在老年住院患者下跌后进行视觉评估
Saeed Azizi1, Omar Hawwa2, Ali Istanaksai3
1Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, GBR.
Cureus
|October 20, 2025
概括
尽管有指导方针,老年住院患者在跌倒后的视力评估仍然很低. 教育和更好的工具等低成本干预措施显示出改善视力评估率的积极趋势.
科学领域:
- 老年医学 老年医学
- 眼科医生 眼科 眼科
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 跌倒是老年人患病的重要原因之一.
- 视力障碍是跌倒的一个关键可修改的风险因素.
- 国家指导方针建议在摔倒后进行视力评估,但坚持不够理想.
研究的目的:
- 评估老年住院患者遵守国家视力评估建议.
- 实施和评估旨在改善落后视觉评估率的干预措施的影响.
主要方法:
- 一个两个周期的回顾性横截面审查的电子记录的住院患者年龄≥65.5.
- 视力评估文档的基准评估 (视力敏度或对抗场).
- 实施员工教育,视觉提示和改进对工具的访问,然后进行重新审计.
主要成果:
- 视力敏度评估的记录在干预后从7.8%增加到16.7% (p=0.21).
- 干预后的对抗视觉现场测试从5.9%增加到19% (p=0.061).
- 虽然没有统计学意义,但干预措施在改善视力评估方面表现出了积极的趋势.
结论:
- 视觉评估在老年住院患者中表现不佳,尽管现有指导方针.
- 低成本的干预措施,包括教育和改善工具访问,可以提高合规性.
- 持续的多学科努力和定期的审计对于将视力评估纳入常规的跌倒后护理至关重要.
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