저시력 재활에 대한 인식 조사
Research on the Perceptions of Low Vision Rehabilitation
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
목적: 비의료종사자와 의료종사자를 대상으로 설문조사를 시행하여 저시력에 대한 이해 정도와 저시력 재활에 대한 인식 정도를 평가해 보고자 하였다. 대상과 방법: 비의료종사자 137명(저시력 환자 25명, 비저시력 환자 38명, 정상대조군 74명), 의료종사자 167명(안과의사 51명, 비안과 의사 56명, 간호사 24명, 의료기사 36명), 총 304명을 대상으로 설문을 시행하였다. 저시력의 정의(3문항), 저시력 환자의 보조(3문항), 저시력 환자의 불편 사항에 대한 인식(3문항), 보조기구에 대한 이해(1문항)에 대하여 평가하였다. 결과: 안과의사를 제외한 의료종사자들의 저시력의 이해도와 저시력 재활에 대한 인식 정도는 대부분 비슷했으며, 전반적으로 저시력에 대해 낮은 인지 비율과 이해도를 보였다. 안과의사는 다른 의료종사자들에 비해 높은 저시력에 대한 이해도와 재활에 대한 인식 정도를 보였지만, 저시력 보조기구의 이해도는 다른 의료종사자들과 차이가 없었다. 저시력 환자들은 주변환경에 대한 만족도가 유의하게 낮았으며, 대중교통과 야외활동에서 가장 큰 불편을 느꼈다. 결론: 안과의사들은 높은 저시력에 대한 이해도와 재활에 대한 인식 정도를 보였지만 저시력 보조기구에 대한 이해도는 낮아, 이에 대한 안과의사의 노력이 필요하다. 저시력 재활에 대한 인식 고양을 위해 홍보와 교육 캠페인이 필요하며, 저시력 환자를 위한 주변환경의 개선을 위해 사회복지적인 접근이 필요하겠다.
Abstract
Purpose: To evaluate the understanding of low vision and awareness of low vision rehabilitation of non-health care providers and health care providers using a survey. Methods: The present survey included 304 individuals; 137 non-health care providers (25 low vision patients, 38 non-low vision patients, and 74 normal controls) and 167 health care providers (51 ophthalmologists, 56 non-ophthalmic physicians, 24 nurses, and 36 medical technicians). The questionnaire used in the survey consisted of 10 items pertaining to the definition of low vision (3 items), assistance of low vision patients (3 items), awareness of the difficulties of low vision patients in daily life (3 items), and the understanding of low vision aids (1 item). Results: The majority of participants, except ophthalmologists, were unaware of low vision rehabilitation. The perceptions of low vision rehabilitation between non-health care providers and health care providers except ophthalmologists were not different. The ophthalmologists showed a better understanding of low vision and awareness of low vision rehabilitation than other health care provider groups. However, no difference was found in the degree of understanding regarding low vision aids. Low vision patients showed the lowest rate of satisfaction with the environment around them and most experienced the greatest difficulties in public transportation and outside activities. Conclusions: Although ophthalmologists showed a better understanding of low vision rehabilitation, their understanding of low vision aids was poor. Thus, there should be an effort to improve the ophthalmologists’ understanding regarding low vision care. To enhance low vision rehabilitation awareness, promotion of low vision services and education campaigns is necessary and a strategy concerning social welfare to improve the environment for low vision patients should be implemented.
참고문헌 (26)
- The management of low vision in children, "World Health Organization.", World Health Organization, ~, pp.WHO (1993), PBL[DOI]
- Strong JG., "Low vision services: a model for sequential intervention and rehabilitation", Can J Public Health, 79, pp.S50~S54 (1988)
- Yang S., "Understanding the rapid increase in life expectancy in South Korea", Am J Public Health, 100, pp.896~903 (2010)
- Park SH., "A nationwide population-based study of low vision and blindness in South Korea", Invest Ophthalmol Vis Sci, 56, pp.484~493 (2014)
- Markowitz SN, "Principles of modern low vision rehabilitation", Can J Ophthalmol, 41, pp.289~312 (2006)
- Scott IU., "Quality of life of low-vision patients and the impact of low-vision services", Am J Ophthalmol, 128, pp.54~62 (1999)
- Hinds A., "Impact of an interdisciplinary low vision service on the quality of life of low vision patients", Br J Ophthalmol, 87, pp.1391~1396 (2003)
- Raasch TW., "Evaluating the value of low-vision services", J Am Optom Assoc, 68, pp.287~295 (1997)
- Matti AI., "Access to low-vision rehabilitation services : barriers and enablers", Clin Exp Optom, 94, pp.181~186 (2011)
- Pollard TL., "Barriers to accessing low vision services", Ophthalmic Physiol Opt, 23, pp.321~327 (2003)
- Mwilambwe A., "Disparities in awareness and use of low-vision rehabilitation", Can J Ophthalmol, 44, pp.686~691 (2009)
- Lam N., "Barriers to accessing low-vision care : the patient's perspective", Can J Ophthalmol, 48, pp.458~462 (2013)
- Overbury O., "Barriers to low vision rehabilitation : the Montreal Barriers Study", Invest Ophthalmol Vis Sci, 52, pp.8933~8938 (2011)
- Walter C., "West Virginia survey of visual health : low vision and barriers to access", Vis Impair Res, 6, pp.53~71 (2004)
- Culham LE., "Low vision services for vision rehabilitation in the United Kingdom", Br J Ophthalmol, 86, pp.743~747 (2002)
- Lovie-Kitchin JE, "Low vision services in Australia", J Vis Impair Blind, 84, pp.298~304 (1990)
- sia Pacific Regional Low Vision Workshop, "World Health Organization.", World Health Organization, ~, pp.WHO (2002), PBL[DOI]
- 박종화, "서울지역에 등록된 시각장애인의 역학적 분석과 저시력 재활치료", 대한안과학회지, 50(4), pp.572~579 (2009), 대한안과학회
- Nia K., "Provision and utilization of low-vision rehabilitation services in Toronto", Can J Ophthalmol, 42, pp.698~702 (2007)
- Laitinen A., "Use of eye care services and need for assistance in the visually impaired", Optom Vis Sci, 85, pp.341~349 (2008)
- Rees G., "Detection of depression in patients with low vision", Optom Vis Sci, 86, pp.1328~1336 (2009)
- Horowitz A., "Major and subthreshold depression among older adults seeking vision rehabilitation services", Am J Geriatr Psychiatry, 13, pp.180~187 (2005)
- "Low vision care: the need to maximise visual potential", Community Eye Health, 17, pp.1~2 (2004)
- Walter C., "Vision rehabilitation : recipients' perceived efficacy of rehabilitation", Ophthalmic Epidemiol, 14, pp.103~111 (2007)
- 박종화, "저시력환자 500명의 임상분석", 대한안과학회지, 46(2), pp.20~20 (2005), 대한안과학회
- Gold D., "Perspectives on low vision service in Canada : a pilot study", Can J Ophthalmol, 41, pp.348~354 (2006)