助视器停用状况调查与分析

目的调查助视器发放及使用情况,了解助视器依赖使用或停用的相关因素,分析提升助视器使用功效的方法。方法设置专用表格,通过问卷调查方式,对86名已配置助视器的视力残疾者助视器的具体使用情况、停用状态、相关影响因素进行调查和分析。结果86名视力残疾者通过验配,成功获取相应助视器,验配率达到100％。总共验配助视器162件,每人获取数1。4件,平均1．88件。随访调查发现,助视器依赖使用率为21．0％,经常使用率为43．2％,偶尔使用和完全停用率为24．1％和11．7％。在停止使用助视器的视力残疾者中,因个人功能提升、更好辅具替代、实施替代性解决方案等正面因素而停止助视器使用的占17．2％,因配戴不适、对助视器认知不足、助视器质量问题及培训不足等负面因素而停止使用的占82．8％。结论在视力残疾康复中,助视器的使用情况受多种因素影响,会造成一定程度的停用现象。通过随访调查和相关分析．减少负面因素对助视器停用的影响是视力残疾康复工作的重要环节。

Investigation on the discontinuance of using the visual aids

Objective To investigate the discontinuance of using visual aids among the low vision patients after visual aids distribution. To analyze the related factors and discuss the way to improve the visual aids use. Methods A customized questionnaire was designed, including visual impairments diagnosis and treatment, visual aids, and the reasons for continue or discontinue. Eighty -six visual impaired subjects who fitted with kinds visual aids were investigated. Results Eighty -six subjects obtained visual aids successfully accordingly at the initial delivery through charity & welfare program, with 1 to 4 pieces for each and 162/86 in average. During follow-up investigation, 21.0% subjects rely on the devices very much while 43.2% subjects reported using the device regularly. However, the percentage of using merely or even discontinuance of the device was 24.1% and 11.7% , respectively. Among the discontinuance, the positive reasons, such as physiological recovery, made the discontinuance was 17.2% while the negative reasons, such as uncomfortable, no improvement, or psychological factors, were responsible for this discontinuance was up to 82.8%. Conclusion Welfare social assistance service brings low vision subjects to access low vision rehabilitation very successfully. However, there are factors for detention the effectiveness use of the visual aids, because low vision rehabilitation is a complexity process. Cares is needed to reduce the negative factors while uplift the quality of low vision rehabilitation service.