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白内障手术后的生活质量。

Quality of Life after Cataract Surgery.

作者信息

Błachnio Klaudia, Dusińska Aleksandra, Szymonik Julia, Juzwiszyn Jan, Bestecka Monika, Chabowski Mariusz

机构信息

Student Research Club No. 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.

Department of Nursing and Obstetrics, Division of Anesthesiological and Surgical Nursing, Faculty of Health Science, Wroclaw Medical University, 51-618 Wrocław, Poland.

出版信息

J Clin Med. 2024 Sep 2;13(17):5209. doi: 10.3390/jcm13175209.

DOI:10.3390/jcm13175209
PMID:39274422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11396005/
Abstract

The impact of medical intervention on a patient's quality of life (QoL) is more and more important. Treatment success is defined not only in terms of the success of the procedure performed but also with regard to its impact on different areas of the patient's life. The aim of the study was to assess the QoL of patients after cataract surgery and identify factors that affect it. Between January and March 2018, a survey was carried out among 100 patients who had undergone cataract surgery with intraocular lens implantation at the 'Spektrum' Clinical Ophthalmology Centre in Wrocław. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and Illness Acceptance Scale (AIS) were used. : Most respondents (67%) rated their overall health as very good. The median score on the AIS was 34 (31.5-39), indicating a high level of illness acceptance. There was no statistically significant relationship ( > 0.05) between sex and QoL nor between the level of illness acceptance and QoL. We found no statistically significant relationships between place of residence and QoL ( > 0.05) nor between place of residence and AIS. The respondents reported the highest QoL scores for the environment domain and the lowest QoL scores for the social relationships domain. QoL had a positive impact on illness acceptance among the study patients. Younger patients (aged 50 or under) reported significantly higher scores for all the domains of QoL. Being employed was found to be associated with better QoL and greater illness acceptance.

摘要

医疗干预对患者生活质量(QoL)的影响越来越重要。治疗成功不仅取决于所实施手术的成功与否,还取决于其对患者生活不同领域的影响。本研究的目的是评估白内障手术后患者的生活质量,并确定影响生活质量的因素。2018年1月至3月期间,在弗罗茨瓦夫“光谱”临床眼科中心对100例接受了人工晶状体植入白内障手术的患者进行了一项调查。使用了世界卫生组织生活质量简表(WHOQOL - BREF)问卷和疾病接受量表(AIS)。大多数受访者(67%)将他们的整体健康状况评为非常好。AIS的中位数得分是34(31.5 - 39),表明疾病接受程度较高。性别与生活质量之间以及疾病接受程度与生活质量之间均无统计学显著关系(>0.05)。我们发现居住地点与生活质量之间(>0.05)以及居住地点与AIS之间均无统计学显著关系。受访者在环境领域的生活质量得分最高,在社会关系领域的生活质量得分最低。生活质量对研究患者的疾病接受程度有积极影响。较年轻的患者(50岁及以下)在生活质量的所有领域得分均显著更高。就业被发现与更好的生活质量和更高的疾病接受程度相关。

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本文引用的文献

1
Study on the impact and clinical effect of high-quality nursing intervention on the quality of life of elderly cataract patients.优质护理干预对老年白内障患者生活质量的影响及临床效果研究
Pak J Med Sci. 2024 Jan-Feb;40(3Part-II):499-504. doi: 10.12669/pjms.40.3.7526.
2
Efficacy of cataract surgeries performed during blindness prevention programs in Chongqing, China: a multicenter prospective study.中国重庆防盲规划中白内障手术效果的多中心前瞻性研究。
BMC Ophthalmol. 2023 Aug 10;23(1):353. doi: 10.1186/s12886-023-03082-1.
3
Association between previous cataract surgery and cognition among middle-aged and older Chinese: the China health and retirement longitudinal study (CHARLS).既往白内障手术与中国中老年人群认知功能的关系:中国健康与养老追踪调查(CHARLS)。
BMC Ophthalmol. 2023 May 31;23(1):243. doi: 10.1186/s12886-023-02998-y.
4
Vision-Related Quality of Life following Combined Cataract and Minimally Invasive Glaucoma Surgery or Cataract Surgery Alone in Glaucoma Patients.青光眼患者联合白内障与微创青光眼手术或单纯白内障手术后的视力相关生活质量
J Clin Med. 2023 May 4;12(9):3279. doi: 10.3390/jcm12093279.
5
Vision-Related Quality of Life after Cataract Surgery in West Africa.西非白内障手术后的相关生活质量。
West Afr J Med. 2023 Mar 31;40(3):329-335.
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Cataracts.白内障。
Lancet. 2023 Feb 4;401(10374):377-389. doi: 10.1016/S0140-6736(22)01839-6. Epub 2022 Dec 21.
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Secondary outcomes of lens and cataract surgery: More than just "best-corrected visual acuity".晶状体及白内障手术的次要结局:不止于“最佳矫正视力”
Prog Retin Eye Res. 2023 Jul;95:101150. doi: 10.1016/j.preteyeres.2022.101150. Epub 2022 Dec 5.
8
Exploring Vision-Related Quality of Life: A Qualitative Study Comparing Patients' Experience of Cataract Surgery with a Standard Monofocal IOL and an Enhanced Monofocal IOL.探索与视力相关的生活质量:一项定性研究,比较患者接受标准单焦点人工晶状体和增强型单焦点人工晶状体白内障手术的体验。
Clin Ophthalmol. 2022 May 27;16:1641-1652. doi: 10.2147/OPTH.S358386. eCollection 2022.
9
The Impact of Cataract Surgery on Vision-Related Quality of Life and Psychological Distress in Monocular Patients.白内障手术对单眼患者视力相关生活质量及心理困扰的影响。
J Ophthalmol. 2021 Dec 21;2021:4694577. doi: 10.1155/2021/4694577. eCollection 2021.
10
Gender Differences in the Association Between Cataract and Mental Health in Adults With Diabetes: A Cross-Sectional Analysis From the Spanish National Health Survey 2017.性别差异在成年糖尿病患者白内障与心理健康之间的关联:来自 2017 年西班牙国家健康调查的横断面分析。
Front Public Health. 2021 Dec 7;9:769155. doi: 10.3389/fpubh.2021.769155. eCollection 2021.