임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제27권1호
  • /
  • Pages.54-65
  • /
  • 2021
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

유리체강 내 주입술을 받는 망막질환자의 시각 관련 삶의 질 영향요인

Factors Influencing on Vision-related Quality of Life in Patients with Retinal Diseases Receiving Intravitreal Injections

  • 김현영 (창원경상대학교병원) ;
  • 하영미 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터)
  • Kim, Hyunyoung (Department of Nursing, Changwon Gyeongsang National University Hospital) ;
  • Ha, Yeongmi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2021.01.08
  • 심사 : 2021.02.22
  • 발행 : 2021.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to identify influencing factors on vision-related quality of life in patients with retinal diseases receiving intravitreal injections by examining relationships among anxiety, depression, coping, eye health behaviors and vision-related quality of life. Methods: One hundred and five outpatients who were diagnosed with macular degeneration and diabetic retinopathy were recruited from one university hospital during August 16, 2019 to March 25, 2020. Data were analyzed using descriptive statistics (frequency and percentage, mean, standard deviation), and t-tests, ANOVA, Scheffé test, Pearson's correlations, and stepwise multiple regressions using the IBM SPSS Statistics 25.0. Results: The vision-related quality of life according to general characteristics of retinal disease patients with intravitreal injection showed significant differences in age (F=3.01, p=.034), subjective economic status (F=5.83, p=.004), types of retinal disease (t=2.62, p=.010), and disease in both eyes (t=-3.04, p=.003). The vision-related quality of life showed a significant positive correlation with age (r=.24, p=.012), and negative correlations with anxiety (r=-.66, p<.001), depression (r=-.48, p<.001), and emotion-focused coping (r=-.20, p=.036). The hierarchical regression analysis indicated that factors affecting vision-related quality of life in patients with retinal diseases were anxiety and subjective economic status, accounting for 47.0% of the variances of the vision-related quality of life. Conclusion: Based on our results, health professionals need to pay attention to patients with low socioeconomic status due to frequent treatments. Also, a program needs to be developed to decrease anxiety for outpatients receiving intravitreal injections to improve their vision-related quality of life.

