特殊教育学校视力障碍学生视觉相关生活质量调查

doi:10.3969/j.issn.1006-9771.2022.01.018

Abstract

Abstract:

Objective To investigate visual impairment students' quality of life and its influencing factors in Braille learning class at Quanzhou Special School. Methods November, 2020, 52 students (aged seven to 26) with the best corrected distance visual acuity of the better eye above 0.02 were investigated with near visual acuity, contrast sensitivity and Chinese-version Low Vision Quality of Life Questionnaire (CLVQOL). The subjects were divided into second grade blindness group, first grade low vision group and second grade low vision group according to the best corrected distance visual acuity of the better eye. Results There were significant differences in distance visual acuity (Z = 45.671, P < 0.001), near visual acuity (Z = 24.972, P < 0.001), and contrast sensitivity (CS) ( Z = 13.285, P = 0.001) among three groups. There was a correlation between near visual acuity and distance visual acuity (r = 0.74, P < 0.001), CS to distance visual acuity (r = -0.58, P < 0.001) and near visual acuity (r = -0.57, P < 0.001), score of CLVQOL and CS (r = 0.44, P < 0.001). There were significant differences in the total score (Z = 10.145, P = 0.006), distance visual acuity subscale (Z = 13.586, P = 0.001), psychological adjustment subscale (Z = 7.824, P = 0.020), reading and fine work subscale (Z = 7.923, P = 0.019) of CLVQOL among the three groups. Conclusion Quality of life is different with the visual impairment for students in special school, especially the distance visual acuity, psychological adjustment and fine reading. CS correlates to the quality of life of visually impaired students, which needs to be a part of evaluation of visual function.

Key words: visual impairment, students, contrast sensitivity, quality of life

CLC Number:

CHEN Ting,XIE Ganlin,YE Wenwen,MENG Zhiyong,XIE Yuhong,HUANG Luoming,HU Jianmin,DONG Liquan,SHI Wenjian. Survey on vision-related quality of life for visual impairment students in special school[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 119-124.

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项目		二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	F/χ²值	P值
性别	男	10	10	12	1.904	0.386
	女	4	10	6
年龄/岁		17.12±4.86	17.22±4.04	17.48±3.78	0.033	0.968
诊断	先天性白内障	3	3	10	—	—
	视神经病变/萎缩	4	5	1
	先天性青光眼	3	3	3
	先天性小眼球	0	0	1
	白化病	0	1	1
	角膜病变	0	1	2
	视网膜色素变性	1	1	0
	视锥细胞营养不良	0	2	0
	早产儿视网膜病变	1	1	0
	家族性渗出性视网膜病变	0	2	0
	颅内占位	1	0	0
	黄斑变性	1	0	0
	原始玻璃体增生症	0	1	0

项目	二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	Z值	P值
远视力	1.70(1.52, 1.70)	1.22(1.10, 1.30)	0.92(0.82, 1.00)	45.671	< 0.001
近视力	1.52(1.10, 1.70)	1.00(0.73,1.30)	0.60(0.52, 0.85)	24.972	< 0.001
CS	0.48(0.24, 0.72)	0.84(0.56, 1.38)	1.36(1.20, 1.54)	13.285	< 0.001

项目	二级盲(n = 14)	一级低视力(n = 20)	二级低视力(n = 18)	Z值	P值
总分	2.06(1.76, 2.79)	2.32(1.65, 3.16)	3.33(2.43, 3.70)	10.145	0.006
远视力	2.04(1.83, 2.85)	2.42(1.69, 3.00)	3.33(2.65, 3.83)	13.586	0.001
心理调节能力	2.00(1.50, 2.44)	2.38(2.00, 3.44)	3.13(2.19, 3.75)	7.824	0.020
阅读精细工作	2.30(1.35, 2.70)	1.90(1.40, 3.15)	3.40(2.20, 4.05)	7.923	0.019
日常生活能力	2.50(2.00, 3.00)	2.38(1.75, 3.75)	2.63(2.00, 4.06)	0.946	0.623

Survey on vision-related quality of life for visual impairment students in special school

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