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新疆乌鲁木齐市沙依巴克区低视力人群健康状况与视觉生存质量关系研究

发布时间:2018-12-30 17:05
【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,着重分析研究了低视力人群的健康状况与视觉生存质量间的相关因素及变量关系,为科学的制定低视力人群的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3400例进行低视力和视觉生存质量及全身健康状况的流行病学调查,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:本次查出200例低视力人员,低视力的患病率为6.47%。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%)。不同年龄段之间视功能指标具有统计学差异(F=10.604,P=0.000)。性别之间的VF值经t检验分析,男性组与女性组比较差异有统计学意义(t=2.150,P=0.033);对文化程度之间的VF值经方差分析,具有统计学差异(F=27.435,P=0.000)。对汉族与少数民族之间的VF值经过t检验,二者无统计学差异(t=1.335,P=0.183)。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,VF-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VF-QOL值并无显著性差异。
[Abstract]:Objective: to investigate the low vision population in Shaybak district of Urumqi, and to analyze the correlation factors and variables between the health status of the low vision population and the visual quality of life. To provide a reliable basis for the scientific formulation of low vision population health management model and targeted treatment plan. Methods: 3400 cases of low vision, visual quality of life and general health were investigated by cluster random sampling and 12 communities in Shaybak district. A questionnaire and eye examination were given after screening for people with low binocular vision. Results: the prevalence of low vision was 6.47. The primary ocular diseases leading to low vision were cataract in 92 cases (46%), fundus disease in 37 cases (18.5%) and glaucoma in 28 cases (14%). There were significant differences in visual function between different age groups (F = 10.604, P = 0.000). The difference of VF between male and female was statistically significant by t test analysis (t = 2.150), and there was significant difference between male and female by analysis of variance (F = 27.435, P < 0. 000), and between male and female (t = 2. 150, P < 0. 033), and the analysis of variance showed that there was a significant difference between male and female (F = 27. 435P = 0. 000). There was no significant difference in VF between Han and ethnic minorities (t = 1.335). The main influencing factors of QOL in the low vision population were age (F9. 81) and educational level (F28. 43 P0. 000). There were significant differences in the scores among the ethnic groups (t = 0. 12), sex (t = 1. 64), and the age (t = 9. 81) and the educational level (P = 0. 000), the scores of which were significantly different from those of the ethnic group (t = 0. 12) and gender (t = 1. 64, respectively). There was no significant difference in score between the two groups. Conclusion: in the low vision group, the VF-QOL value decreased significantly, and its score was influenced by age and education. There was no significant difference in VF-QOL value between healthy group and hypertension group, diabetes group, cardio-cerebrovascular group.
【学位授予单位】:新疆医科大学
【学位级别】:硕士
【学位授予年份】:2015
【分类号】:R770.4


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