Catquest-8SF量表分析年龄相关性白内障患者的效果

The patient-reported outcome of age-related cataract using Catquest-8SF questionnaire

摘要:

目的：应用Catquest-8SF量表研究PHACO+SIOL植入术患者主观报告的效果，评估Catquest-8SF量表在中国北方白内障人群的适用性及其对白内障手术的敏感性。

方法：前瞻性临床病例随访研究。泰安市中心医院白内障患者术前和术后3mo完成面对面的Catquest-8SF量表填写。

结果：术前共120例白内障患者完成了Catquest-8SF量表。术前Catquest-8SF量表得分与术前双眼加权logMAR视力及年龄呈显著负相关(P<0.05)，与文化程度呈正相关(P<0.001)，无全身合并症的患者量表得分高于有全身合并症的患者(P<0.05)。102名(85%)患者完成术后3mo量表，单眼手术组和双眼手术组比较，术后视力均显著提高(t=10.404， P<0.001)，术后量表得分均明显提高(P<0.001)。两组在量表得分提高值上差异无统计学意义。92.2%的患者对手术效果满意。满意度与量表得分的提高值显著相关(P<0.05)。

结论：中文版Catquest-8SF量表在我国北方ARC人群中适用性好，简短高效，可以作为白内障常规临床评估的一部分。

Abstract:

AIM: To assess the patient-reported outcome of phacoemulsification with posterior chamber single focus foldable intraocular lens(SIOL)using the Chinese version of Catquest-8SF questionnaire. We would mainly evaluate the applicability of Catquest-8SF scale in northern Chinese and evaluate its sensitivity to cataract surgery.

METHODS:Prospective clinical case follow-up study. The patients were recruited from The Central Hospital of Tai'an and completed the Catquest-8SF questionnaire by face-to-face interviews before and 3mo after surgery at the hospital.

RESULTS: A total of 120 cataract patients completed the Catquest-8SF at baseline. The preoperative score of the Catquest-8SF-CN had a significant negative correlation with preoperative binocular mean weighted logMAR visual acuity and age(P<0.05), while a significant positive correlation with education level(P<0.001). The patients without systemic comorbidities got higher score than those who with(P<0.05). Three months after surgery, 102(85%)patients came for follow-up and completed the questionnaire. Significant improvement of visual acuity was observed in both binocular and monocular surgery groups(t=10.404, P<0.001). There was higher improvement in binocular weighted logMAR visual acuity of binocular surgery group than in monocular surgery group(P<0.001). The postoperative score were significantly higher in both groups than before(P<0.001). There was a significant improvement in the total score after cataract surgery. Ninety-four patients(92.2%)were very satisfied or satisfied with the operation. The degree of satisfaction was significantly correlated with the improvement score of the scale and it was also correlated with their expectation of the surgery.

CONCLUSION: The Chinese version of Catquest-8SF questionnaire is suitable for the age-related cataract population in northern China. It is highly responsive to cataract surgery and brief, so it may have the potential to become part of a routine clinical assessment for cataract surgery in China.