[关键词]
[摘要]
目的:探讨年龄相关性白内障患者的综合性视觉功能指数与跌倒影响因素之间的关系。
方法:纳入96例年龄相关性白内障术前患者作为受试者,使用综合性视觉功能指数(visual-functioning index,VF-7)问卷法评估受试者的综合性视觉功能。根据其结果进行分组,比较组间的跌倒影响因素差异性,包括视力、平衡功能、移动功能、认知及抑郁状态、对跌倒的担心等。
结果:其中VF-7得分较低组的受试者,其年龄通常较大,有抑郁倾向,以及更担心跌倒; 得分较低组的受试者视力、平衡功能和移动功能也较差。
结论:不同水平的综合性视觉功能指数的年龄相关性白内障老年患者,其跌倒影响因素,包括视力、平衡功能、移动功能之间有显著的差异。综合性视觉功能指数作为一种简单方便的自评检查方式,可以用作对年龄相关性白内障患者的跌倒风险监测。
[Key word]
[Abstract]
AIM:To investigate the relation between vision function index and falls-related factors in patients with age-related cataract.
METHODS:Ninety-six patients with age-related cataract were interviewed using a seven-item visual function questionnaire(VF-7), then classified into poor, moderate, or good visual function group. The differences of the three groups on visual acuity, balance and mobility function, cognition, depressive symptoms, self-reported fear of falling were analyzed.
RESULTS:The patients in poor visual function group had older age, tendency to depression, was more afraid of falling, compared with groups with higher score in VF-7, and they had worse visual acuity, performed worse on all balance and mobility tests.
CONCLUSION:Poor visual function is related to worse visual acuity, weaker balance and mobility performance in patients with age-related cataract. The VF-7, as a simple and convenient self-reported method, can be used as a falling risk monitoring in patients with age-related cataract.
[中图分类号]
[基金项目]
温州市2015年公益性科技计划项目(No.Y20150334)