Sensory Impairment and Quality of Life in a Community Elderly Population

Carabellese, Corrado; Appollonio, Ildebrando; Rozzini, Renzo; Bianchetti, Angelo; Frisoni, Giovanni B.; Frattola, L.; Trabucchi, Marco

doi:10.1111/j.1532-5415.1993.tb06948.x

Cited by 386 publications

(310 citation statements)

References 53 publications

Supporting

Mentioning

270

Contrasting

Unclassified

Order By: Relevance

“…Vision is central to the functioning of the individual and it is clear from numerous studies over the past two decades that impaired vision exerts dramatic effects on function and on quality of life [8][9][10][11][12][13][14]. It has also been shown that interventions which improve visual function, such as cataract surgery, also improve HRQOL [15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life following blind rehabilitation

Kuyk

Liu

Elliott³

et al. 2008

Qual Life Res

View full text Add to dashboard Cite

Purpose-The purpose of this study was to investigate the effect of residential blind rehabilitation on patients' vision targeted health-related quality of life (HRQOL) and general physical and mental function.Methods-The National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ) plus appendix questions, the 12 item Short-Form Health Survey (SF-12), Hope Scale and Coopersmith self-esteem inventory were administered to 206 legally blind veterans prior to their entering a residential (in-patient) blind rehabilitation program and again to 185 and 176 of the original cohort at two and six months after completion of the rehabilitation program, respectively. Data on visual acuity, visual field extent, contrast sensitivity and scanning ability were also collected. The duration of the in-patient rehabilitation programs ranged from 11-109 days. Questionnaire scores were compared pre-rehabilitation and post-rehabilitation.Results-Following rehabilitation there was a significant improvement in nine of eleven NEI VFQ subscales and in a composite score at both 2-and 6-month post-rehab intervals. Mental health (SF-12) and self esteem also improved significantly although physical health ratings declined over the course of the study (approximately 10 months).Conclusions-Residential blind rehabilitation appears to improve patients' self-reported visiontargeted HRQOL, self-esteem, and mental health aspects of generic HRQOL.

show abstract

Section: Introductionmentioning

confidence: 99%

Health-related quality of life following blind rehabilitation

Kuyk

Liu

Elliott³

et al. 2008

Qual Life Res

View full text Add to dashboard Cite

show abstract

“…Several studies have reported that older adults who are hearing impaired have greater functional disability when compared with their nonimpaired peers [10,12,15,18,[26][27][28]. However, this relationship does not appear to be as strong when compared with the relationship between visual impairment and ADL/IADL disability [25,[29][30].…”

Section: Hearing Impairmentmentioning

confidence: 99%

“…Research has found a strong relationship between visual impairment and functional disability among community-based older adults, even after controlling for demographic and comorbid health conditions [9][10][11][12][13][14][15][16][17][18][19][20][21][22]. When compared with other physical impairments, visual impairment also has a more severe effect on everyday functioning and is as limiting as terminal cardiac disease in older adults [23].…”

Section: Visual Impairmentmentioning

confidence: 99%

Longitudinal associations between dual sensory impairment and everyday competence among older adults

Brennan

Su²,

Horowitz³

2006

JRRD

View full text Add to dashboard Cite

Abstract-Given the prevalence of sensory impairment in older adults, the relationship of sensory impairment to everyday competence among older adults is gaining attention. Dual impairment, or concurrent impairments of vision and hearing, affects anywhere from 5% to 21% of older adults. Using Longitudinal Study on Aging data, we examined the longitudinal associations of self-reported dual sensory impairment with everyday competence in self-reported activities of daily living among adults aged 70 and older (N = 5,151). Self-reported dual sensory impairment was associated with higher levels of selfreported functional disability at baseline and at the 2-year follow-up interview, but the effect gradually diminished over time. However, self-reported dual sensory impairment was not associated with greater levels of self-reported disability as compared with self-reported visual impairment alone. Findings highlight the importance of vision and aural rehabilitation programs for older adults to mitigate the loss of competence in later life due to sensory impairment.

show abstract

“…20,21 Furthermore, visual impairment impacts on a wide range of objective and subjective measures of functional status, including those measures which are not actually vision dependant, such as psychological well being. 16,18,[22][23][24][25] One of the principle aims of the current study was to develop a simple bedside screening test that could be incorporated into the rehabilitation package offered to patients who fall sustaining a fractured neck of femur. While not without its limitations, high-contrast Snellen visual acuity is still deemed to be a useful indicator of the ability of an older patient to perform a range of visiondependant daily living tasks.…”

Section: Eyementioning

confidence: 99%

Screening for visual impairment in elderly patients with hip fracture: validating a simple bedside test

Squirrell

Kenny

Mawer

et al. 2004

Eye

View full text Add to dashboard Cite

Aims 1. To assess the prevalence of visual impairment in those patients who sustain proximal hip fracture after a simple fall. 2. To test the validity of a simple screening test to identify patients with visual impairment. Methods Patients on the orthopaedic rehabilitation ward recuperating from proximal hip fracture were recruited. The nurse screener and examining Ophthalmologist independently assessed the patients' distance visual acuity and visual field to confrontation. In addition, the nurse screener assessed for the presence of cataract in the red reflex and the examining Ophthalmologist performed a dilated slitlamp examination. On completion of the examination, the Ophthalmologist documented the cause(s) of any visual impairment found. Results A total of 89 patients were assessed. In all, 29 patients (33%) could be classified as visually impaired using the United States criteria and 52 patients (58%) had a distance visual acuity of 6/18 or worse in at least one eye. The test reliably identified those patients with visual impairment (sensitivity 94%(75%), specificity 92%(76%)), but was less reliable at identifying those patients with potentially remedial visual impairment (sensitivity 70%(710%), specificity 92%(76%)). Conclusion The level of visual impairment in this group of patients is high and screening for visual impairment in the elderly with a history of falls is justified. We have demonstrated that a suitably trained member of the rehabilitation team can identify over 94% of those patients with impaired vision. We believe this simple test should now be incorporated into the assessment of all patients requiring rehabilitation after a proximal hip fracture.

show abstract

Sensory Impairment and Quality of Life in a Community Elderly Population

Cited by 386 publications

References 53 publications

Health-related quality of life following blind rehabilitation

Health-related quality of life following blind rehabilitation

Longitudinal associations between dual sensory impairment and everyday competence among older adults

Screening for visual impairment in elderly patients with hip fracture: validating a simple bedside test

Contact Info

Product

Resources

About