眼外伤致眼球摘除患者义眼植入前后生存质量的比较

发布时间：2018-01-19 11:40

  本文关键词： 眼外伤 眼球摘除 义眼植入 生存质量　出处：《暨南大学》2011年硕士论文　论文类型：学位论文

【摘要】：目的：采用合适的量表对眼外伤致眼球摘除患者义眼植入前后生存质量进行评估,通过比较眼外伤致眼球摘除患者行义眼植入前后生存质量变化,以患者生存质量得分量化患者主观感受,为眼外伤致眼球摘除患者义眼植入价值提供客观依据。指导医生选择更有效的手术方案、最佳手术时机和更符合成本—效果的治疗方法,进而重视病人的身体机能、心理功能、社会功能等各方面的改变。 方法：采用生存质量电话调查问卷中文版对48名符合纳入标准的患者在义眼植入前2天、植入后1月、半年进行问卷调查,比较其义眼植入前后生存质量的变化；选择在文化程度、家庭经济状况、年龄、婚姻情况、眼睛受损情况等方面都相近且与义眼植入前生存质量得分相近的保留眼球的患者为配对组共20名,相应时段进行问卷调查,对其生存质量进行比较。并采用逐步前进法筛选影响生存质量的因素。 结果：1、义眼植入后1月与植入前2天对比生存质量得分明显提高,差异具有统计学意义(P≤0.05)。 2、义眼植入后6月与植入后1月对比生存质量得分明显提高,差异具有统计学意义(P≤0.05)。 3、配对组之间患者生存质量无显著差异(P≥0.05)。 4、逐步前进法筛选出5个主要影响因子：婚姻状态(未婚或离异)(Bs=-9.835)、职业(高层管理者)(Bs=-3.905)为负相关影响因素；支付方式(责任方代付)(Bs=8.981)、支付方式(公费医疗)(Bs=4.427)、受教育程度(初中)(Bs=3.905)为正相关影响因素。 结论：义眼植入改善患者外貌的同时能提高患者的生存质量,影响患者生存质量的因素除了单纯的治疗外还包括患者的自身因素及社会因素。
[Abstract]:Objective: to evaluate the quality of life before and after artificial eye implantation in patients with ocular trauma induced eyeball extirpation by using a suitable scale, and to compare the changes of quality of life before and after artificial eye implantation in patients with ocular trauma induced eyeball extirpation. To quantify the subjective feelings of patients with quality of life, to provide an objective basis for the value of prosthetic eye implantation in patients with ocular trauma, and to guide doctors to choose more effective surgical procedures. The best operation time and more cost-effect treatment method, and then pay attention to the patient's physical function, psychological function, social function and other aspects of change. Methods: the Chinese version of QOL questionnaire was used to investigate 48 patients who met the inclusion criteria 2 days before implantation, January and half a year after implantation. The quality of life before and after implantation was compared. The matched group consisted of 20 patients who had similar educational level, family economic status, age, marriage and eye damage and had similar quality of life score before artificial eye implantation. The quality of life (QOL) was compared by questionnaire, and the factors affecting the QOL were screened by the progressive method. Results the score of quality of life (QOL) was significantly improved on January and 2 days after implantation, and the difference was statistically significant (P 鈮，

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