National Centre for Optics, Vision and Eye Care, Faculty of Health and Social Sciences, University of South-Eastern Norway, Hasbergs vei 36, 3616, Kongsberg, Norway.
USN Research Group of Older Peoples` Health, University of South-Eastern Norway, Drammen, Norway.
BMC Health Serv Res. 2020 Apr 15;20(1):302. doi: 10.1186/s12913-020-05176-8.
Visual impairments (VIs) have a negative impact on life and affect up to 60% of stroke survivors. Despite this, VIs are often overlooked. This paper explores how persons with VIs experience vision care within stroke health services and how VIs impact everyday life the first 3 months post stroke.
Individual semi-structured interviews were conducted with 10 stroke survivors 3 months post stroke, and analyzed using qualitative content analysis.
The main theme, "Invisible" visual impairments, represents how participants experience VIs as an unknown and difficult symptom of stroke and that the lack of attention and appropriate visual care leads to uncertainty about the future. VIs were highlighted as a main factor hindering the participants living life as before. The lack of acknowledgement, information, and systematic vision rehabilitation leads to feelings of being unsupported in the process of coping with VIs.
VIs are unknown symptoms pre stroke and sequelas after stroke that significantly affect everyday life. VIs and vision rehabilitation needs more attention through all phases of stroke health services. We request a greater awareness of VIs as a presenting symptom of stroke, and that visual symptoms should be included in stroke awareness campaigns. Further, we suggest increased competence and standardized evidence-based clinical pathways for VIs to advance all stroke health services including rehabilitation in order to improve outcomes and adaptation to future life for stroke survivors with VIs.
视力障碍(VIs)对生活有负面影响,影响高达 60%的中风幸存者。尽管如此,VIs 通常还是被忽视了。本文探讨了中风患者在中风健康服务中如何体验视力护理,以及 VIs 在中风后 3 个月内如何影响日常生活。
对 10 名中风后 3 个月的中风幸存者进行了个体半结构化访谈,并使用定性内容分析进行了分析。
主要主题“看不见的”视力障碍,代表了参与者如何将 VIs 体验为中风的一种未知和困难的症状,以及缺乏关注和适当的视觉护理导致对未来的不确定性。VIs 被强调为阻碍参与者恢复中风前生活的主要因素。缺乏认可、信息和系统的视觉康复导致在应对 VIs 的过程中感到无人支持。
VIs 是中风前和中风后的未知症状,严重影响日常生活。VIs 和视觉康复需要在中风健康服务的所有阶段都得到更多关注。我们要求更多地意识到 VIs 是中风的一个表现症状,并且应该在中风宣传活动中纳入视觉症状。此外,我们建议提高 VIs 的能力,并制定基于证据的标准化临床路径,以改进所有中风健康服务,包括康复,从而提高有 VIs 的中风幸存者的预后和对未来生活的适应能力。