助视器提升低视力患者生活质量

doi:10.3760/cma.j.issn.1674-845X.2019.06.010

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摘要目的：调查低视力助视器（LVAs）在提高低视力患者生活质量方面的有效性。方法：前瞻性临床研究。选取2017年1月至2018年2月在温州医科大学附属眼视光医院就诊的符合低视力诊断标准的患者55例，给患者验配远用、近用助视器。在低视力患者配戴LVAs前和配戴30 d后采用中文版低视力患者生活质量量表（CLVQOL）评估低视力患者的生活质量，问卷内容涉及远视力、移动和光感，心理调节能力，阅读和精细工作能力及日常生活能力。对各组LVQOL评分结果进行配对t检验，对影响因素进行回归分析。结果：55例低视力患者中，44例完成了基线和随访时的生活质量问卷调查。经过低视力助视器等辅助后，生活质量评分从77.8±19.0上升到82.3±22.5，差异具有统计学意义（t=4.56，P=0.001）。性别、识字率、学习状况和视力等因素不影响低视力患者生活质量。结论：低视力助视器可以提高不同年龄段、不同性别的低视力人群的生活质量。

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关键词 ：低视力, 助视器, 调查问卷, 低视力患者生活质量量表

Abstract：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

收稿日期: 2018-10-29

通讯作者: 李英姿（ORCID：0000-0003-1678-966X），Email：525592331@qq.com

引用本文:

涂昌森倪灵芝江龙飞章雪梅李英姿. 助视器提升低视力患者生活质量[J]. 中华眼视光学与视觉科学杂志, 2019, 21(6): 460-463. Changsen Tu, Lingzhi Ni, Longfei Jiang, Xuemei Zhang, Yingzi Li. Low Vision Aids to Improve the Quality of Life in Low Vision Patients. Chinese Journal of Optometry Ophthalmology and Visual science, 2019, 21(6): 460-463. DOI: 10.3760/cma.j.issn.1674-845X.2019.06.010

链接本文:

https://www.cjoovs.com/CN/10.3760/cma.j.issn.1674-845X.2019.06.010 或 https://www.cjoovs.com/CN/Y2019/V21/I6/460

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