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 a “quality life” (QoL) questionnaire after cataract phacoemulsification (PEC) in patients with visually stressful work (VLT), based on “medico-social” health model. Methods. The study was carried out basis standards for new tools assessing symptoms clinical medicine developed by specialists from International Center Study Quality Life (St. Petersburg). This article presents first stage aimed at formation preliminary version questionnaire. initial volume questions (complaints) patient following areas: individual interviews (according standard methodology) 50 ZNT; analysis proven methods studying QOL cataracts (“NEI-VFQ”, “Cataract Symptom Scale”, “Catquest-9SF”, etc.); QoL keratorefractive surgery and asthenopic conditions RNT; classification structure Classification Functioning (ICF) standpoint characteristic “domains”. Results. data obtained indicate that total 35 complaints were identified (7 — “visual”; 6 “professional”; 16 “functional”; 4 “household”; “medical psychological”). fundamental difference between methodology patient’s performing PE is use “social model” health, which confirms leading (46 % all complaints) place “functional” manifestations subjective status, specific “domains” ICF. Along this, practical application basic provisions ICF involves scaling severity context ratio duration complaint active time gradation: “Mild problems” (5–24 %); “Moderate (25–49 “Severe (50–95 “Absolute (96–100 %). Conclusion. results FEC testify compliance terms content validity, since questions, scales general reflect significance important parameters functional point view. A distinctive feature scientific novelty international functioning, as well optimization procedure responses.