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林波波省公立医院验光师对视力损害服务的看法。

Optometrists' perceptions of vision impairment services in public hospitals of Limpopo province.

作者信息

Leshabane Modjadji M, Rampersad Nishanee, Mashige Khathutshelo P

机构信息

Department of Optometry, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Afr J Disabil. 2025 Jun 3;14:1559. doi: 10.4102/ajod.v14i0.1559. eCollection 2025.

Abstract

BACKGROUND

Vision impairment (VI) services aim to mitigate the effect of VI and provide opportunities for visually impaired individuals to actively participate in their daily activities.

OBJECTIVES

To determine optometrists' perceptions regarding VI services in public hospitals within Limpopo province, South Africa.

METHOD

A descriptive, quantitative, cross-sectional study was conducted between January and August 2023 across 37 public hospitals, using a structured questionnaire. Data obtained from the participants' responses were analysed to describe the level of VI services.

RESULTS

The study sample included 65 optometrists with 71% female, yielding a response rate of 83%. Over 90% of the participants were aware of the World Health Organization definition of VI. The majority of participants (54%) reported referring patients with VI to a hospital multidisciplinary team, while less than 50% provided optimal spectacle correction. The main barriers to providing VI services were: the lack of assistive devices (97%), and equipment (95%), poor access (80%), insufficient space (66%), and the lack of training (66%). The primary barriers to the uptake of VI services were the lack of awareness (86%) and the cost of VI services (80%).

CONCLUSION

The provision of VI services in Limpopo province is currently limited. The factors contributing to the limited VI services are avoidable; therefore, efforts to enhance the availability of equipment, access and provision of comprehensive VI services are crucial to improving the quality of life for affected individuals utilising public hospitals in Limpopo province.

CONTRIBUTION

The study describes the optometrists' perceptions of VI services in public hospitals.

摘要

背景

视力损害(VI)服务旨在减轻视力损害的影响,并为视力受损者提供积极参与日常活动的机会。

目的

确定南非林波波省公立医院验光师对视力损害服务的看法。

方法

2023年1月至8月期间,在37家公立医院开展了一项描述性、定量横断面研究,采用结构化问卷。对参与者回答中获得的数据进行分析,以描述视力损害服务水平。

结果

研究样本包括65名验光师,其中71%为女性,回复率为83%。超过90%的参与者知晓世界卫生组织对视力损害的定义。大多数参与者(54%)报告将视力受损患者转诊至医院多学科团队,而提供最佳眼镜矫正的比例不到50%。提供视力损害服务的主要障碍包括:缺乏辅助设备(97%)、设备(95%)、就医不便(80%)、空间不足(66%)以及缺乏培训(66%)。接受视力损害服务的主要障碍是缺乏认知(86%)和视力损害服务费用(80%)。

结论

林波波省目前提供的视力损害服务有限。导致视力损害服务有限的因素是可以避免的;因此,努力增加设备供应、改善就医条件并提供全面的视力损害服务对于提高林波波省公立医院中受影响个体的生活质量至关重要。

贡献

该研究描述了验光师对公立医院视力损害服务的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c53/12224023/2cef2155fe0c/AJOD-14-1559-g002.jpg

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