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将感官评估纳入预防性家访:法罗群岛的一项横断面研究。

Integrating sensory assessments in preventive home visits: a cross-sectional study of the Faroe Islands.

作者信息

Gro Gade Haanes, Kvikstad Tor Martin, Roin Ása

机构信息

Faculty of Health and Social Sciences, Institute for Nursing and Health Science, University of Southeastern Norway, Horten, Norway.

USN Research Group for Older People's Health, University of South-Eastern Norway, Drammen, Norway.

出版信息

Int J Circumpolar Health. 2025 Dec;84(1):2442153. doi: 10.1080/22423982.2024.2442153. Epub 2024 Dec 19.

Abstract

Sensory impairments, including hearing and vision loss, are common in older adults and can affect quality of life. This study examines the integration of hearing and vision assessments in preventive home visits (PHVs) for older adults in the Faroe Islands, comparing outcomes between urban and rural settings. To evaluate the feasibility of including sensory assessments in PHVs and compare sensory measurements between Tórshavn (urban) and rural districts. A cross-sectional study with 175 participants aged 76 was conducted in Tórshavn and five rural areas. Data included demographics, self-assessments, and clinical evaluations using standardized tools. Visual impairments were slightly more prevalent in rural areas, while hearing impairments showed no significant differences. Discrepancies between self-reported and measured impairments emphasized the importance of objective assessments. Sensory acreenings during PHVs improved early detection and highlighted inequities in access to specialized services. Integrating sensory assessments in PHVs is feasible and beneficial, adressing disparities between urban and rural areas. These screenings support equitable healthcare and early intervention, promoting better quality of life for older adults across diverse settings.

摘要

包括听力和视力丧失在内的感官障碍在老年人中很常见,并且会影响生活质量。本研究考察了法罗群岛针对老年人的预防性家访(PHV)中听力和视力评估的整合情况,比较了城市和农村地区的结果。以评估在预防性家访中纳入感官评估的可行性,并比较托尔斯港(城市)和农村地区的感官测量结果。在托尔斯港和五个农村地区对175名76岁的参与者进行了一项横断面研究。数据包括人口统计学信息、自我评估以及使用标准化工具进行的临床评估。视力障碍在农村地区略为普遍,而听力障碍则无显著差异。自我报告的障碍与测量出的障碍之间的差异凸显了客观评估的重要性。预防性家访期间的感官筛查改善了早期检测,并突出了获得专业服务方面的不公平现象。在预防性家访中整合感官评估是可行且有益的,解决了城乡之间的差距。这些筛查支持公平医疗和早期干预,促进不同环境下老年人的生活质量提高。

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