Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1
Purpose. Scientific substantiation of methodological approaches to the development of a “quality of life” (QoL) questionnaire after cataract phacoemulsification (PEC) in patients with visually stressful work (VLT), based on a “medico-social” health model.Methods. The study was carried out on the bas...
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Ophthalmology Publishing Group
2022-04-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/1786 |
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| author | I. G. Ovechkin N. I. Ovechkin A. V. Shakula A. I. Pavlov D. F. Pokrovsky |
| author_facet | I. G. Ovechkin N. I. Ovechkin A. V. Shakula A. I. Pavlov D. F. Pokrovsky |
| author_sort | I. G. Ovechkin |
| collection | DOAJ |
| description | Purpose. Scientific substantiation of methodological approaches to the development of a “quality of life” (QoL) questionnaire after cataract phacoemulsification (PEC) in patients with visually stressful work (VLT), based on a “medico-social” health model.Methods. The study was carried out on the basis of methodological standards for the development of new tools for assessing symptoms in clinical medicine developed by specialists from the International Center for the Study of Quality of Life (St. Petersburg). This article presents the first stage of development aimed at the formation of a preliminary version of the questionnaire. The initial volume of questions (complaints) of the patient was carried out in the following areas: individual interviews (according to the standard developed methodology) with 50 patients with ZNT; analysis of proven methods for studying QOL in cataracts (“NEI-VFQ”, “Cataract Symptom Scale”, “Catquest-9SF”, etc.); analysis of proven methods for studying QoL in keratorefractive surgery and asthenopic conditions in patients with RNT; analysis of the classification structure of the International Classification of Functioning (ICF) from the standpoint of the development of characteristic “domains”.Results. The data obtained indicate that a total of 35 patient complaints were identified (7 — “visual”; 6 — “professional”; 16 — “functional”; 4 — “household”; 4 — “medical and psychological”). The fundamental difference between the development of the methodology for assessing the patient’s QoL after performing PE is the use of a “social model” of health, which confirms the leading (46 % of all complaints) place for “functional” manifestations of the patient’s subjective status, based on specific “domains” of the ICF. Along with this, the practical application of the basic provisions of the ICF involves scaling the severity of the patient’s complaints in the context of the ratio of the duration of the complaint to the total active time of the patient with a gradation: “Mild problems” (5–24 %); “Moderate problems” (25–49 %); “Severe problems” (50–95 %); “Absolute problems” (96–100 %).Conclusion. The results of the first stage of the development of the patient’s QoL questionnaire after the FEC testify to the compliance with clinical standards in terms of content validity, since the questions, scales and general content reflect the significance for the patient and important parameters from a clinical and functional point of view. A distinctive feature and scientific novelty of the questionnaire is the use of a “social model” of health based on the development of “domains” of the international classification of functioning, as well as optimization of the procedure for scaling patient responses. |
| format | Article |
| id | doaj-art-6d0e37fcdb2a43bebd09d10883a6f8d3 |
| institution | Kabale University |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2022-04-01 |
| publisher | Ophthalmology Publishing Group |
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| series | Oftalʹmologiâ |
| spelling | doaj-art-6d0e37fcdb2a43bebd09d10883a6f8d32025-08-20T04:00:25ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452022-04-0119116717210.18008/1816-5095-2022-1-167-172878Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1I. G. Ovechkin0N. I. Ovechkin1A. V. Shakula2A. I. Pavlov3D. F. Pokrovsky4Academy of Postgraduate Education of the Institution Federal Scientific and Practical Center of the Federal Medical and Biological Agency of RussiaMoscow Helmholtz Research Сentre of Eye DiseasesNational Medical Research Center for Rehabilitation and BalneologyMoscow State University of Food ProductionRussian Research Medical University named after N.I. PirogovPurpose. Scientific substantiation of methodological approaches to the development of a “quality of life” (QoL) questionnaire after cataract phacoemulsification (PEC) in patients with visually stressful work (VLT), based on a “medico-social” health model.Methods. The study was carried out on the basis of methodological standards for the development of new tools for assessing symptoms in clinical medicine developed by specialists from the International Center for the Study of Quality of Life (St. Petersburg). This article presents the first stage of development aimed at the formation of a preliminary version of the questionnaire. The initial volume of questions (complaints) of the patient was carried out in the following areas: individual interviews (according to the standard developed methodology) with 50 patients with ZNT; analysis of proven methods for studying QOL in cataracts (“NEI-VFQ”, “Cataract Symptom Scale”, “Catquest-9SF”, etc.); analysis of proven methods for studying QoL in keratorefractive surgery and asthenopic conditions in patients with RNT; analysis of the classification structure of the International Classification of Functioning (ICF) from the standpoint of the development of characteristic “domains”.Results. The data obtained indicate that a total of 35 patient complaints were identified (7 — “visual”; 6 — “professional”; 16 — “functional”; 4 — “household”; 4 — “medical and psychological”). The fundamental difference between the development of the methodology for assessing the patient’s QoL after performing PE is the use of a “social model” of health, which confirms the leading (46 % of all complaints) place for “functional” manifestations of the patient’s subjective status, based on specific “domains” of the ICF. Along with this, the practical application of the basic provisions of the ICF involves scaling the severity of the patient’s complaints in the context of the ratio of the duration of the complaint to the total active time of the patient with a gradation: “Mild problems” (5–24 %); “Moderate problems” (25–49 %); “Severe problems” (50–95 %); “Absolute problems” (96–100 %).Conclusion. The results of the first stage of the development of the patient’s QoL questionnaire after the FEC testify to the compliance with clinical standards in terms of content validity, since the questions, scales and general content reflect the significance for the patient and important parameters from a clinical and functional point of view. A distinctive feature and scientific novelty of the questionnaire is the use of a “social model” of health based on the development of “domains” of the international classification of functioning, as well as optimization of the procedure for scaling patient responses.https://www.ophthalmojournal.com/opht/article/view/1786cataract phacoemulsification“quality of life”international classification of functioning |
| spellingShingle | I. G. Ovechkin N. I. Ovechkin A. V. Shakula A. I. Pavlov D. F. Pokrovsky Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 Oftalʹmologiâ cataract phacoemulsification “quality of life” international classification of functioning |
| title | Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 |
| title_full | Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 |
| title_fullStr | Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 |
| title_full_unstemmed | Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 |
| title_short | Medico-Social Approach to the Development of a Methodology for Assessing the “Quality of Life” after Cataract Phacoemulsification. Part 1 |
| title_sort | medico social approach to the development of a methodology for assessing the quality of life after cataract phacoemulsification part 1 |
| topic | cataract phacoemulsification “quality of life” international classification of functioning |
| url | https://www.ophthalmojournal.com/opht/article/view/1786 |
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