新疆沙依巴克区低视力人群生存质量与健康状况相关研究
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Research of life quality and health in patients with low vision in Shayibake, Xinjiang Autonomous Region
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    摘要:

    目的:通过对乌鲁木齐市沙依巴克区低视力人口进行调查,着重分析低视力人群的健康状况与生存质量间的相关因素及变量关系,为科学地制定低视力健康管理模式和针对性治疗预案提供可靠的依据。

    方法:采取整群随机抽样的方法,选取沙依巴克区12个社区作为调查地点,抽取3 400例进行低视力和生存质量的流行病学调查,筛查出双眼低视力的人群后发放相关问卷和进行眼部检查。

    结果:本次实际受检为3 091例,诊断低视力的人群为220例,完成问卷为200例,低视力的患病率为6.47%(200/3091)。导致低视力的首要眼部疾病仍是白内障92例(46%)。其次分别为眼底病37例(18.5%),青光眼28例(14%)。低视力人群健康状况:健康者为98例(49%),高血压患者37例(18.5%),糖尿病患者28例(14%),心脑血管疾病患者25例(12.5%)。经过方差分析(F=4.15,P=0.003),健康组、高血压组、糖尿病组、心脑血管组与其他组间的QOL值有差异,其余各组间无差异。低视力人群的QOL值主要影响因素分别为:年龄(F=9.81,P=0.000)和文化程度(F=28.43,P=0.000),其各项得分具有显著性差异,而民族(t=0.12,P=0.901),性别(t=1.64,P=0.102),其得分无显著性差异。

    结论:在低视力人员中,QOL值显著下降,其得分受到年龄与教育程度的影响,健康组与高血压组、糖尿病组、心脑血管组之间的QOL值并无显著性差异。

    Abstract:

    AIM:To provide the basis for the scientifically establishment of the health management model and the specifically therapy through investigation and analysis of the correlation between life quality and health in patients with low vision in Shayibake, Urumqi city.

    METHODS: Bilateral low vision patients were recruited in 3 400 persons in twelve communities of Shayibake with the investigation of low vision and life quality by random sampling method. Then they were investigated with the questionnaire and eye examination.

    RESULTS: The actual subjects were 3 091 cases, the diagnosis of low vision population wee 220 patients in which 200 cases completed the questionnaire(accounting for 6.47%). The main leading causes were cataract(92 patients, accounting for 46%), ocular fundus disease(37 patients, accounting for 18.5%), and glaucoma(28 patients, accounting for 14%). As the general health: the incidence of health patients(98 patients)was 49%, patients with hypertension(37 patients)was 18.5%, patients with diabetes(28 patients)was 14%, patients with cardiovascular and cerebrovascular diseases(25 patients)was 12.5%. In this study, there were statistical significance between the health group, hypertension group, diabetes group, cardiovascular and cerebrovascular diseases group and the other groups with variance analysis(F=4.15, P=0.003). But there were no statistical significance among the other groups. Furthermore it was shown that the value of QOL of patients with low vision were age(F=9.81, P=0.000)and degree of education(F=28.43, P=0.000)with statistical significance. But nation(t=0.12, P=0.901)and gender(t=1.64, P=0.102)with no statistical significance.

    CONCLUSION:The value of QOL of patients with low vision is declined significantly with the effect of age and and degree of education. While there are no significant difference among the health group and hypertension group, diabetes group, cardiovascular and cerebrovascular diseases group.

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渠源,姚华,陈雪艺.新疆沙依巴克区低视力人群生存质量与健康状况相关研究.国际眼科杂志, 2015,15(3):513-516.

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  • 收稿日期:2014-09-28
  • 最后修改日期:2015-02-25
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  • 在线发布日期: 2015-03-09
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