Limburg J J, Smith E T, van der Horst F G, Gruntjes R A G J M, Verstraten P F J, Bartels J A M J, van Langen J M P
Health Information Services, Nijenburg 32, 1613 LC, Grootebroek, The Netherlands,
Tijdschr Gerontol Geriatr. 2014 Sep;45(4):226-35. doi: 10.1007/s12439-014-0079-z.
Many elderly in care institutions in The Netherlands are visually impaired (visual acuity < 0.3). They fall more frequently, are more depressed and require more care. In this project visually impaired residents were identified and referred for adequate eye care. The aim of this study is to evaluate the intervention, including validation of the screening, assessment of the prevalence and causes of visual impairment as well as the outcome of the treatment. The effectiveness of the care chain is also evaluated.
640 residents were offered a basic eye examination and 210 of them were referred, via their general practitioner, to an optometrist (10), ophthalmologist (98), or centre for visually impaired persons (1).
Compliance in this study was poor. The prevalence of visual impairment (24%) was lower than in comparable studies. Cataract was the main cause in 51%. Overall 17 (8.1%) residents were treated by ophthalmologists and nine (4.3%) were referred to optical shops. Constraints in the care chain are identified.
Vision screening in care institutions for elderly is feasible and useful. The care chain should be shorter and simpler. That will increase the effectiveness of this intervention, and thereby the quality of life for many residents.
荷兰许多养老院中的老年人存在视力障碍（视力<0.3）。他们跌倒更频繁，更易抑郁，且需要更多护理。在本项目中，识别出视力障碍居民并将其转介至适当的眼科护理机构。本研究的目的是评估该干预措施，包括筛查的验证、视力障碍患病率及病因的评估以及治疗结果。还评估了护理链的有效性。
为640名居民提供了基本眼部检查，其中210人通过其全科医生被转介至验光师（10人）、眼科医生（98人）或视力障碍者中心（1人）处。
本研究中的依从性较差。视力障碍患病率（24%）低于同类研究。白内障是51%病例的主要病因。总体而言，17名（8.1%）居民接受了眼科医生的治疗，9名（4.3%）被转介至眼镜店。识别出了护理链中的制约因素。
养老院中老年人的视力筛查是可行且有用的。护理链应更短且更简单。这将提高该干预措施的有效性，从而改善许多居民的生活质量。
