养老院居民的视觉功能：客户记录中的信息。

Visual functioning in nursing home residents: information in client records.

作者信息

Sinoo Marianne M, Kort Helianthe S M, Duijnstee Mia S H

机构信息

Research Centre for Innovations in Health Care, University of Applied Sciences, Utrecht, The Netherlands.

出版信息

J Clin Nurs. 2012 Jul;21(13-14):1913-21. doi: 10.1111/j.1365-2702.2012.04128.x.

DOI:10.1111/j.1365-2702.2012.04128.x

PMID:22672456

Abstract

AIM AND OBJECTIVES

To improve (eye)care in nursing homes by reporting and assessing visual functioning to enhance professional caregivers' awareness of visual problems.

BACKGROUND

Older adults experience visual problems owing to biological ageing or eye disease. In the Netherlands, the prevalence of visual impairments is the highest in the subgroup of nursing home residents (41.3%). These impairments influence quality of life in terms of limiting daily activities and participation in social activities. Furthermore, 63% of visual problems are defined as 'avoidable blindness'. For this reason, screening of visual functioning in the nursing home is of major importance. Moreover, visual functioning should also be taken into account to prevent the incidence of falls.

DESIGN

A field study on recorded information of visual functioning and visual assessment in nursing homes.

METHODS

Assessment of visual functioning of 259 residents in nursing homes. Subsequently, recorded information in client files is related to the assessment outcome.

RESULTS

Only in 101 (39%) of the 259 client records was some information on visual functioning found in client files. Whether a prescription for new glasses was dispensed made no difference in reporting on visual functioning in the client record. In more than half of the cases assessed as 'low vision or blindness', no information about visual functioning was found. Furthermore, no information was found in 31% (80/259) cases of suspected visual problems (referrals). A significant proportion of client records (p < 0.05) showed no recorded information in cases of referral for further check-up.

CONCLUSIONS

In this study, one-third of nursing homes residents have visual problems, needing examination by an ophthalmologist. Problems with visual functioning should be assessed and captured in client records. Awareness of residents' visual functioning is a prerequisite for adapting basic daily care to the residents' needs.

摘要

目的与目标

通过报告和评估视力功能来改善养老院的（眼部）护理，以提高专业护理人员对视力问题的认识。

背景

老年人由于生物衰老或眼部疾病而出现视力问题。在荷兰，视力障碍患病率在养老院居民亚组中最高（41.3%）。这些障碍在限制日常活动和参与社交活动方面影响生活质量。此外，63%的视力问题被定义为“可避免的失明”。因此，在养老院筛查视力功能至关重要。此外，为预防跌倒的发生也应考虑视力功能。

设计

一项关于养老院视力功能记录信息和视力评估的实地研究。

方法

对259名养老院居民的视力功能进行评估。随后，将客户档案中的记录信息与评估结果相关联。

结果

在259份客户记录中，只有101份（39%）在客户档案中发现了一些关于视力功能的信息。是否配发新眼镜处方对客户记录中视力功能报告没有影响。在超过一半被评估为“低视力或失明”的病例中，未发现有关视力功能的信息。此外，在31%（80/259）疑似视力问题（转诊）的病例中未发现信息。在转诊进行进一步检查的病例中，相当一部分客户记录（p < 0.05）没有记录信息。