Investigation and analysis of the difference between the operation willingness of elderly cataract patients in urban and rural areas in Shanghai
LIU Chenjun1 JI Pei2 WANG Luan2▲
1.Department of Prevention, Shanghai Pudong New Area Eye and Dental Disease Prevention and Treatment Center, Shanghai 201399, China;
2.Office of Hospital, Shanghai Sixth People’s Hospital East Campus, Shanghai 201306, China
Abstract：Objective To investigate the willingness of elderly cataract patients in Pudong New Area, Shanghai, and to compare the differences between the them, to provide reference for local eye disease prevention and control precision measures. Methods From June to July 2019, based on the free physical examination data of the local elderly, a random cluster sampling method after stratification was adopted to conduct a questionnaire survey on cataract patients over 60 years old in three communities in both urban and rural areas, and the patients’ cognition of cataracts, while indicators such as willingness to operate were compared and analyzed. Results Patients in urban areas were mainly males and elderly ≥80 years old, while rural patients are mainly females and patients less than 80 years old. In terms of gender, age, economic status, and living care of urban and rural patients, “Do you know that ‘the government provides free cataract surgery for the elderly from disadvantaged families every year’ ” “Are you willing to do cataract surgery” “It doesn’t matter if you don’t have an operation” (P ＜ 0.05). Conclusion Paying attention to the gap between urban and rural areas is the focus of precision measures for the prevention and treatment of eye diseases in the elderly in Pudong New Area.
刘成军1 季珮1 王峦2▲. 上海市城乡老年白内障患者手术意愿调查及差异分析[J]. 中国医药导报, 2021, 18(9): 64-67,72.
LIU Chenjun1 JI Pei2 WANG Luan2▲. Investigation and analysis of the difference between the operation willingness of elderly cataract patients in urban and rural areas in Shanghai. 中国医药导报, 2021, 18(9): 64-67,72.
[1] Zhao J，Xu X，Ellwein LB，et al. Causes of Visual Impairment and Blindness in the 2006 and 2014 Nine-Province Surveys in Rural China [J]. Am J Ophthalmol，2019，197：80-87.
[2] 何海龙，赵欣宇，常笛，等.白内障手术患者舒适度的影响因素分析：系统综述和Meta分析[J].中华眼视光学与视觉科学杂志，2020，22（5）：379-389.
[3] 姚克，王玮.中国白内障诊疗技术70年回顾[J].中华眼科杂志，2020（5）：321-324.
[4] 高华，陈秀念，史伟云.我国盲的患病率及主要致盲性疾病状况分析[J].中华眼科杂志，2019（8）：625-628.
[5] 李香亭.上海市某区2010—2013年白内障手术情况分析[J].上海预防医学，2015，27（10）：630-632.
[6] 邓斯元，陈志鹏，封檑，等.早期白内障患者单眼及双眼对比敏感度与视觉相关生活质量的关系[J].中华实验眼科杂志，2020（3）：204-210.
[7] Wang J，Jin L，Lu Q，et al. Barriers，Costs，and Attitudes Toward Pediatric Cataract Surgery at Two Large Facilities in China and India [J]. Ophthalmic Epidemiol，2019，26（1）：47-54.
[8] 吴武鑫，王翠红，袁媛，等.糖尿病患者家庭成员对糖尿病眼病的认知和需求分析[J].上海预防医学，2019，31（5）：391-394.
[9] 赵黎明，王震宇，万雨，等.不同年龄患者选择白内障手术时机变化趋势的临床研究[J].中华眼科医学杂志：电子版，2019，9（3）：146-152.
[10] Mads FJ，Lars K，Morten C，et al. Simulation of advanced cataract surgery-validation of a newly developed test [J]. Acta Ophthalmologica，2020，98（7）：687-692.
[11] 刘成军，周伟，陈芳荣，等.上海市浦东新区老年人白内障手术服务利用影响因素调查分析[J].中国初级卫生保健，2019，33（1）：54-56.
[12] Du Y，He W，Sun X，et al. Traumatic Cataract in Children in Eastern China：Shanghai Pediatric Cataract Study [J]. Sci Rep，2018，8（1）：2588.
[13] Singh S，Pardhan S，Kulothungan V，et al. The prevalence and risk factors for cataract in rural and urban India [J]. Indian J Ophthalmol，2019，67（4）：477-483.
[14] 周伟，刘成军，吴振刚，等.浦东新区南片60岁及以上老年人盲和中重度视力损伤情况调查[J].上海预防医学，2017，29（1）：78-80.
[15] Joshi RS，Singanwad SV. Frequency and surgical difficulties associated with pseudoexfoliation syndrome among Indian rural population scheduled for cataract surgery：Hospital-based data [J]. Indian J Ophthalmol，2019，67（2）：221-226.
[16] Zhang X，Li EY，Leung CK，et al. Prevalence of visual impairment and outcomes of cataract surgery in Chaonan，South China [J]. PLoS One，2017，12（8）：e0180769.
[17] Zhu X，Du Y，He W，et al. Clinical Features of Congenital and Developmental Cataract in East China：A Five-year Retrospective Review [J]. Sci Rep，2017，7（1）：4254.
[18] 张培，陆丽娜，林森林，等.上海市2013至2015年白内障摘除手术量的变化及其相关因素分析[J].中华眼科杂志，2018，54（8）：580-585.
[19] Chen Z，Lin X，Qu B，et al. Preoperative Expectations and Postoperative Outcomes of Visual Functioning among Cataract Patients in Urban Southern China [J]. PLoS One，2017，12（1）：e0169844.
[20] 孟媛，马东艳，左艳.935例白内障老年患者术前健康宣教路径的构建[J].中国老年保健医学，2020，18（3）：142-143.
[21] Forshaw TR，Ahmed HJ，Kj?覸r TH，et al. Full-field Electroretinography in Age-related Macular Degeneration：can retinal electrophysiology predict the subjective visual outcome of cataract surgery? [J]. Acta Ophthalmologica，2020，98（7）：693-700.
[22] 严玉洁，王伟杰，彭春林，等.上海市闵行区2003—2012年社区老年人眼保健工作现状分析[J].上海预防医学，2016，28（8）：579-582.
[23] Zebardast N，Zheng CJ，Jampel HD. Effect of a Schlemm’s Canal Microstent on Early Postoperative Intraocular Pressure after Cataract Surgery [J]. Ophthalmology，2020，127（10）：1303-1310.
[24] Ma F，Ren M，Wang L，et al. Visual outcomes of dense pediatric cataract surgery in eastern China [J]. PLoS One，2017，12（7）：e0180166.
[25] 胡佳丽，和仕仙，王秀兰，等.军队医院扶贫工作中白内障复明手术的疗效观察[J].海军医学杂志，2020，41（3）：274-276.
2021, Vol. 18 
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