Volume 24 Issue 1
Jan.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(1): 40-44
YUAN Bingxin, XIE Zhan, ZHANG Haiwei. The correlation between self-efficacy and visual quality of life in patients with age-related macular degeneration combined with choroidal neovascularization[J]. Chinese Journal of General Practice, 2026, 24(1): 40-44. doi: 10.16766/j.cnki.issn.1674-4152.004325
Citation: YUAN Bingxin, XIE Zhan, ZHANG Haiwei. The correlation between self-efficacy and visual quality of life in patients with age-related macular degeneration combined with choroidal neovascularization[J]. Chinese Journal of General Practice, 2026, 24(1): 40-44. doi: 10.16766/j.cnki.issn.1674-4152.004325
shu

The correlation between self-efficacy and visual quality of life in patients with age-related macular degeneration combined with choroidal neovascularization

doi: 10.16766/j.cnki.issn.1674-4152.004325
  • 1.

    Department of Anesthesiology and Perioperative Medicine, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210000, China

Funds:

 82401281

  • Received Date: 2025-08-28
    Available Online: 2026-04-01
    Abstract
  •   Objective  To analyze the correlation between self-efficacy and visual quality of life (VQOL) in patients with age-related macular degeneration (AMD) combined with choroidal neovascularization (CNV), and to explore the influencing factors of patients ' visual quality of life.  Methods  A total of 126 patients with AMD and CNV admitted to the First Affiliated Hospital of Nanjing Medical University from January 2022 to June 2023 were selected. Within 24 hours of admission, the self-efficacy scale and NEI VFQ-25 Chinese version were used for research. The Pearson method was used to analyze the correlation, and clinical data of patients were collected. According to the median NEI VFQ-25 score, patients were divided into the good VQOL group (69 cases) and the poor VQOL group (57 cases). Binary logistic regression was used to analyze the influencing factors of poor VQOL, and the ROC curve was used to evaluate its predictive value.  Results  There was a positive correlation between self-efficacy score and NEI VFQ-25 (r=0.461, P < 0.001). The independent risk factors for poor VQOL in AMD patients with CNV include: high logMAR value in dominant eyes, low choroidal thickness in dominant eyes, low logCS value in dominant eyes, and diabetes. In addition, high self-efficacy was a protective factor. The AUC of the joint prediction was 0.957, with a sensitivity of 0.912 and a specificity of 0.885, indicating that the joint multi-index prediction has the best performance and good sensitivity and specificity.  Conclusion  The self-efficacy of AMD patients with CNV was positively correlated with VQOL. LogMAR of high dominance eyes, choroidal thickness of low dominance eyes, logCS of low dominance eyes, and diabetes were independent risk factors affecting VQOL, and high self-efficacy was a protective factor. The sensitivity and specificity of multi-index joint prediction and evaluation of poor visual quality of life are good, so improving self-efficacy and controlling the above risk factors are of great significance for improving patients ' visual quality of life.

     

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