低视力辅助设备改善低视力患者的生活质量

Changsen Tu, Lingzhi Ni, Longfei Jiang, Xue-mei Zhang
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摘要

目的:探讨低视力助视器(LVAs)改善低视力患者生活质量的效果。方法:前瞻性临床研究。本前瞻性临床研究选择2017年1月至2018年2月温州医科大学眼科医院55例临床诊断为低视力且需要配戴远、近LVDs的患者。低视力生活质量(LVQOL)问卷测量患者使用LVAs后30天前的视力相关生活质量,评价患者的生活质量。反应包括行动能力、远视、照明、心理调节、阅读、工作能力和日常生活能力。各组LVQOL评分及相关参数采用t检验和回归检验进行统计学分析。结果:44例低视力患者完成了基线和随访LVQOL调查。使用LVDs后,低视力患者的生活质量评分由77.8±19.0显著提高至82.3±22.5 (t=4.56, P=0.001)。性别、识字率、学习状况、视力等因素对低视力患者的生活质量没有影响。结论:LVAs可以改善低视力人群的生活质量,无论其年龄、性别或教育程度如何。关键词:低视力;低视力助视器;问卷调查;视力低下影响生活质量
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Low Vision Aids to Improve the Quality of Life in Low Vision Patients
Objective: To survey the effectiveness of low vision aids (LVAs) in improveing quality of life for low vision patients. Methods: This was a prespective clinical study. Fifty-five patients with a clinical diagnosis of low vision who were required to wear far and near LVDs were selected from Eye Hospital, Wenzhou Medical University from January 2017 to February 2018 in this prospective clinical study. The low vision quality of life (LVQOL) questionnaire measured vision-related quality of life to evaluate the quality of the patients before 30 days after use of LVAs. Responses covered mobility, distance vision, lighting, psychological adjustment, reading, working ability and daily living ability. The LVQOL scores and related parameters of each group were statistically analyzed using t test and regression test. Results: Forty-four low vision patients completed the baseline and follow-up LVQOL surveys. After using the LVDs, the quality of life scores in the low vision patients increased significantly from 77.8±19.0 to 82.3±22.5 (t=4.56, P=0.001). Factors such as gender, literacy rate, learning status and vision did not affect the quality of life of patients with low vision. Conclusions: LVAs can improve the quality of life in a low vision population, regardless of age, gender or education level. Key words: low vision; low vision aids; questionnaire; low vision quality of life
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