NEI-RQL-42量表中文版对LASIK手术患者生存质量的评价研究.docVIP

NEI-RQL-42量表中文版对LASIK手术患者生存质量的评价研究 李 华，吕 莎，张永烨，宋胜仿 （402160 重庆，重庆医科大学附属永川医院眼科） [摘要] 目的 制定中文版屈光不正相关生存质量量表，并用于评价准分子激光角膜原位磨镶术 (aser assisted in situ keratomileusis, LASIK)手术效果。方法 将美国国家眼科研究所屈光不正生存质量量表(42-item National Eye Institute Refractive Error Quality of Life Questionnaire，NEI-RQL-42)翻译成中文，评价其信度及效度，对LASIK手术患者术前和术后进行常规视力和屈光检查的同时采用中文版量表评价其术前、术后生存质量的差异。结果 经过系统的翻译、回译及文化调试等步骤所得的NEI-RQL-42中文版量表的克朗巴赫α系数＞0.7，重测信度评价的组内相关系数为0.83～0.87，且具有良好的内容效度、结构效度及判别效度。LASIK术后1月及3月最佳矫正视力均恢复并超过术前水平（P＜0.05），LASIK术后患者除眩光及自觉症状条目得分有所降低外，其余条目得分都有明显的提高，尤其以活动受限、视力波动、矫正依赖性、次佳矫正、外观以及满意度得分的提高最为显著（P＜0.05）。患者术前总体得分为62.27±30.76，术后1个月为81.64±25.38，术后3个月为82.14±23.27；术后1月及术后3月患者总体生活质量较术前都有明显的提高，其差异具有统计学意义（P＜0.05）。结论 中文版NEI-RQL-42量表信度及效度良好，对评价LASIK生存质量的变化较为灵敏，LASIK手术可以明显提高患者的生活质量。 [关键词] NEI-RQL-42，量表；LASIK；生存质量 [中图法分类号] [文献标志码] A Evaluat quality of life after LASIK by Chinese version of NEI-RQL-42 instrument Li Hua, Lyu Sha, Zhang Yongye, Song Shengfang (Department of Opthalmology, Yongchuan Hospital, Chongqing Medical University, Chongqing,, 402160, China) [Abstract] Objective To set up a Chinese questionnaire for quality of life in vision-related patients with refractive error, and to investigate the changes of the quality of life after laser assisted in situ keratomileusis (LASIK). Methods After the 42-item National Eye Institute Refractive Error Quality of Life Questionnaire (NEI-RQL-42) was translated into Chinese, and its validity and reliability were investigated by surveying 156 patients undergoing LASIK in our department from November 20120 to May 2011. Except for assessing vision and refraction, such as uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), intraocular pressure, and anterior segment in 3 d, 1 week, 1 and 3 months after surgery, the quality of life of these patients were applied with the Chinese version of NEI-RQL-42 instrument. Results The systematic protocols were set as forward translations, backward translation and cultural adaptatio