了解为什么个人经常去低视力诊所的纵向变化对于确保患者护理与不断变化的技术和不断变化的生活方式保持一致至关重要。在其他发现中,我们的结果表明,阅读仍然是一个普遍的病人投诉,将优先事项转向与技术相关的主题。
本研究旨在了解过去十年来低视力患者的优先级和患者护理的变化。
我们对美国两家低视力诊所的检查记录(2009年至2019年,3470次检查)进行了回顾性研究。自动单词搜索总结了记录的两个属性:病例历史记录中讨论的主题和评估的康复设备类型。采用Logistic回归对考试年份的影响进行建模,患者年龄,患者性,和视力障碍的水平。
多年来崩溃,讨论最多的话题是阅读(78%),其次是光相关主题(71%)和技术(59%)。而讨论阅读的几率在过去十年中呈下降趋势(赔率比,0.57;P=.03),技术,社交互动,移动性,和驱动趋势上升(赔率比,4.53、3.31、2.71和1.95;所有P<0.001)。最常评估的装置是有色镜片(95%)。随着时间的推移,视频放大镜和眼镜评估呈下降趋势(赔率比,0.64和0.72;P=.004,0.04),而其他光学辅助工具的评估增加。数据表明患者人口统计学之间存在若干一致的差异。
阅读可能仍然是患者的主要主诉,但是与技术相关的话题的增加表明了优先事项的转移,特别是在年轻人口统计学中。“低技术”光学辅助设备在低视力护理中仍然很突出,即使“高科技”辅助设备在市场上继续发展。
Understanding longitudinal changes in why individuals frequent low-vision clinics is crucial for ensuring that patient care keeps current with changing technology and changing lifestyles. Among other findings, our results suggest that reading remains a prevailing patient complaint, with shifting priorities toward technology-related topics.
This study aimed to understand changes in patient priorities and patient care in low vision over the past decade.
We conducted a retrospective study of examination records (2009 to 2019, 3470 examinations) from two U.S. low-vision clinics. Automated word searches summarized two properties of the records: topics discussed during the
case history and types of rehabilitative devices assessed. Logistic regression was used to model the effects of examination year, patient age, patient sex, and level of visual impairment.
Collapsing across all years, the most common topic discussed was reading (78%), followed by light-related topics (71%) and technology (59%). Whereas the odds of discussing reading trended downward over the decade (odds ratio, 0.57; P = .03), technology, social interaction, mobility, and driving trended upward (odds ratios, 4.53, 3.31, 2.71, and 1.95; all P \'s < 0.001). The most frequently assessed devices were tinted lenses (95%). Over time, video magnifier and spectacle assessments trended downward (odds ratios, 0.64 and 0.72; P = .004, 0.04), whereas assessments of other optical aids increased. The data indicate several consistent differences among patient demographics.
Reading is likely to remain a prevailing patient complaint, but an increase in technology-related topics suggests shifting priorities, particularly in younger demographics. \"Low-tech\" optical aids have remained prominent in low-vision care even as \"high-tech\" assistive devices in the marketplace continue to advance.