【摘要】：目的：通過對烏魯木齊市沙依巴克區(qū)低視力人口進行調(diào)查,著重分析研究了低視力人群的健康狀況與視覺生存質(zhì)量間的相關(guān)因素及變量關(guān)系,為科學的制定低視力人群的健康管理模式和針對性治療預(yù)案提供可靠的依據(jù)。方法：采取整群隨機抽樣的方法,選取沙依巴克區(qū)12個社區(qū)作為調(diào)查地點,抽取3400例進行低視力和視覺生存質(zhì)量及全身健康狀況的流行病學調(diào)查,篩查出雙眼低視力的人群后發(fā)放相關(guān)問卷和進行眼部檢查。結(jié)果：本次查出200例低視力人員,低視力的患病率為6.47%。導致低視力的首要眼部疾病仍是白內(nèi)障92例(46%),其次分別為眼底病37例(18.5%),青光眼28例(14%)。不同年齡段之間視功能指標具有統(tǒng)計學差異(F=10.604,P=0.000)。性別之間的VF值經(jīng)t檢驗分析,男性組與女性組比較差異有統(tǒng)計學意義(t=2.150,P=0.033)；對文化程度之間的VF值經(jīng)方差分析,具有統(tǒng)計學差異(F=27.435,P=0.000)。對漢族與少數(shù)民族之間的VF值經(jīng)過t檢驗,二者無統(tǒng)計學差異(t=1.335,P=0.183)。低視力人群的QOL值主要影響因素分別為：年齡(F=9.81,P=0.000)和文化程度(F=28.43,P=0.000),其各項得分具有顯著性差異,而民族(t=0.12,P=0.901),性別(t=1.64,P=0.102),其得分無顯著性差異。結(jié)論：在低視力人員中,VF-QOL值顯著下降,其得分受到年齡與教育程度的影響,健康組與高血壓組、糖尿病組,心腦血管組之間的VF-QOL值并無顯著性差異。
[Abstract]:Objective: to investigate the low vision population in Shaybak district of Urumqi, and to analyze the correlation factors and variables between the health status of the low vision population and the visual quality of life. To provide a reliable basis for the scientific formulation of low vision population health management model and targeted treatment plan. Methods: 3400 cases of low vision, visual quality of life and general health were investigated by cluster random sampling and 12 communities in Shaybak district. A questionnaire and eye examination were given after screening for people with low binocular vision. Results: the prevalence of low vision was 6.47. The primary ocular diseases leading to low vision were cataract in 92 cases (46%), fundus disease in 37 cases (18.5%) and glaucoma in 28 cases (14%). There were significant differences in visual function between different age groups (F = 10.604, P = 0.000). The difference of VF between male and female was statistically significant by t test analysis (t = 2.150), and there was significant difference between male and female by analysis of variance (F = 27.435, P < 0. 000), and between male and female (t = 2. 150, P < 0. 033), and the analysis of variance showed that there was a significant difference between male and female (F = 27. 435P = 0. 000). There was no significant difference in VF between Han and ethnic minorities (t = 1.335). The main influencing factors of QOL in the low vision population were age (F9. 81) and educational level (F28. 43 P0. 000). There were significant differences in the scores among the ethnic groups (t = 0. 12), sex (t = 1. 64), and the age (t = 9. 81) and the educational level (P = 0. 000), the scores of which were significantly different from those of the ethnic group (t = 0. 12) and gender (t = 1. 64, respectively). There was no significant difference in score between the two groups. Conclusion: in the low vision group, the VF-QOL value decreased significantly, and its score was influenced by age and education. There was no significant difference in VF-QOL value between healthy group and hypertension group, diabetes group, cardio-cerebrovascular group.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R770.4
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本文編號：2395871