Brisbane North Eye Centre, Brisbane, QLD, Australia.
University of Sydney, Sydney, NSW, Australia, Save Sight Institute.
J Glaucoma. 2024 Nov 1;33(11):835-840. doi: 10.1097/IJG.0000000000002477. Epub 2024 Aug 1.
There are significant mental, physical, and perceptual challenges in patients undergoing visual field testing, particularly in the elderly population with glaucoma.
To quantitatively and qualitatively investigate patient experiences of undergoing visual field testing.
This cross-sectional, mixed-methods study involves adult patients attending a private outpatient ophthalmology clinic in Brisbane, Australia. Participant experiences of visual field testing were assessed using a 100 mm visual analog scale (VAS), followed by face-to-face semi-structured interviews. Outcome data comprised of VAS scores (1-100) and thematically analyzed verbatim notes.
Of the 152 participants [M:F 79 (52.0%):73 (48.0%)], the age group with the highest proportion of participants was 71-80 years [n=56 (36.8%)], and most had a primary ocular diagnosis of glaucoma [n=107 (70.4%)]. The mean VAS score for visual field testing experience was 60.45 (SD=30.38). The mean VAS score of participants with glaucoma was significantly lower than that of participants without glaucoma [55.34 (31.13) vs. 72.67 (25.04); P <0.05]. Prevalent themes regarding participant experiences of visual field testing consisted of concentration difficulties, intra-test and peri-test anxiety, skepticism in the testing process, and physical discomfort. Age, sex, and mean visual field index did not influence participant experiences of visual field testing.
Mental and physical barriers to visual field testing tolerability were identified in a predominantly elderly population with glaucoma. Our findings highlight the importance of addressing patient concerns and apprehensions regarding visual field testing and emphasize the value of patient-initiated breaks, particularly for individuals experiencing concentration difficulties and physical discomfort.
接受视野检查的患者会面临明显的心理、身体和感知挑战，尤其是患有青光眼的老年人群。
定量和定性地调查患者接受视野检查的体验。
本横断面混合方法研究纳入了澳大利亚布里斯班一家私人门诊眼科诊所的成年患者。使用 100 毫米视觉模拟量表（VAS）评估参与者的视野检查体验，随后进行面对面半结构式访谈。结果数据包括 VAS 评分（1-100）和主题分析的逐字记录。
在 152 名参与者中[男：女 79（52.0%）：73（48.0%）]，年龄组中参与者比例最高的是 71-80 岁[56 名（36.8%）]，大多数人主要诊断为青光眼[107 名（70.4%）]。视野检查体验的平均 VAS 评分为 60.45（SD=30.38）。青光眼患者的平均 VAS 评分明显低于非青光眼患者[55.34（31.13）比 72.67（25.04）；P <0.05]。参与者关于视野检查体验的普遍主题包括注意力困难、测试中和测试期间的焦虑、对测试过程的怀疑以及身体不适。年龄、性别和平均视野指数均未影响参与者的视野检查体验。
在以青光眼为主的老年人群中，发现了对视野检查耐受性的心理和身体障碍。我们的研究结果强调了关注患者对视野检查的担忧和顾虑的重要性，并强调了患者发起的休息的价值，特别是对于那些存在注意力困难和身体不适的个体。
