The management of strabismus in adults - III. The effects on disability
The management of strabismus in adults - III. The effects on disability
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DOI：
10.1016/j.jaapos.2005.04.009
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发表时间：
2005-10-01
期刊：
影响因子：
1.6
通讯作者：
Felius, J
中科院分区：
文献类型：
--
作者：
Beauchamp, GR;Black, BC;Felius, J
简介：这是关于各个方面的系列文章中的第三篇文章。成人斜视的治疗。在这里，我们对残疾的类型和严重程度进行了广泛的概述，并提供了评估这些残疾方面的工具（问卷）的初步验证。方法：来自 6 个中心的 101 名患者在接受斜视手术后填写了一份包含 6 项的问卷，其中他们对斜视相关问题的术前和术后严重程度进行了评估，范围包括具体健康状况、日常功能、社交互动、对未来的担忧、自我形象以及与工作相关的困难。结果：6类问题的术前结果存在显着差异（P < 0.001），其中“具体健康状况”和“日常任务”产生的问题评级最高。复视患者报告的“日常任务”（P = 0.004）和“对未来的担忧”（P = 0.026）问题比非复视患者更严重。总体而言，术后所有问题评级均下降（P < 0.001），但未成功对齐的患者在“特定健康”（P = 0.005）、“日常任务”（P = 0.003）和“社交互动”（P = 0.024）方面留下了较高的问题评级。结果表明，斜视成年患者存在广泛的残疾方面，有或没有复视的患者在术后残疾方面存在中等差异。在评估成人斜视管理的健康价值时，应考虑到评级。
Introduction: This is the third article in a series on the various facets of the. management of strabismus in adults. Here, we give a broad overview of the types and severity of disability and provide initial validation of an instrument (questionnaire) to assess these disability aspects. Methods: After undergoing strabismus surgery, 101 patients from 6 centers completed a 6-item questionnaire in which they rated both the before-surgery and after-surgery severity of problems associated with their strabismus, ranging from specific health, daily functioning, social interaction, concerns about the future, and self-image to job-related difficulties. Results:The before-surgery outcomes showed significant variation across the 6 types of problems (P < 0.001), with "specific health' and "daily tasks" yielding the highest problem rating. Patients with diplopia reported more severe problems with "daily tasks" (P = 0.004) and "concerns about the future" (P = 0.026) than patients without diplopia. Overall, all problem ratings declined after surgery (P < 0.001), but patients who were not successfully aligned were left with higher problem ratings on "specific health" (P = 0.005), "daily tasks" (P = 0.003), and "social interaction" (P = 0.024). 'Conclusions. The results indicate a wide range of disability aspects in adult patients with strabismus, with moderate differences between patients with or without diplopia. Improvements in disability after surgery, as reflected by these ratings, should be taken into account when assessing the health value of adult strabismus management.