[1]李华,吕莎,张永烨,等.NEI-RQL-42量表中文版对LASIK手术患者生存质量的评价研究[J].第三军医大学学报,2013,35(14):1507-1510.
 Li Hua,Lyu Sha,Zhang Yongye,et al.Evaluation of quality of life after LASIK by Chinese version of NEI-RQL-42 instrument[J].J Third Mil Med Univ,2013,35(14):1507-1510.
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NEI-RQL-42量表中文版对LASIK手术患者生存质量的评价研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第14期
页码:
1507-1510
栏目:
论著
出版日期:
2013-07-30

文章信息/Info

Title:
Evaluation of quality of life after LASIK by Chinese version of NEI-RQL-42 instrument
作者:
李华吕莎张永烨宋胜仿
重庆医科大学附属永川医院眼科
Author(s):
Li Hua Lyu Sha Zhang Yongye Song Shengfang
Department of Ophthalmology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China
关键词:
NEI-RQL-42量表LASIK生存质量
Keywords:
NEI-RQL-42 instrument LASIK quality of life
分类号:
R195.1;R778.11;R779.63
文献标志码:
A
摘要:
目的      制定中文版屈光不正相关生存质量量表,并用于评价准分子激光角膜原位磨镶术 (laser assisted in situ keratomileusis, LASIK)手术效果。      方法      将美国国家眼科研究所屈光不正生存质量量表(42-item National Eye Institute Refractive Error Quality of Life Questionnaire,NEI-RQL-42)翻译成中文,评价其信度及效度,对LASIK手术患者术前和术后进行常规视力和屈光检查的同时采用中文版量表评价其术前、术后生存质量的差异。      结果      经过系统的翻译、回译及文化调试等步骤所得的NEI-RQL-42中文版量表的克朗巴赫α系数>0.7,重测信度评价的组内相关系数为0.83~0.87,且具有良好的内容效度、结构效度及判别效度。LASIK术后1、3个月最佳矫正视力均恢复并超过术前水平(P<0.05),LASIK术后患者除眩光及自觉症状条目得分有所降低外,其余条目得分都有明显的提高,尤其以活动受限、视力波动、矫正依赖性、次佳矫正、外观以及满意度得分的提高最为显著(P<0.05)。患者术前总体得分为(62.27±30.76),术后1个月为(81.64±25.38),术后3个月为(82.14±23.27);术后1、3个月患者总体生活质量较术前都有明显的提高,其差异具有统计学意义(P<0.05)。      结论      中文版NEI-RQL-42量表信度及效度良好,对评价LASIK手术后生存质量的变化较为灵敏,LASIK手术可以明显提高患者的生活质量。
Abstract:
Objective      To set up a Chinese questionnaire for quality of life in vision-related patients with refractive error, and to investigate the changes of the quality of life after laser assisted in situ keratomileusis (LASIK).       Methods      After the 42-item National Eye Institute Refractive Error Quality of Life Questionnaire (NEI-RQL-42) was translated into Chinese, and its validity and reliability were investigated by surveying 126 patients undergoing LASIK in our department from November 2010 to May 2011. Except for assessing vision and refraction, such as uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), before and after surgery, the quality of life of these patients were applied with the Chinese version of NEI-RQL-42 instrument.       Results      The systematic protocols were set as forward translations, backward translation and cultural adaptations. And the Cronbach α coefficient was defined as >0.7, while the intra-class correlation coefficient was 0.83 to 0.87 as estimated by test-retest reliability. The Chinese version of the NEI-RQL-42 was confirmed with sound content validity, structure validity and discriminant validity. LASIK resulted in great improvement in BCVA, which was restored and superior to that before surgery (P<0.05). Among the items of the questionnaire, except for the items of glare and symptoms, the scores of all items were increased after operation. The most obvious changed items were activity limitations, diurnal fluctuations, dependence on correction, suboptimal correction, appearance and satisfaction with correction(P<0.05). The integrated score was 62.27±30.76 before operation, and was 81.64±25.38 and 82.14±23.27 respectively in 1 and 3 month after operation. The quality of life was greatly improved in 1 and 3 month after operation when compared with that before operation (P<0.05).       Conclusion      The Chinese version of the NEI-RQL-42 is a reliable and valid instrument to evaluate the quality of life after LASIK. LASIK improves quality of life in patients with refractive error significantly.

参考文献/References:

李华, 吕莎, 张永烨, 等. NEI-RQL-42量表中文版对LASIK手术患者生存质量的评价研究[J].第三军医大学学报,2013,35(14):1507-1510.

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更新日期/Last Update: 2013-07-10