Zaburzenia ostrości widzenia a ocena stanu zdrowia, akceptacja choroby i satysfakcja z życia pacjentów niedowidzących
Visual Acuity Disorders and Evaluation of General Status, Illness Acceptance and Life Satisfaction in Amblyopic Patients
Krystyna Grochowiak 1, Anna Andruszkiewicz 2
1 Katedra i Klinika Chorób Oczu Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu
Kierownik: dr hab. n. med. Grażyna Malukiewicz
2 Katedra i Zakład Promocji Zdrowia Collegium Medicum w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu
Kierownik: dr hab. n. med. Aleksander Goch, prof. UMK
Summary: Most of impulses, reaching us from the external environment are receiving through an eyesight. Visual disorders lead not only to functioning impairment, but also to a significant influence on psyche and patient’s behavior. To learn how to live with poor visual acuity, we have to accept it first.
Objective: To evaluate general health, acceptance level and satisfaction with life among patients with poor visual acuity and to assess differences in this evaluation, depending on degree of visual acuity. The subjective estimation of amblyopia’s effect on different domains of human functioning was also assessed.
Material and methods: The study was performed on a group of 40 patients with poor visual acuity, using Acceptance of Illness Scale (AIS), General Health Questionnaire (GHQ 28), Satisfaction with Life Scale (SWLS) and questionnaire made by ourselves. In statistical analysis correlation model with r-Pearson test and R-Spearman analysis of variance (ANOVA) were used.
Results: In amblyopic patients’s opinion, their general health is average (M = 5.98) and they experience many somatic symptoms and functional disorders. There is a low level of the acceptance of illness (M = 18.07) in the study group and among these patients with deep amblyopia, depression symptoms appear much more often (p = 0.029) than in others. No significant difference was noted in satisfaction with life (M = 6.23) in study group. Conclusions: Patients with poor visual acuity have low level of illness acceptance. Patients with deep amblyopia experience depression symptoms more frequently than these with mild or moderate VA reduction. Patients with poor visual acuity assess their general health and satisfaction with life on average level. They experience many somatic symptoms and functioning difficulties.
Słowa kluczowe: ostrość wzroku, zburzenia funkcjonowania, akceptacja choroby.
Keywords: visual acuity, functioning difficulties, acceptance of illness.