Impact of visual impairment on quality of life: A comparison with quality of life in the general population and with other chronic conditions

Impact of visual impairment on quality of life: A comparison with quality of life in the general population and with other chronic conditions
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DOI:
10.1080/09286580601139212
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发表时间:
2007-05-01
影响因子:
1.8
通讯作者:
van Rens, Ger H. M. B.
van Rens, Ger H. M. B.
中科院分区:
医学4区
文献类型:
--
作者:
Langelaan, Maaike;de Boer, Michiel R.;van Rens, Ger H. M. B.

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目的:主观评价健康相关生活质量(HRQoL)和健康状况被认为是评估和治疗视力受损患者的重要工具。本研究的目的是描述视障患者的一般HRQoL和健康状况,并将视障患者的HRQoL与荷兰普通人群和患有其他慢性病的患者进行比较。方法:128人参加康复中心的视障成年人完成了欧洲生活质量问卷(EQ-5D)。将这些患者的EQ-5D评分与荷兰人群和其他慢性病患者的EQ-5D标准进行比较;两组数据均来自文献。结果:总研究人群的平均EQ-5D(指数)评分为0.73(SD 0.22)。视力受损患者在EQ-5D的每个维度上报告的问题都比一般荷兰人群多。只有脑卒中患者和慢性疲劳综合征患者在EQ-5D的每个维度上报告的问题多于视力受损患者。结论:视觉障碍对生活质量有实质性影响;与其他慢性疾病相比,它似乎影响HRQoL,对生活质量的破坏程度高于11型糖尿病、冠状动脉综合征和听力障碍,但低于中风、多发性硬化症、慢性疲劳综合征、重度抑郁症和严重精神疾病。
Purpose: Subjective evaluation of health-related quality of life (HRQoL) and health status is recognized as an important tool in the assessment and treatment of visually impaired patients. The aims of this study are to describe the generic HRQoL and health status of visually impaired patients and to compare the HRQoL of visually impaired patients with that of both the general population of the Netherlands and patients with other chronic conditions. Methods: 128 persons attending a rehabilitation centre for visually impaired adults completed the EuroQol questionnaire (EQ-5D). These patients' EQ-5D scores were compared with EQ-5D norms of the Dutch population and of patients with other chronic conditions; both sets of data were taken from the literature. Results: The average EQ-5D(index) score of the total study population was 0.73 (SD 0.22). Visually impaired patients reported more problems on every dimension of the EQ-5D than the general Dutch population. Only stroke patients and patients with chronic fatigue syndrome and reported more problems on every dimension of the EQ-5D than visually impaired patients. Conclusions: Visual impairment has a substantial impact on the quality of life; compared with other chronic conditions, it seems to affect the HRQoL, spoiling the quality of life more than diabetes type 11, coronary syndrome, and hearing impairments, but less than stroke, multiple sclerosis, chronic fatigue syndrome, major depressive disorder, and severe mental illness.