斜视儿童及其父母生存质量的调查研究

发布时间：2018-01-17 18:03

本文关键词：斜视儿童及其父母生存质量的调查研究　出处：《四川大学学报(医学版)》2017年03期 　论文类型：期刊论文

【摘要】：目的研究斜视儿童及其父母生存质量的情况,并分析手术结果及手术次数对其生存质量的影响。方法本研究为横断面研究。选取2015年1月至2016年4月于我院就诊的5~18岁符合纳入标准的128例斜视患儿,118例屈光不正患儿为对照组。采用中文版间歇性外斜视患者生存质量量表(IXTQ)以及成人斜视生存质量量表(AS-20)进行问卷调查。分析两组各量表得分的差异,比较不同手术结果(手术成功、手术部分成功和手术失败)患儿及其父母生存质量的差异,手术次数对生存质量的影响采用单因素相关分析,对可能影响生存质量得分的因素进行多元线性回归分析。结果斜视组IXTQ、AS-20量表得分均低于对照组得分(P0.001)。斜视手术结果只在患儿父母填写的pp-IXTQ中有影响得分的作用(P=0.034),手术成功组得分最高,手术部分成功组得分最低。患儿手术次数在手术成功与失败组均不影响最终得分;而在手术部分成功组,AS-20量表中,手术次数与得分呈正相关关系(r=0.909,P=0.002)。可能影响得分情况的因素中,只有近立体视对PIXTQ得分有影响[标准偏回归系数(β)=0.543,P=0.026]。结论斜视患儿及其父母的生存质量明显降低,且斜视手术对其生存质量有影响。临床检查结果与生存质量调查结果相结合能更好的评估并干预斜视对患儿及家长带来的影响。
[Abstract]:Objective to study the quality of life of strabismus children and their parents. The results of operation and the influence of the times of operation on the quality of life were analyzed. Methods the results of this study were cross-sectional. 5 years of age from January 2015 to April 2016 in our hospital met the inclusion criteria of 1. 28 children with strabismus. 118 children with ametropia were used as control group. The Chinese version of IXTQand the adult strabismus quality of life scale (AS-20) were used. A questionnaire survey was conducted to analyze the differences in the scores of each scale between the two groups. The quality of life (QOL) of children and their parents were compared among different surgical outcomes (success, partial success and failure). Single factor correlation analysis was used to analyze the influence of the number of operations on the quality of life (QOL). Multivariate linear regression analysis was performed on the factors that may affect the quality of life score. Results IXTQ in strabismus group. The scores of AS-20 scale were lower than those of the control group (P 0.001). The results of strabismus surgery only had an effect on the scores of pp-IXTQ filled out by the parents of the children (P0. 034). The operative success group had the highest score, while the partial success group had the lowest score. The number of operations in the successful and failed group did not affect the final score. However, in the successful operation group, there was a positive correlation between the number of operations and the score of AS-20. There was a positive correlation between the number of operations and the score. Only near stereopsis has an effect on PIXTQ scores. [Conclusion the quality of life of strabismus children and their parents decreased significantly. The results of clinical examination and quality of life survey can better evaluate and intervene the influence of strabismus on children and parents.
【作者单位】：四川大学华西医院眼科;
【分类号】：R779.6
【正文快照】： 斜视是一种由于眼球位置或运动异常所导致的双眼视轴分离的情况,发病率较高,目前在中国东部入学前儿童中发病率已达到5.56%[1]。既往研究指出,斜视不仅影响正常的双眼视功能以及立体视情况,也影响患者外观,且斜视患者更易有社交恐惧、自卑、抑郁等症状[2-6]。MOJON-AZZI等[4]

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