老年性白内障患者生活质量调查及与自我效能感、自我感受负担和社会关系质量的相关性研究

目的:研究老年性白内障患者生活质量与自我效能感、自我感受负担和社会关系质量的相关性。方法:纳入我院于2018年8月~2020年12月期间接收的老年性白内障患者116例作为研究组,另选取同期来我院检查眼睛视力的100例志愿者作为对照组,两组均填写中文版低视力者生活质量量表(CLVQOL)、自我感受负担量表(SPBS)、一般自我效能感量表(GSES)、社会关系质量量表等评分量表。经Pearson线性相关分析CLVQOL评分与SPBS、GSES和社会关系质量的关系。结果:共发放问卷216份,收回有效问卷212份,回收率为98.15%。研究组的身体机能、精神心理、症状与视功能、社会活动、总分低于对照组,组间对比差异有统计学意义(P<0.05)。研究组身体因素、情感因素、经济因素、总分高于对照组(P<0.05)。研究组个体对环境挑战的认知、个体对自我的认知、个体对控制感的认知以及总分低于对照组(P<0.05)。研究组家庭承担、家庭亲密度、朋友关系、总分低于对照组(P<0.05)。Pearson线性相关分析结果显示,CLVQOL评分与GSES和社会关系质量呈正相关,而与SPBS呈负相关(P<0.05)。结论:老年性白内障患者生活质量较差,与自我效能感、自我感受负担和社会关系质量密切相关,应重视上述相关因素的改善,以提高患者生活质量。

Investigation on Quality of Life of Senile Cataract Patients and its Correlation with Self Efficacy, Self Perceived Burden and Social Relationship Quality

Objective: To study the correlation between quality of life and self-efficacy, self perceived burden and social relationship quality in senile cataract patients. Methods: 116 cases of senile cataract patients in our hospital from August 2018 to December 2020 were selected as the study group, and 100 cases of volunteers who came to our hospital for eye vision examination in the same period were selected as the control group. All subjects filled in the general information, and filled in the Chinese version of low vision quality of life scale(CLVQOL), self perceived burden scale(SPBS), general self-efficacy scale(GSES), social relationship quality scale and other rating scales. Pearson linear correlation analysis was used to analyze the relationship between CLVQOL score and SPBS,GSES and social relationship quality. Results: A total of 216 questionnaires were distributed, and 212 valid questionnaires were collected,with recovery rate was 98.15%. The physical function, mental psychology, symptoms and visual function, social activities and total scores of the study group were lower than those of the control group(P<0.05). The physical factors, emotional factors, economic factors, total score of the study group were higher than those of the control group(P<0.05). The individuals’ perception of environmental challenges,individuals’ perception of self-perception, individuals’ perception of sense of control and total scores of the study group were lower than those of the control group(P<0.05). The family commitment, family intimacy, friend relationship and total score of the study group were lower than those of the control group, and the difference between groups was statistically significant(P<0.05). Pearson linear correlation analysis showed that CLVQOL score was positively correlated with GSES and social relationship quality, but negatively correlated with SPBS(P<0.05). Conclusion: The quality of life of senile cataract patients is poor, which is closely related to self-efficacy, self perceived burden and the quality of social relations. Therefore, attention should be paid to the improvement of the above related factors to improve the quality of life of patients.