Objective: To analyze the correlation between self-rated treatment effect and diagnosis and treatment of elderly indigent cataract patients in rural areas of Ganzi Prefecture.
Methods: In this retrospective study, senior cataract patients admitted in the Ganzi region from March 2018 to November 2021 were included. 495 indigent patients were classified into the poor group, including 400 cases who received surgical treatment and 95 who did not. The 318 patients that were not indigent were classified as the non-poor group. The basic demographic characteristics, treatment, self-assessed treatment effect, and the cost of surgery, blindness rate, and disability rate were compared between the two groups. The correlation between self-assessed treatment effect and treatment condition of patients in the poor group was analyzed by multi-factor unconditional logistic regression.
Results: There were no significant differences in the basic demographic characteristics, self-assessed treatment effect, or postoperative blindness rate between the patients receiving surgery in both groups (>0.05). The visual acuity of 400 patients after the operation was significantly higher than that before operation (<0.05). The operation and other costs in the poor group were lower than those of the non-poor group (<0.05). The elimination rate of disability in the non-poor group was significantly higher than in the poor group (<0.05). Multivariate regression analysis showed that the level of the hospital, the location of the treatment institution, living alone, education level, and the number of visits were factors affecting the self-rated treatment effect of patients (<0.05).
Conclusion: The self-rated treatment effect of elderly indigent cataract in rural Ganzi Prefecture was closely related to the level of the hospital, the location of treatment institutions, living alone, education level, and the number of visits. Health poverty alleviation programs should be strengthened.
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