对加纳阿克拉成年糖尿病患者视力相关生活质量的评估

Yaw Akye Essuman , Benjamin Abaidoo , Vera Adobea Essuman , Kwesi Nyan Amissah-Arthur
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引用次数: 0

摘要

目的 评估加纳阿克拉部分糖尿病和眼科医疗机构的成年糖尿病患者与视力相关的总体生活质量(VRQoL)。 方法 这是一项基于医院的横断面分析研究,研究时间为 2023 年 1 月至 7 月。采用有目的的连续抽样技术选出了 150 名参与者。调查问卷由 WHO-PBD/VF20 和 EuroQol 五维量表组成,旨在了解所选参与者的人口统计学特征、与视力相关的生活质量和与健康相关的生活质量。患有糖尿病视网膜病变的参与者在所有领域的平均VRQoL总分(19.4分)均低于无糖尿病视网膜病变者(79.9分);一般视觉功能(41.3分 vs. 78.7分,p = 0.002);一般功能(15.1分 vs. 80.2分,p = 0.001);社会心理(35.7分 vs. 79.3分,p = 0.001);视觉症状(24.4分 vs. 80.4分,p = 0.001)。有糖尿病视网膜病变的参与者在所有领域的 HRQoL 平均总分(17.4 分)也比没有糖尿病视网膜病变的参与者差(81.0 分);行动能力,32.4 分比 79.6 分,P = 0.001;自理能力,53.9 分比 77.6 分,P = 0.001;日常活动,30.2 分比 79.8 分,P = 0.结论我们的研究结果表明,随着糖尿病视网膜病变的发展,与视力相关和与健康相关的生活质量都会显著下降。这些研究结果表明,有必要在全国范围内开展筛查计划,以识别糖尿病患者,并有效控制血糖,防止糖尿病视网膜病变等并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An assessment of the vision-related quality of life among adult patients with diabetes mellitus in Accra, Ghana

Purpose

To assess the overall vision-related quality of life (VRQoL) of adults with diabetes mellitus attending selected diabetic and eye care facilities in Accra, Ghana.

Methods

This was a hospital-based analytical cross-sectional study which took place from January to July 2023. A purposive consecutive sampling technique was used to select 150 participants. A questionnaire consisting of the WHO-PBD/VF20 and EuroQol Five Dimensional Scale instruments was used to obtain information pertaining to the demographic characteristics, vision-related quality of life and health-related quality of life of selected participants.

Results

The median participant age was 61.0 years. Participants with diabetic retinopathy had a worse mean overall total VRQoL score (19.4) than those without (79.9) in all domains; general visual functioning, 41.3 vs. 78.7, p = 0.002; general functioning, 15.1 vs. 80.2, p = 0.001; psychosocial, 35.7 vs. 79.3, p = 0.001; and visual symptoms, 24.4 vs. 80.4, p = 0.001. Participants with diabetic retinopathy also had a worse mean overall HRQoL score (17.4) than those without (81.0) in all domains; mobility, 32.4 vs. 79.6, p = 0.001; self-care, 53.9 vs. 77.6, p = 0.001; usual activities, 30.2 vs. 79.8, p = 0.001; pain/discomfort, 36.3 vs. 79.2, p = 0.001; and anxiety, 31.5 vs. 79.7, p = 0.001.

Conclusion

Our findings suggest a significant deterioration in both vision-related and health-related quality of life with the development of diabetic retinopathy. They highlight the need for nationwide screening programs to identify people with diabetes mellitus, as well as effective glycemic control to prevent the development of complications such as diabetic retinopathy.

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