키워드

참고문헌

  1. Yu SY. Diagnosis and treatment of age-related macular degeneration. Journal of Kyung Hee University Medical Center. 2015;30(1):1-8.
  2. National Health Insurance. News: Macular degeneration [Internet]. Wonju: National Health Insurance: 2017 Oct 30 [cited 2020 Jan 5]. Available from: https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=124705.
  3. Health Insurance Review & Assessment Service. News: Diabetic retinopathy [Internet]. Wonju: Health Insurance Review & Assessment Service: 2015 Nov 2 [cited 2020 Jan 5]. Available from: http://www.hira.or.kr/bbsDummy.do?brdBltNo=9042&brdScnBltNo=4&pgmid=HIRAA020041000100.
  4. Kang SB. Intravitreal injection of anti-vascular endothelial growth factor for patients with various retinal diseases. Journal of the Korean Medical Association. 2016;59(1):52-57. https://doi.org/10.5124/jkma.2016.59.1.52
  5. Li Y, Crews JE, Elam-Evans LD, Fan AZ, Zhang X, Elliott AF, et al. Visual impairment and health-related quality of life among elderly adults with age-related eye diseases. Quality of Life Research. 2011;20(6):845-852. https://doi.org/10.1007/s11136-010-9825-z
  6. Rim TH, Lee DM, Chung EJ. Visual acuity and quality of life: KNHANES IV. Journal of the Korean Ophthalmological Society. 2013;54(1):46-52. https://doi.org/10.3341/jkos.2013.54.1.46
  7. Matamoros E, Maurel F, Leon N, Solomiac A, Bardoulat I, Joubert M, et al. Quality of life in patients suffering from active exudative age-related macular degeneration: The EQUADE study. Ophthalmologica. 2015;234(3):151-159. https://doi.org/10.1159/000433448
  8. Chatziralli I, Mitropoulos P, Parikakis E, Niakas D, Labiris G. Risk factors for poor quality of life among patients with age-related macular degeneration. Seminars in Ophthalmology. 2017;32(6):772-780. https://doi.org/10.1080/08820538.2016.1181192
  9. Pereira DM, Shah A, D'Souza M, Simon P, George T, D'Souza N, et al. Quality of life in people with diabetic retinopathy: Indian study. Journal of Clinical and Diagnostic Research. 2017;11(4):NC01-NC06. https://doi.org/10.7860/JCDR/2017/24496.9686
  10. Mitchell J, Bradley C. Quality of life in age-related macular degeneration: A review of the literature. Health and Quality of Life Outcomes. 2006;4:97. https://doi.org/10.1186/1477-7525-4-97
  11. Casten RJ, Rovner BW. Update on depression and age-related macular degeneration. Current Opinion in Ophthalmology. 2013;24(3):239-243. https://doi.org/10.1097/ICU.0b013e32835f8e55
  12. Dawson SR, Mallen CD, Gouldstone MB, Yarham R, Mansell G. The prevalence of anxiety and depression in people with age-related macular degeneration: A systematic review of observational study data. BMC Ophthalmology. 2014;14:78. https://doi.org/10.1186/1471-2415-14-78
  13. McCloud C, Lake S. Understanding the patient's lived experience of neovascular age-related macular degeneration: A qualitative study. Eye. 2015;29(12):1561-1569. https://doi.org/10.1038/eye.2015.167
  14. Rees G, Xie J, Fenwick EK, Sturrock BA, Finger R, Rogers SL, et al. Association between diabetes-related eye complications and symptoms of anxiety and depression. JAMA Ophthalmology. 2016;134(9):1007-1014. https://doi.org/10.1001/jamaophthalmol.2016.2213
  15. Lee JY, Moon BG, Kim M, Lee JE, Park KH, Kim SD. Results of the 2015 questionnaire survey of the Korean Retina Society: Current trends in the treatment of vitreoretinal diseases. Journal of the Korean Ophtalomological Society. 2016;57(7): 1071-1079. https://doi.org/10.3341/jkos.2016.57.7.1071
  16. Kim CG, Park YG, Park SM. Factors associated with senile macular degeneration in elders within communities. Journal of Korean Academy of Community Health Nursing. 2013;24 (1):1-10. https://doi.org/10.12799/jkachn.2013.24.1.1
  17. Heo JW, Yoon HS, Shin JP, Moon SW, Chin HS, Kwak HW. A validation and reliability study of the Korean version of National Eye Institute Visual Function Questionnaire 25. Journal of the Korean Ophthalmological Society. 2010;51(10):1354-1367. https://doi.org/10.3341/jkos.2010.51.10.1354
  18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  19. Oh SM, Min KJ, Park DB. A study on the standardization of the Hospital Anxiety and Depression scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association. 1999;38(2):289-296.
  20. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984. p. 117-325.
  21. Yang YH. The relationship of caregiving stress, coping methods, social support and health of the caregivers of patients with cancer according to the phases of cancer illness. Journal of Korean Academy of Adult Nursing. 1998;10(3):435-445.
  22. Korea Disease and Control Prevention Agency. News: guidelines for eye health behaviors [Internet]. Cheongju: Korea Disease and Control Prevention Agency: 2018 May 11 [cited 2020 Jan 5]. Available from: http://www.cdc.go.kr/gallery.es?mid=a20503030000&bid=0004&b_list=9&act=view&list_no=139424&nPage=21&vlist_no_npage=38&keyField=&keyWord=&orderby=.
  23. Kim JW, Choi KS, Rhee MR, Lee SJ. Impact of intravitreal Bevacizumab injection on life quality in patients with branch retinal vein occlusion. Journal of the Korean Ophthalmological Society. 2012;53(10):1465-1471. https://doi.org/10.3341/jkos.2012.53.10.1465
  24. Bian W, Wan J, Tan M, Su J, Yuan Y, Wang Z, et al. Predictors of health-related quality of life in Chinese patients receiving treatment for neovascular age-related macular degeneration: A prospective longitudinal study. BMC Ophthalmology. 2020; 20:291. https://doi.org/10.1186/s12886-020-01561-3
  25. Park JH. Related factors of uncertainty, anxiety, and depression in patients with age-related macular degeneration [master's thesis]. Seoul: Yonsei University; 2015. p. 1-63.
  26. Kim HS. A study on self-rated health, health promotion behavior, and health-related quality of life in the elderly. Journal of Korean Gerontological Nursing. 2006;8(2):117-127.
  27. Senra H, Balaskas K, Mahmoodi N, Aslam T. Experience of anti-VEGF treatment and clinical levels of depression and anxiety in patients with wet age-related macular degeneration. American Journal of Ophthalmology. 2017;177:213-224. https://doi.org/10.1016/j.ajo.2017.03.005
  28. Chang SJ, Kim SY. The relationship between socioeconomic status and health inequality in later life: The mediation effects of psycho-social mechanisms. Journal of the Korean Gerontological Society. 2016;36(3):611-632.
  29. Ahn YS, Jee DH. Socioeconomic costs of age-related macular degeneration in Korea. Journal of the Korean Ophthalmological Society. 2019;60(8):765-772. https://doi.org/10.3341/jkos.2019.60.8.765
  30. Health Insurance Review & Assessment Service. Insurance of diabetic retinopathy [Internet]. Wonju: Health Insurance Review & Assessment Service: 2021 January 2 [cited 2021 Jan 2]. Available from: https://www.hira.or.kr/main.do.