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瓦尔纳市近视儿童和青少年生活质量评估

Assessment of the Quality of Life in Children and Adolescents with Myopia from the City of Varna.

作者信息

Stoeva Mariya, Stefanova Daliya, Boyadzhiev Dobrin, Zlatarova Zornitsa, Nencheva Binna, Radeva Mladena

机构信息

Department of Eye Diseases and Vision Sciences, Faculty of Medicine, Paraskev Stoyanov Medical University, 9000 Varna, Bulgaria.

Department of Eye Diseases and Vision Sciences, University Specialized Eye Hospital, 9002 Varna, Bulgaria.

出版信息

J Clin Med. 2025 Jun 26;14(13):4546. doi: 10.3390/jcm14134546.

Abstract

The World Health Organization defines myopia as a global epidemic. Its growing prevalence and the increasingly early age onset all raise a major concern for public health due to the elevated risk of loss and deterioration of visual function as a result of myopia-related ocular pathological complications. However, it remains unclear whether the vision-related quality of life of patients with myopia is the same as in healthy individuals. The aim of the present study is to assess the quality of life in children and adolescents with myopia between the ages of 8 and 16 years, who underwent observation at USBOBAL-Varna. This study prospectively included 190 patients with myopia between -1.00 and -5.50 D, corrected with different optical aids. After a thorough physical ocular examination and inquiry into the best visual acuity with and without distance correction, specially designed questionnaires were completed by the patients and their parents/guardians for the purpose of the study. The data from the questionnaires was statistically processed. The mean age of the patients in the study was 11.65 years, 101 were female and 89 were male. Of these, 83 wore monofocal glasses, 50 were monofocal and 47 were multifocal contact lenses, and 10 wore ortho-K lenses. : No significant difference in best corrected visual acuity (BCVA) was found among the three types of optical correction (-value > 0.05). Cronbach's alpha of the questionnaire for all 10 factors was higher than 0.6, indicating acceptable internal consistency. Significantly higher scores were reported for overall, near, and distance vision, symptoms, appearance, attitude, activities and hobbies, handling, and perception for soft contact lens wearers than for spectacle wearers (-value < 0.05). Ortho-K wearers performed better than spectacle wearers in all aspects except for pronounced symptoms ( = 0.74). No significant difference was found between ortho-K wearers and soft contact lens wearers for any factor ( > 0.05). : Patients wearing spectacles and with myopia above -5.00 D had the highest anxiety scores and lower quality of life among all myopic participants. The research on the quality of life in children with myopia with different refractive errors and optical correction devices is crucial for improving corrective devices and meeting the needs of patients.

摘要

世界卫生组织将近视定义为一种全球流行病。其患病率不断上升且发病年龄越来越早,由于近视相关眼部病理并发症导致视力功能丧失和恶化的风险增加,这一切都引起了对公共卫生的重大关注。然而,近视患者与视力相关的生活质量是否与健康个体相同仍不清楚。本研究的目的是评估年龄在8至16岁之间、在瓦尔纳USBOBAL接受观察的近视儿童和青少年的生活质量。本研究前瞻性纳入了190例近视度数在-1.00至-5.50 D之间、使用不同光学辅助器具矫正的患者。在进行全面的眼部体格检查并询问有和没有远距矫正时的最佳视力后,患者及其父母/监护人填写了专门设计的问卷以用于本研究。对问卷数据进行了统计处理。研究中患者的平均年龄为11.65岁,女性101例,男性89例。其中,83人佩戴单焦点眼镜,50人佩戴单焦点眼镜,47人佩戴多焦点隐形眼镜,10人佩戴角膜塑形镜。三种类型的光学矫正之间在最佳矫正视力(BCVA)方面未发现显著差异(P值>0.05)。所有10个因素的问卷的克朗巴哈系数均高于0.6,表明内部一致性可接受。与佩戴眼镜者相比,软性隐形眼镜佩戴者在总体、近距和远距视力、症状、外观、态度、活动和爱好、操作以及感知方面的得分显著更高(P值<0.05)。角膜塑形镜佩戴者除了明显症状外(P=0.74)在所有方面的表现均优于佩戴眼镜者。在任何因素方面,角膜塑形镜佩戴者与软性隐形眼镜佩戴者之间均未发现显著差异(P>0.05)。近视度数高于-5.00 D且佩戴眼镜的患者在所有近视参与者中焦虑得分最高且生活质量较低。对不同屈光不正和光学矫正器具的近视儿童生活质量进行研究对于改进矫正器具和满足患者需求至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db0/12249620/fad9c0a5f891/jcm-14-04546-g001.jpg

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