非传染性疾病以及给予切实支持。亚美尼亚患者白内障手术后的视觉效果低于世界卫生组织推荐的标准。应监测眼科手术护理质量，以最大限度提高亚美尼亚患者的视觉效果，重点关注女性、社会经济地位差的患者以及患有非传染性疾病的患者。
