The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
SUNY Upstate Medical University, Syracuse, NY, USA.
J Pediatr Rehabil Med. 2024;17(2):199-209. doi: 10.3233/PRM-220137.
This study aimed to evaluate the impact of a standardized vision screen guideline on occupational therapy vision screens in a pediatric inpatient rehabilitation unit.
Charts of patients admitted to a pediatric inpatient rehabilitation before guideline implementation (n = 47) versus charts after implementation (n = 47) were randomly, retrospectively reviewed to explore differences in visual skills screened and use of standardized assessments.
Significant improvements (p < = 0.05) were found in the number of visual skills screened (p = 0.034), use of standardized assessments (p = 0.005), and screening of the specific visual skills of accommodative amplitude (p = 0.05), suppression (p = 0.015), and double vision (p < 0.001).
Implementation of a standardized vision screen guideline improved the frequency of vision screens during occupational therapy evaluations in a pediatric inpatient rehabilitation unit. The use of standardized assessments may also improve the quality of vision screens by encouraging staff to complete more comprehensive vision screens, including screening more visual skills, and by prompting use of standardized assessments, which can improve accuracy of screening procedures.
本研究旨在评估标准化视力筛查指南对儿科住院康复病房职业治疗视力筛查的影响。
随机回顾分析指南实施前（n=47）和实施后（n=47）入组的儿科住院康复患者的病历，以探讨筛查的视觉技能和使用标准化评估工具的差异。
视觉技能筛查数量（p=0.034）、标准化评估工具的使用（p=0.005）以及调节幅度（p=0.05）、抑制（p=0.015）和复视（p<0.001）等特定视觉技能的筛查显著改善（p≤0.05）。
在儿科住院康复病房实施标准化视力筛查指南可提高职业治疗评估中的视力筛查频率。使用标准化评估工具也可以通过鼓励工作人员完成更全面的视力筛查，包括筛查更多的视觉技能，并通过提示使用标准化评估工具，从而提高筛查程序的准确性，来提高视力筛查的质量。
