Resilience of elderly patients with sarcopenic obesity and age-related visual impairment

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BACKGROUND: The development of visual deficit due to glaucoma or cataracts significantly limits motor activity and reduces the independence of elderly patients from others in daily activities. However, resilience among older patients with primary open-angle glaucoma and cortical cataract remains largely unexplored.

AIM: To analysis of the resilience of elderly patients with primary open-angle glaucoma and cortical cataract

MATERIALS AND METHODS: For this study, two clinical groups were formed: patients aged 60–74 years with primary open-angle glaucoma without secondary cataracts in the amount of 135 people (64 men and 71 women) and patients with cortical cataracts without combination with glaucoma in the number of 128 people (59 men and 69 women). To study the viability of patients, the Connor-Davidson Resilience Scale-25, validated in the Russian Federation, was used.

RESULTS: To the greatest extent, representatives of both study groups differed in the subdomain “security in relationships” and “positivity of accepted changes” with a representative difference. The compared groups of patients also had statistically significant differences in such an important subdomain as individual perseverance (p <0.05) and competence in mean scores for each cohort. At the same time, there was a deterioration in age-related vitality according to the final parameter of patients on the Connor-Davidson Resilience Scale-25. At the same time, the decrease in the average value of the integral parameter according to the age-related vitality scale used in the study was 16.3 points with a statistically significant difference (p <0.05) in the group with cortical cataracts.

CONCLUSION: As a result of the study, it was found that cortical cataracts and primary open-angle glaucoma contributed to a decrease in the vitality of elderly patients, and this was more pronounced in patients with primary open-angle glaucoma, which should be taken into account when justifying medical and psychological support for such patients.

作者简介

Andrey Kopylov

S.N. Fedorov National medical research center «MNTK «Eye Microsurgery»

编辑信件的主要联系方式.
Email: vitalaxen@mail.ru
ORCID iD: 0000-0002-3536-1645
SPIN 代码: 3584-5021

MD, Cand. Sci. (Med.)

俄罗斯联邦, Tambov

Mikhail Neudakhin

S.N. Fedorov National medical research center «MNTK «Eye Microsurgery»

Email: mntk@mntk-tambov.ru
ORCID iD: 0000-0002-9124-1306
SPIN 代码: 6638-6028
俄罗斯联邦, Tambov

Natalya Popova

S.N. Fedorov National medical research center «MNTK «Eye Microsurgery»

Email: naukatmb@mail.ru
ORCID iD: 0000-0002-6557-4764
SPIN 代码: 4770-6919
俄罗斯联邦, Tambov

参考

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2. Fig. 1. The difference between patients with cortical cataract (a) and primary open-angle glaucoma (b) in terms of age viability (M±SD, points).

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