Wang Ya-Ping, Ouyang Ping, Zhao Yan-Hua, Lu Liu-Ming, Liu Hua-Ying, Dai Can, Zhou Hong-Zhen
School of Nursing, Southern Medical University, Guangzhou 510515, China.
Department of Nursing, Shenzhen Eye Hospital, Shenzhen Eye Medical Center, Southern Medical University, Shenzhen 518040, China.
Geriatrics (Basel). 2025 Jul 1;10(4):87. doi: 10.3390/geriatrics10040087.
: Visual impairment (VI) represents a significant health challenge among older adults, particularly due to their limited understanding of health information. This study aimed to investigate and compare the health information-seeking behavior (HISB) of older adults with VI across different stages of eye care. : A cross-sectional comparative study was conducted in 248 older adults with VI in various stages of eye care, including the pre-visit stage ( = 84), treatment stage ( = 83), and follow-up stage ( = 81) at the Shenzhen Eye Hospital from July to October 2024. Participants completed an HISB questionnaire encompassing four dimensions: attitude, needs, sources, and barriers. : The overall mean score of HISB varied significantly among the different eye care stages. The treatment stage had the highest scores (3.70 ± 0.32), particularly in attitudes toward health information and information needs. Poor self-reported overall health facilitated HISB in each stage. In the pre-visit stage, higher income was associated with increased HISB, while a lack of internet access reduced it. In the treatment stage, higher education was associated with higher HISB, whereas moderate-to-severe VI and certain income levels were associated with negative effects. In the follow-up stage, rural residence and spousal or child caregiving emerged as key facilitators of HISB. : The treatment stage is a critical period for HISB engagement in older adults with VI. Healthcare providers should consider stage-specific factors of HISB to optimize health information delivery.
视力障碍（VI）是老年人面临的一项重大健康挑战，尤其是因为他们对健康信息的理解有限。本研究旨在调查和比较不同眼保健阶段的视力障碍老年人的健康信息寻求行为（HISB）。：2024年7月至10月，在深圳眼科医院对248名处于不同眼保健阶段的视力障碍老年人进行了一项横断面比较研究，这些阶段包括就诊前阶段（n = 84）、治疗阶段（n = 83）和随访阶段（n = 81）。参与者完成了一份涵盖态度、需求、来源和障碍四个维度的HISB问卷。：HISB的总体平均得分在不同的眼保健阶段有显著差异。治疗阶段得分最高（3.70±0.32），尤其是在对健康信息的态度和信息需求方面。自我报告的总体健康状况较差在每个阶段都促进了HISB。在就诊前阶段，较高的收入与HISB增加相关，而缺乏互联网接入则降低了HISB。在治疗阶段，较高的教育水平与较高的HISB相关，而中度至重度视力障碍和某些收入水平则有负面影响。在随访阶段，农村居住以及配偶或子女照顾成为HISB的关键促进因素。：治疗阶段是视力障碍老年人参与HISB的关键时期。医疗保健提供者应考虑HISB的阶段特异性因素，以优化健康信息的传递。
