Visual impairment and the need for vision care services amongst older Finnish people receiving home care
Pesonen, Tiina; Saarela, Kaisa-Mari; Falck, Aura; Edgren, Johanna; Kyngäs, Helvi; Siira, Heidi (2023-03-10)
Pesonen, T., Saarela, K.-M., Falck, A., Edgren, J., Kyngäs, H., & Siira, H. (2023). Visual impairment and the need for vision care services amongst older Finnish people receiving home care. Nursing Open, 10, 2519–2529. https://doi.org/10.1002/nop2.1510
© 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
https://creativecommons.org/licenses/by-nc-nd/4.0/
https://urn.fi/URN:NBN:fi-fe20230824104203
Tiivistelmä
Abstract
Aim: This study aimed to describe visual performance and the need for vision care services among Finnish older people receiving home care. We evaluated the applicability of the Resident Assessment Instrument of Home Care (RAI HC) in identifying visual impairment (VI) and the need for vision care services among older people.
Design: A descriptive quantitative, cross-sectional design.
Methods: Visual impairment and the need for vision care services for older people receiving home care (N = 70) were determined by an optometrist’s screening examination and vision assessment by home care workers using the RAI HC instrument. In this study, the definition of visual impairment was visual acuity (VA) <0.63 (logMAR >0.2).
Results: According to the distance VA measurements, 41% of the participants showed VI (<0.63) of the better eye, while the RAI HC assessment revealed VI among 36% of the participants. The Kappa value for interrater reliability in classifying VI was 0.137. The optometrist’s vision screening examination recognized a previously unknown and unmet need for vision care services more than twice as often as the RAI HC assessment.
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