McIlwaine G G, Bell J A, Dutton G N
Gartnavel General Hospital, Glasgow.
Eye (Lond). 1991;5 ( Pt 5):607-11. doi: 10.1038/eye.1991.105.
A questionnaire and telephone survey was carried out on a Scottish population of patients with impaired vision, in order to ascertain the proportion of patients who gain benefit from Low Vision Aids (LVA) and to determine the number of LVAs which are retained but unused. One third of the patients who answered the questionnaire never use their LVAs, and one half were not satisfied with the service provided. A cost analysis indicated that approximately (pounds) 8,000 worth of LVAs are neither used nor returned each year to a single LVA service. The patients' ages, diagnoses, and visual acuities were related to the compliance rate. It appears that increasing age and decreasing visual acuity may be factors which decrease compliance. However none of the factors analysed could be used as a reliable predictor of patient satisfaction or of eventual benefit. Other health services which provide intensive training in the use of LVAs reportedly achieve a higher level of compliance. We conclude that our present service could probably be improved by the employment of additional staff specifically trained to teach patients how to make best use of the LVAs provided.
针对苏格兰视力受损患者群体开展了问卷调查和电话调查，以确定从低视力辅助器具（LVA）中获益的患者比例，并确定留存但未使用的LVA数量。回答问卷的患者中有三分之一从未使用过他们的LVA，并且有一半的患者对所提供的服务不满意。成本分析表明，每年大约价值8000英镑的LVA既未被使用也未归还至单一的LVA服务机构。患者的年龄、诊断结果和视力与依从率相关。似乎年龄增长和视力下降可能是降低依从性的因素。然而，所分析的这些因素中没有一个能够作为患者满意度或最终获益的可靠预测指标。据报道，其他提供LVA使用强化培训的医疗服务机构的依从率更高。我们得出结论，通过雇佣经过专门培训以教导患者如何最佳使用所提供的LVA的额外工作人员，我们目前的服务可能会得到改善。
