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[低视力康复:一个初期问题 低视力康复:一个新出现的问题]

[Low vision rehabilitation: an incipient issueReabilitaao de Baixa Visao: um problema nascente].

作者信息

Oviedo-Cáceres María Del Pilar, Arias-Pineda Karen Natalia, Palencia-Flórez Diana Cristina

机构信息

. Universidad Santo Tomás. Bucaramanga. Colombia. Email:

. Universidad Santo Tomás. Bucaramanga. Colombia. E-mail:

出版信息

Rev Cuid. 2023 Sep 6;14(2):e07. doi: 10.15649/cuidarte.2665. eCollection 2023 May-Aug.

DOI:10.15649/cuidarte.2665
PMID:40115212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11559337/
Abstract

INTRODUCTION

People with low vision need a vision rehabilitation process that allows them to optimize their remaining vision and thus mitigate the impact of the disability.

OBJECTIVE

To describe the conditions for access to vision rehabilitation in Bucaramanga and its metropolitan area.

MATERIALS AND METHODS

A collective case study was conducted by taking elements from phenomenology. The theoretical position of Andersen and collaborators was assumed. Semi-structured interviews were conducted with 11 patients and professionals involved in care and rehabilitation residing in municipalities in the metropolitan area of Bucaramanga. The analysis was done in three stages: discovery, coding, and interpretation of the data.

RESULTS

Two categories emerge from the study: 1) Vision rehabilitation: An incipient issue, and 2) People with low vision experience in low vision management care processes; the latter with the following subcategories: Failures in the identification and orientation to low vision management and difficulties in attending clinical care and accessing devices.

DISCUSSION

Describing the conditions for accessing rehabilitation services can contribute to designing intervention strategies to address the identified barriers.

CONCLUSIONS

The consequences of low vision can be mitigated by accessing rehabilitation processes; however, in the four participating municipalities, people face multiple barriers to rehabilitation. This situation evidences the need to establish mechanisms that allow people with visual impairments to exercise their right to health.

摘要

引言

视力低下的人需要一个视力康复过程,使他们能够优化剩余视力,从而减轻残疾的影响。

目的

描述布卡拉曼加及其大都市区获得视力康复的条件。

材料与方法

采用现象学的要素进行集体案例研究。采用了安德森及其合作者的理论立场。对居住在布卡拉曼加大都市区各城市的11名患者以及参与护理和康复的专业人员进行了半结构化访谈。分析分三个阶段进行:数据发现、编码和解释。

结果

研究得出两类结果:1)视力康复:一个初期问题;2)视力低下者在视力低下管理护理过程中的经历;后者又分为以下子类别:视力低下管理的识别和定向失败,以及接受临床护理和获取设备方面的困难。

讨论

描述获得康复服务的条件有助于设计干预策略,以解决已确定的障碍。

结论

通过康复过程可以减轻视力低下的后果;然而,在四个参与研究的城市中,人们在康复方面面临多重障碍。这种情况表明需要建立机制,使视力障碍者能够行使其健康权。

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Barriers to Low-Vision Rehabilitation Services for Visually Impaired Patients in a Multidisciplinary Ophthalmology Outpatient Practice.多学科眼科门诊中视力受损患者低视力康复服务的障碍
J Ophthalmol. 2021 Nov 29;2021:6122246. doi: 10.1155/2021/6122246. eCollection 2021.
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Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study.30 多年来盲症和远距离及近距离视力损伤流行率的变化趋势:全球疾病负担研究的分析。
Lancet Glob Health. 2021 Feb;9(2):e130-e143. doi: 10.1016/S2214-109X(20)30425-3. Epub 2020 Dec 1.
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Cost-effectiveness of basic vision rehabilitation (The basic VRS-effect study): study protocol for a randomised controlled trial.基本视力康复的成本效益(基本 VRS 效应研究):一项随机对照试验的研究方案。
Ophthalmic Physiol Opt. 2020 May;40(3):350-364. doi: 10.1111/opo.12665. Epub 2020 Jan 27.
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Barriers in utilisation of low vision assistive products.低视力辅助产品使用障碍。
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Current Approaches to Low Vision (Re)Habilitation.当前低视力(再)康复的方法。
Turk J Ophthalmol. 2019 Jun 27;49(3):154-163. doi: 10.4274/tjo.galenos.2018.53325.
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A Common Approach to Low Vision: Examination and Rehabilitation of the Patient with Low Vision.低视力的常见处理方法:低视力患者的检查与康复
Turk J Ophthalmol. 2019 Apr 30;49(2):89-98. doi: 10.4274/tjo.galenos.2018.65928.
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Barriers and enablers to low vision care services in a tertiary eye care hospital: A mixed method study.三级眼科医院低视力护理服务的障碍和促进因素:混合方法研究。
Indian J Ophthalmol. 2019 Apr;67(4):536-540. doi: 10.4103/ijo.IJO_1215_18.
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Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis.全球失明和远距离视力损伤原因 1990-2020:系统回顾和荟萃分析。
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