中老年人群视功能和生存质量的研究.docVIP

???? 中老年人群视功能和生存质量的研究 ???? ???? 　　【摘要】　目的　评价中老年人群中视功能损害的主观视功能和生存质量。方法　对广东省斗门县随机整群抽样法抽取的所有50岁以上的中老年人进行问卷调查，由5名问卷调查员，使用视功能和生存质量（visual function and quality of life, VF and QOL)问卷，对所有至少1只眼日常生活视力低于0.1的受检者（视功能损害组）和部分双眼视力均高于0.3（正常对照组）的受检者进行问卷调查。结果　在能完成问卷535例视力损害患者（90.8%）和119例正常对照者中，按0～100计分制，VF和QOL的平均得分分别为51.0和65.9，随年龄增加和教育程度降低而减少，男性组分数较高。随着视力损害的加重，VF和QOL的得分相应降低，逐步回归直线方程显示：VF和QOL平均得分与视力、年龄、教育程度显著相关，与性别无关。结论　在视功能损害的中老年人群中，主观视功能和生存质量状态显著相应下降，其得分也受到年龄和教育程度的影响，但与性别无显著相关。　　【关键词】　中老年人群　视功能　生存质量 A study on visual function and quality of life in elderly population HE Mingguang, XU Jingjing, WU Kaili, et al.Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060 　　【Abstract】　Objective　To evaluate the visual impairment by visual function and quality of life assessment in elderly population. Method　All subjects aged ≥50 years were identified by randomly clustering sampling. Visual Function and Quality of Life Questionnaire (VF/QOL) was administered by 5 interviewers for all subjects with presenting visual acuity less than 0.1 in at least one eye (as visual impairment group) and part of the subjects with presenting visual acuity better than 0.3 in both eyes (as control group). Results　Five hundred and thirty-five eligible visual impairment subjects (90.8%) and 119 control subjects were successfully interviewed. In a 0～100 scores′ scale, the subjective VF and QOL mean scores were 51.0 and 65.9 respectively. The mean score was correlated with age, sex and education. Mean VF and QOL scores decreased from 84.4 and 93.4 to 14.6 and 31.2 along with the visual status worsening from normal to severe blindness respectively. In stepwise linear regression model, the VF and QOL scores were significantly correlated with age and education instead of sex. Conclusions　In elderly population with visual impairment, subjective visual function and quality of lift status are deteriorated substantially. Their scores are significantly correlated with age and education.