Good Gretchen Ann
School of Health and Social Services, Massey University, Private Bag 11222, Palmerston North, New Zealand.
Eur J Ageing. 2008 Aug 21;5(3):223-231. doi: 10.1007/s10433-008-0087-3. eCollection 2008 Sep.
A study involving older New Zealanders (aged 65+) explored levels of life satisfaction reported by groups with and without impaired vision as well as factors contributing to and detracting from quality of life (QOL). Those with impaired vision ( = 135) had a visual acuity of 6/24 (i.e., 20/80) or worse in the better eye with corrective lenses, or a field of vision not greater than 20° at its widest diameter and had a mean age of 82.3 (SD = 6.76). Those with no significant impairment of vision ( = 425) were able read newsprint and legally drive and had a mean age of 74 (SD = 6.49). Overall, those with impaired vision reported a significantly lower level of life satisfaction in comparison to their sighted peers. There was a significant interaction effect of vision status and age, such that those with impaired vision aged 85+ reported life satisfaction scores higher than those reported by their sighted peers. Family and friends emerged as most important contributors to QOL for the vision-impaired group, where good health was the primary contributor to those with sight. Detractors to QOL reported by those with impaired vision included poor vision, inability to drive and poor health. Those with no significant impairment of vision reported poor health, physical impairment and poor finances detracted from QOL. Results could enable ageing and rehabilitation service providers to design rehabilitation programmes addressing areas reported to be most important to older adults with and without impaired vision.
一项针对新西兰老年人（65岁及以上）的研究，探讨了视力受损和未受损群体报告的生活满意度水平，以及影响生活质量（QOL）的因素。视力受损者（n = 135）在佩戴矫正眼镜的情况下，较好眼睛的视力为6/24（即20/80）或更差，或者视野最宽直径不超过20°，平均年龄为82.3岁（标准差 = 6.76）。视力无明显受损者（n = 425）能够阅读报纸并合法驾驶，平均年龄为74岁（标准差 = 6.49）。总体而言，与视力正常的同龄人相比，视力受损者报告的生活满意度水平显著较低。视力状况和年龄之间存在显著的交互作用，即85岁及以上的视力受损者报告的生活满意度得分高于他们视力正常的同龄人。对于视力受损群体来说，家人和朋友是生活质量最重要的贡献因素，而对于视力正常者来说，健康良好是主要贡献因素。视力受损者报告的生活质量负面影响因素包括视力差、无法驾驶和健康状况不佳。视力无明显受损者报告健康状况不佳、身体损伤和经济状况差会降低生活质量。研究结果可以帮助老年和康复服务提供者设计康复计划，解决据报告对视力受损和未受损的老年人最重要的领域的问题。
