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老年人未被发现的视力损害及其对视力相关生活质量的影响:一项研究方案。

Undetected Visual Impairment Among Older People and Its Impact on Vision-Related Quality of Life: A Study Protocol.

作者信息

Göransson Carina, Källstrand Jeanette

机构信息

School of Health and Welfare, Halmstad University, 301 18 Halmstad, Sweden.

出版信息

Nurs Rep. 2025 Apr 7;15(4):125. doi: 10.3390/nursrep15040125.

Abstract

Ageing is a continuous process of physiological changes that occur over time and affect both ability and function, including vision. A major health issue for older people is visual impairment, which affects both daily activities and quality of life. Undetected visual impairment is a significant problem. Therefore, early detection is crucial to enable older people to optimise their vision and/or receive eye care. This study protocol aims to explore the prevalence of undetected visual impairment among the ageing population and its impact on their quality of life. This study has an exploratory design. We include participants attending a healthcare centre and participants attending an optician, aged 75 years and older, in Sweden. At baseline eye examinations, fundus photography, the National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) and health economic data are collected. Individual semi-structured interviews ( = 25-30) will then be conducted about older people's experiences of visual impairment, both consequences and strategies for coping with visual impairment in daily life. The NEI VFQ-25 and health economic data will be collected at 6- and 12-month follow-ups. : This study will provide important knowledge to facilitate early detection of visual impairment in older people, thereby providing a deeper understanding of methods to preserve visual function and quality of life despite the presence of visual impairment.

摘要

衰老是一个随着时间推移而发生的生理变化的持续过程,会影响能力和功能,包括视力。老年人面临的一个主要健康问题是视力障碍,这会影响日常活动和生活质量。未被发现的视力障碍是一个重大问题。因此,早期检测对于使老年人能够优化视力和/或接受眼部护理至关重要。本研究方案旨在探讨老年人群中未被发现的视力障碍的患病率及其对他们生活质量的影响。 本研究采用探索性设计。我们纳入瑞典年龄在75岁及以上、前往医疗保健中心就诊的参与者和前往配镜师处就诊的参与者。在基线眼部检查时,收集眼底照片、美国国立眼科研究所25项视觉功能问卷(NEI VFQ - 25)和健康经济数据。然后将针对老年人视力障碍的经历、后果以及日常生活中应对视力障碍的策略进行个体半结构化访谈(n = 25 - 30)。在6个月和12个月随访时收集NEI VFQ - 25和健康经济数据。 :本研究将提供重要知识,以促进对老年人视力障碍的早期检测,从而更深入地了解尽管存在视力障碍但仍能保持视觉功能和生活质量的方法。

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