低视力康复对低视力患者生活质量及照顾者负担的影响——一项随机试验
The effect of low vision rehabilitation on the quality of life and caregiver burden of low vision patients - a randomized trial.
作者信息
Cai Chunling, Shuai Yuwei, Li Gonghui
机构信息
The Second Affiliated Hospital of Shantou University Medical College, Shantou City, China.
Shantou University Medical College, Shantou City, China.
出版信息
BMC Ophthalmol. 2025 Jan 15;25(1):20. doi: 10.1186/s12886-025-03864-9.
BACKGROUND
The quality of life for low vision patients is a comprehensive concept that involves multiple aspects, including physical, psychological, and social aspects. Visual impairment is an important factor in the decline of patients' quality of life. The purpose of this study is to investigate the impact and feasibility of carrying out low vision rehabilitation nursing on the quality of life and nursing burden of low vision patients.
METHODS
Select 18 low vision patients who received treatment at a tertiary ophthalmic hospital in Shantou City and randomly divide them into an experimental group and a control group. The control group received routine low vision health education, while the experimental group received intervention measures based on low vision rehabilitation nursing plans. A questionnaire survey was conducted on two groups of study subjects and their caregivers using the Low Vision Quality of Life Questionnaire, General Self-Efficacy Scale, and Zarit Burden Interview before intervention, at week 4 after intervention, and at week 8 after intervention. The scores of each scale in the experimental group and the control group were statistically analyzed.
RESULT
The quality of life and self-efficacy scores of the experimental group patients were higher than those of the control group in the 4th and 8th week after intervention; The caregiver burden of the experimental group patients was lower than that of the control group caregivers in the 4th and 8th weeks after intervention.
CONCLUSION
Implement a low vision rehabilitation nursing plan, provide rehabilitation intervention and support to low vision patients, help patients find new ways to adapt to low vision conditions, and improve their quality of life. Low vision rehabilitation nursing interventions not only enable patients to regain the ability to independently complete daily activities, but also improve their self-efficacy, help rebuild confidence, and reduce the caregiving burden on their caregivers.
背景
低视力患者的生活质量是一个涉及身体、心理和社会等多个方面的综合概念。视力障碍是患者生活质量下降的重要因素。本研究旨在探讨开展低视力康复护理对低视力患者生活质量及护理负担的影响和可行性。
方法
选取在汕头市某三级眼科医院接受治疗的18例低视力患者，随机分为实验组和对照组。对照组接受常规低视力健康教育，实验组接受基于低视力康复护理计划的干预措施。在干预前、干预后第4周和干预后第8周，使用低视力生活质量问卷、一般自我效能感量表和照顾者负担访谈量表对两组研究对象及其照顾者进行问卷调查。对实验组和对照组各量表得分进行统计学分析。
结果
干预后第4周和第8周，实验组患者的生活质量和自我效能感得分高于对照组；干预后第4周和第8周，实验组患者的照顾者负担低于对照组照顾者。
结论
实施低视力康复护理计划，为低视力患者提供康复干预和支持，帮助患者找到适应低视力状况的新方法，提高其生活质量。低视力康复护理干预不仅能使患者重新获得独立完成日常活动的能力，还能提高其自我效能感，帮助重建信心，并减轻其照顾者的护理负担。
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