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放射诊断学专业学生的视觉功能评估

Visual function assessment of diagnostic radiography students.

作者信息

Lockwood P, Blackman A

机构信息

Medical and Clinical Sciences Research Hub, School of Allied & Public Health Professions, Canterbury Christ Church University, Kent, ME4 4UF, UK.

Medical and Clinical Sciences Research Hub, School of Allied & Public Health Professions, Canterbury Christ Church University, Kent, ME4 4UF, UK; The Association of British Dispensing Opticians College, Godmersham Park, Godmersham, Canterbury, Kent, CT4 7DT, UK.

出版信息

Radiography (Lond). 2020 May;26(2):e56-e65. doi: 10.1016/j.radi.2019.10.012. Epub 2019 Nov 26.

Abstract

INTRODUCTION

Deterioration of visual acuity (VA) and visual impairment has been linked to age-related subtle changes, gender, and a correlation to socioeconomic status. This study aimed to assess first-year diagnostic radiography students' visual functional abilities by applying the International Classification of Impairments, Disabilities and Handicaps (ICIDH) recommendations of functional VA screening and health-related quality of life questionnaire (HRQOL).

METHODS

The design followed the World Health Organisation (WHO) electronic VA testing of monocular sight using LogMAR charts and binocular vision using Snellen charts, and an HRQOL questionnaire assessing for reduced ability of visual-based tasks in activities of daily living (ADL). The data was evaluated in correlation to the participant's visual correction, age, gender, and socioeconomic background.

RESULTS

Seventy students were recruited, all meeting the WHO standard level for visual ability, with 100% (n = 70/70) met or achieved above normal binocular vision, correlating to expected normal population results from published studies for age. The monocular vision demonstrated 74% (n = 52/70) for the right eye, and 80% (n = 56/70) for the left eye for normal vision levels. The results did not differ significantly between each eye (p = 0.21), gender variations between the left eye (p = 0.27) and the right eye (p = 0.10) results were affected by sample ratio of females (80%; n = 56/70) to males (20%; n = 14/70), the visual correction did not impair binocular VA. The HRQOL assessment indicated no significant functional VA issues in the study sample. The study demonstrated no association between the participant's socioeconomic background that may influence their VA ability.

CONCLUSION

The results provided normative binocular and monocular data on visual function in a sample of student radiographers and indicated that their thresholds align to normal (or near-normal) VA standards.

IMPLICATIONS FOR PRACTICE

The visual health data was reviewed for subgroup comparison and trend analysis, and did not identify risk factors within this sample group that their VA and visual functioning would impact upon radiography clinical placement tasks and activities. The sample is not generalisable to the wider population; further studies are recommended.

摘要

引言

视力(VA)下降和视力损害与年龄相关的细微变化、性别以及与社会经济地位的相关性有关。本研究旨在通过应用国际损伤、残疾和障碍分类(ICIDH)关于功能性视力筛查和健康相关生活质量问卷(HRQOL)的建议,评估一年级放射诊断学学生的视觉功能能力。

方法

该设计遵循世界卫生组织(WHO)使用LogMAR图表进行单眼视力的电子视力测试以及使用Snellen图表进行双眼视力测试,并通过一份HRQOL问卷评估日常生活活动(ADL)中基于视觉的任务能力下降情况。数据根据参与者的视力矫正、年龄、性别和社会经济背景进行评估。

结果

招募了70名学生,他们均符合WHO的视力能力标准水平,100%(n = 70/70)达到或超过正常双眼视力,这与已发表研究中该年龄段正常人群的预期结果相符。单眼视力方面,右眼正常视力水平的比例为74%(n = 52/70),左眼为80%(n = 56/70)。两眼之间的结果无显著差异(p = 0.21),左眼(p = 0.27)和右眼(p = 0.10)结果的性别差异受女性(80%;n = 56/70)与男性(20%;n = 14/70)样本比例的影响,视力矫正并未损害双眼视力。HRQOL评估表明研究样本中不存在显著的功能性视力问题。该研究表明参与者的社会经济背景与他们的视力能力之间没有关联。

结论

研究结果提供了放射诊断学学生样本中视觉功能的双眼和单眼标准数据,并表明他们的阈值符合正常(或接近正常)视力标准。

对实践的启示

对视觉健康数据进行了亚组比较和趋势分析,未发现该样本组中存在会影响其视力和视觉功能进而影响放射诊断临床实习任务和活动的风险因素。该样本不能推广至更广泛的人群;建议进行进一步研究。

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