Impact of socioeconomic status on vision-related quality of life in primary open-angle glaucoma
Impact of socioeconomic status on vision-related quality of life in primary open-angle glaucoma
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作者：
Kuo, Y-S;Liu, C. J-L;Ko, Y-C
目的探讨社会经济地位（SES）对原发性开角型青光眼（POAG）患者视觉相关生活质量（VRQOL）的影响。所有患者在较好眼和可靠的视野检查中视力均不差于20/60。VRQOL采用经验证的台湾版25项国立眼科研究所视觉功能问卷（NEI VFQ-25）进行评估。记录社会人口学特征、病史和眼部参数。社会经济地位是根据教育程度和月收入进行评估的，两者都分为三个级别。方差分析和线性回归分析被用来评估SES，VRQOL，和临床参数之间的关系。结果在186例患者招募，组间差异没有观察到教育或月收入水平的双眼视觉或综合视野缺陷。较低的教育和月收入水平的患者有较低的自我报告的一般健康评级。在多元线性回归模型中调整视觉功能、治疗复杂性和总体健康状况后，大学及以上学历的患者在综合评分（P=0.041）、心理健康（P=0.035）和周边视力（P=0.05）方面的NEI VFQ-25评分优于初中以下教育程度的患者。月收入水平对NEI VFQ-25评分无显著影响。结论文化程度对POAG患者VRQOL有显著影响。教育程度较低的病人可获提供额外辅导，以协助他们科普疾病。
Purpose To investigate the impact of socioeconomic status (SES) on vision-related quality of life (VRQOL) in patients with primary open-angle glaucoma (POAG).Patients and methods This prospective cross-sectional study included consecutive patients with POAG at a tertiary hospital between March 2012 and January 2013. All patients had visual acuity no worse than 20/60 in the better eye and reliable visual field tests. VRQOL was assessed by the validated Taiwan version 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25). Sociodemographic characteristics, medical history, and ocular parameters were recorded. SES was evaluated based on educational attainment and monthly income, both stratified into three levels. Analysis of variance and linear regression analysis were used to evaluate the relationship between SES, VRQOL, and clinical parameters.Results Among the 186 patients recruited, intergroup differences were not observed among educational or monthly income levels for binocular vision or integrated visual field defects. Patients of lower educational and monthly income levels had lower self-reported general health ratings. After adjustment for visual function, treatment complexity, and general health in the multiple linear regression model, patients with a college degree or higher reported better NEI VFQ-25 scores for the composite score (P=0.041), mental health (P=0.035), and peripheral vision (P=0.05) than did those with education below junior high school. Monthly income levels did not affect the NEI VFQ-25 scores.Conclusion Educational attainment significantly affects VRQOL in patients with POAG. Additional counseling may be provided to patients with lower educational background to help them cope with the disease.