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目的 了解初次白内障手术引起的视功能相关生存质量 (VisionRelatedHealthQuality-of-Life ,VRQoL)改变和相关影响因素。方法 对 10 6例初次白内障手术患者病史回顾和术后随访 ,并采用中文版低视力者生存质量量表测量术前和随访期末的VRQoL。结果 术前、后两次量表的克郎巴赫α系数分别为 0 91和 0 95。随访期末各维和总体量表得分均有明显提高。随访期末患眼视力和患眼视力改变分别是影响随访期末量表得分和得分改变百分率的主要因素。结论 初次白内障手术患者的VRQoL在术后有了明显的改善。通过了解视力状态和改变来推断初次白内障手术患者VRQ状态和改变的方法可行 ,但需要进一步采用中文版低视力者生存质量量表等工具得到全面的VRQoL信息 ,完善对手术效果的判断。
Objective To investigate the changes of related quality of life (VRQoL) and related factors in primary cataract surgery. Methods A retrospective and postoperative follow-up of 106 patients with primary cataract surgery was conducted. VRQoL was measured preoperatively and at the end of follow-up period using the Chinese version of the Quality of Life Inventory of the Poor. Results The Cronbach’s α coefficients before and after the two scales were 0 91 and 0 95, respectively. At the end of the follow-up period, the overall peacekeeping scale score improved significantly. At the end of the follow-up period, the changes of eye visual acuity and visual acuity were the main factors affecting the scale scores and percentage change of scores at the end of follow-up respectively. CONCLUSIONS: VRQoL in primary cataract surgery patients has been significantly improved after surgery. It is feasible to understand the status and changes of VRQ in patients with primary cataract surgery by understanding the status and changes of eyesight. However, VRQoL information needs to be further obtained using tools such as the Chinese version of the Quality Assurance for the Quality of Life of Hyperactive Liberis to improve the judgment of the surgical effect.