Ophthalmology, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Quality of Care, Amsterdam Public Health, Amsterdam, the Netherlands.
Ophthalmic Physiol Opt. 2023 Jul;43(4):725-737. doi: 10.1111/opo.13110. Epub 2023 Feb 20.
To investigate the agreement between an online nurse-assisted eye-screening tool and reference tests in older adults receiving home healthcare and to collect user experiences.
Older adults (65+) receiving home healthcare were included. Home healthcare nurses assisted in administering the eye-screening tool at participants' homes. Approximately 2 weeks later, a researcher administered reference tests at participants' homes. Experiences from participants and home healthcare nurses were collected. Agreement in outcomes (distance and near visual acuity, with the latter being measured using two different optotypes, and macular problems) between the eye-screening tool and reference clinical testing was compared. A difference of less than ±0.15 logMAR was considered acceptable.
A total of 40 participants were included. Here, we describe the results for the right eye; results for the left eye were similar. The mean difference between the eye-screening tool and reference tests for distance visual acuity was 0.02 logMAR. The mean difference between the eye-screening tool and reference tests using two different optotypes for near visual acuity was 0.06 and 0.03 logMAR, respectively. The majority of the individual data points were within the ±0.15 logMAR threshold (75%, 51% and 58%, respectively). The agreement between tests for macular problems was 75%. Participants and home healthcare nurses were generally satisfied with the eye-screening tool, although remarks for further improvements were made.
The eye-screening tool is promising for nurse-assisted eye screening in older adults receiving home healthcare, with the mostly satisfactory agreement. After implementing the eye-screening tool in practice, cost-effectiveness needs to be investigated.
调查一种在线护士辅助眼科筛查工具与接受家庭保健的老年人参考测试之间的一致性，并收集用户体验。
纳入接受家庭保健的老年人（65 岁以上）。家庭保健护士在参与者家中协助进行眼部筛查工具的检查。大约 2 周后，研究人员在参与者家中进行参考测试。收集参与者和家庭保健护士的经验。比较眼部筛查工具和参考临床测试在结果（远视力和近视力，后者使用两种不同的视力表进行测量）方面的一致性。认为差异小于±0.15 logMAR 是可以接受的。
共纳入 40 名参与者。在此，我们描述右眼的结果；左眼的结果相似。眼部筛查工具与远视力参考测试之间的平均差异为 0.02 logMAR。眼部筛查工具与使用两种不同视力表测量近视力的参考测试之间的平均差异分别为 0.06 和 0.03 logMAR。大多数个体数据点在±0.15 logMAR 阈值内（分别为 75%、51%和 58%）。测试黄斑问题的一致性为 75%。参与者和家庭保健护士通常对眼部筛查工具感到满意，尽管提出了进一步改进的意见。
该眼部筛查工具有望用于接受家庭保健的老年人的护士辅助眼部筛查，具有较高的一致性。在实践中实施眼部筛查工具后，需要研究其成本效益。
