斜视儿童的健康相关生活质量。

IF 2.8 3区 医学 Q1 OPHTHALMOLOGY
Lena Boulakh, Jonas L Isaksen, Christina Ellervik, Jørgen K Kanters, Helena Buch Hesgaard, Lisbeth Sandfeldt
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引用次数: 0

摘要

目的:斜视儿童与其父母对儿童健康相关生活质量(HRQOL)的共识尚不清楚。此外,尚不清楚儿童斜视手术后的身体特征是否会导致更好的HRQOL结果。本研究旨在帮助斜视外科医生决定哪些儿童在斜视手术后会改善HRQOL。方法:我们纳入了114名因斜视而接受斜视手术的丹麦儿童和29名无眼科症状的对照组。每个孩子和他们的父母都回答了关于孩子眼睛和一般健康的问卷。我们比较了儿童术前和术后的眼睛特异性、社会心理和生理评分。我们还调查了亲子(代理)协议以及性别、年龄和斜视类型是否与术后HRQOL的改善相关。结果:斜视患儿在眼相关HRQOL问题上的自我评分低于家长评分(p = 0.01)。斜视儿童术后HRQOL的改善与年龄、性别、眼镜使用和斜视类型无关。结论:斜视手术改善了儿童的生活质量,与性别、年龄、是否配戴眼镜或斜视类型无关。在进行评估时,外科医生应该意识到孩子和父母对孩子的HRQOL的感知可能存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-related quality of life of children with strabismus.

Purpose: The agreement between children with strabismus and their parents on the health-related quality of life (HRQOL) of the child is unknown. Additionally, it is unknown if physical traits pre-dispose to a better outcome in HRQOL after strabismus surgery in children. This study aims to aid strabismus surgeons in deciding which children will improve HRQOL following strabismus surgery.

Methods: We included 114 Danish children who underwent strabismus surgery for their strabismus and 29 controls without ophthalmologic manifestations. Each child and their parent answered questionnaires about the child's eye- and general health. We compared eye-specific, psychosocial and physical scores in children pre- and post-operatively with controls. We also investigated child-parent (proxy) agreement and whether sex, age and strabismus type were associated with improvement in HRQOL after surgery.

Results: Children with strabismus scored themselves lower on eye-related HRQOL questions than their parents scored them (p = 0.01). Children with strabismus had similar improvements in HRQOL after surgery independent of age, sex, use of glasses and type of strabismus. Children with strabismus scored lower across all questionnaires on HRQOL even after surgery compared to controls (eye specific, p < 0.001; PedsQL psychosocial = 0.006).

Conclusion: Strabismus surgery in children improved their quality of life regardless of sex, age, wearing glasses or strabismus type. The surgeon should be aware of potential discrepancies in perception of the HRQOL of the child, between the child and their parent when making their assessment.

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来源期刊
Acta Ophthalmologica
Acta Ophthalmologica 医学-眼科学
CiteScore
7.60
自引率
5.90%
发文量
433
审稿时长
6 months
期刊介绍: Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.
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