Shuttleworth G N, Dunlop A, Collins J K, James C R
Torbay Hospital, Torquay.
Br J Ophthalmol. 1995 Aug;79(8):719-23. doi: 10.1136/bjo.79.8.719.
A survey was undertaken to assess the effectiveness of an integrated approach to the provision of low visual aids (LVAs) in south Devon over a 2 year follow up period. This integrated approach includes the assessment of patient needs by low vision therapists, followed by the provision of suitable LVAs, with particular emphasis on training in their use.
A total of 125 patients were selected at random from the 445 patients seen in the low vision clinic at Torbay Hospital in the year 1991. These patients were sent questionnaires relating to the service over a 2 year period. Questionnaires from 111 patients were analysed at 1 year and 75 questionnaires together with 46 clinical reassessments, after 2 years.
Using a similar questionnaire to one used in a previous study in the UK from a unit where LVA training was not provided, not only was a higher rate of satisfaction found with the services provided, but also the LVAs dispensed were used more frequently. The majority of the LVAs provided were of the simple, inexpensive variety and wastage was very low.
It was concluded that this integrated approach to low vision rehabilitation with emphasis on training in the use of less complex LVAs exceeds the performance of other types of service that rely on the dispensing of more complex LVAs.
开展一项调查，以评估在两年的随访期内，在南德文郡提供低视力辅助器具（LVA）的综合方法的有效性。这种综合方法包括由低视力治疗师评估患者需求，随后提供合适的LVA，并特别强调使用培训。
1991年从托贝医院低视力诊所就诊的445名患者中随机选取125名患者。向这些患者发送了关于两年期间服务情况的问卷。111名患者的问卷在1年后进行了分析，75份问卷以及46次临床重新评估在2年后进行了分析。
使用与英国之前一项未提供LVA培训的单位所使用的类似问卷，发现不仅对所提供服务的满意度更高，而且所配发的LVA使用频率也更高。所提供的大多数LVA都是简单、廉价的类型，浪费非常低。
得出的结论是，这种强调使用不太复杂的LVA进行培训的低视力康复综合方法，其效果超过了其他依赖配发更复杂LVA的服务类型。
