Visual impairment and health-related quality of life among elderly adults with age-related eye diseases

Li, Yan; Crews, John E.; Elam–Evans, Laurie D.; Fan, Arthur Yin; Zhang, Xinzhi; Elliott, Amanda; Balluz, Lina

doi:10.1007/s11136-010-9825-z

Cited by 50 publications

(47 citation statements)

References 35 publications

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“…Sensory impairment has also been linked to psychological and social problems. Mild or moderate visual impairment in adults have been found to be associated with mental distress, depression, anxiety, suicide risk, interpersonal sensitivity and hostility [2, 21–26]. Most of these studies have focused on depression and little is known about the relationship between sensorial impairment and other psychiatric conditions, such as anxiety, especially in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Visual impairment and multimorbidity in a representative sample of the Spanish population

et al. 2014

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BackgroundIn the context of population aging, visual impairment has emerged as a growing concern in public health. However, there is a need for further research into the relationship between visual impairment and chronic medical conditions in the elderly. The aim of our study was to examine the relationship between visual impairment and three main types of co-morbidity: chronic physical conditions (both at an independent and additive level), mental health and cognitive functioning.MethodsData were collected from the COURAGE in Europe project, a cross-sectional study. A total of 4,583 participants from Spain were included. Diagnosis of chronic medical conditions included self-reported medical diagnosis and symptomatic algorithms. Depression and anxiety were assessed using CIDI algorithms. Visual assessment included objective distance/near visual acuity and subjective visual performance. Descriptive analyses included the whole sample (n = 4,583). Statistical analyses included participants aged over 50 years (n = 3,625; mean age = 66.45 years) since they have a significant prevalence of chronic conditions and visual impairment. Crude and adjusted binary logistic regressions were performed to identify independent associations between visual impairment and chronic medical conditions, physical multimorbidity and mental conditions. Covariates included age, gender, marital status, education level, employment status and urbanicity.ResultsThe number of chronic physical conditions was found to be associated with poorer results in both distance and near visual acuity [OR 1.75 (CI 1.38-2.23); OR 1.69 (CI 1.27-2.24)]. At an independent level, arthritis, stroke and diabetes were associated with poorer distance visual acuity results after adjusting for covariates [OR 1.79 (CI 1.46-2.21); OR 1.59 (CI 1.05-2.42); OR 1.27 (1.01-1.60)]. Only stroke was associated with near visual impairment [OR 3.01 (CI 1.86-4.87)]. With regard to mental health, poor subjective visual acuity was associated with depression [OR 1.61 (CI 1.14-2.27); OR 1.48 (CI 1.03-2.13)]. Both objective and subjective poor distance and near visual acuity were associated with worse cognitive functioning.ConclusionsArthritis, stroke and the co-occurrence of various chronic physical diseases are associated with higher prevalence of visual impairment. Visual impairment is associated with higher prevalence of depression and poorer cognitive function results. There is a need to implement patient-centered care involving special visual assessment in these cases.

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Section: Introductionmentioning

confidence: 99%

Visual impairment and multimorbidity in a representative sample of the Spanish population

et al. 2014

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“…(6) Studies have reported a high rate of visual problems in older persons living in institutions, due mainly to treatable conditions such as cataract and uncorrected refractive error. (7–9) One research group has reported that correcting refractive error and performing cataract surgery improved quality of life in LTCF residents.…”

Section: Introductionmentioning

confidence: 99%

The Perceived Needs and Availability of Eye Care Services for Older Adults in Long-term Care Facilities

et al. 2014

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BackgroundThe objective was to evaluate the eye care services offered to older residents living in long-term care facilities (LTCFs).MethodsA questionnaire targeting residents aged ≥65 years was sent to all LTCFs in Quebec. Questions related to the institution’s characteristics, demographic data related to residents, oculovisual health of residents and barriers to eye care, eye care services offered within and outside the institution, and degree of satisfaction regarding the eye care services offered to residents.Results196/428 (45.8%) LTCFs completed the questionnaire. Participating LTCFs had an average of 97.0 ± 5.1 residents with a mean age of 82.8 ± 3.0 yrs and 69% women. Eye care services were mostly offered outside the institution, on a “per request” basis. The main barriers to eye care were the perception that residents could not cooperate and the lack of eye care professionals. Most LTCFs were satisfied with the eye care services offered to residents.ConclusionsThe fact that the LTCFs were satisfied with the eye care services offered to their residents, although it was neither provided on a regular basis nor to all residents, suggests that eye care professionals should take a proactive educational role for improving services to older institutionalized adults.

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“…The assessment of sound revealed that the sound of medical devices in institutions, as well as the voices of caregivers and residents, can affect the emotions and sleep of residents (Bephage 2005;Chiang et al 2001;Day et al 2000;Ulrich et al 2008;Joseph 2006). Light, environmental illumination, glare, and treatment can all affect the sleeping quality, depressive symptoms, and cognitive functions of the elderly (Li et al 2011;Brunnström et al 2004;Copolilloa and Ivanoff 2011;Edvardsson 2008;Kayser-Jones et al 2003). Therefore, this study hypothesized that 'indoor environmental quality' is an important indicator for LTC institutional environments in Taiwan.…”

Section: Literature Review and Basic Conceptsmentioning

confidence: 94%

A study on the formation of a measurement scale for the environmental quality of Taiwan’s long-term care institutions by the Delphi method

Hsieh

Lin

et al. 2012

J Hous and the Built Environ

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This study used a two-round modified Delphi technique with a questionnaire survey in order to reach a consensus for the questionnaire; the survey was conducted from September to December 2009. The six indicators for the environmental quality of longterm care institutions in Taiwan are (1) indoor environmental quality, (2) safety equipment for the prevention and management of disasters occurring in residents' daily lives, (3) provision for assistive devices for residents' daily use, (4) provision for privacy and individualized space, (5) provision for comfortable and decorated indoor environments, and (6) provision for social interaction space. The scale included 34 items with an acceptable number of panel members and acceptable construct validity. Panel members all highly approved of Indicators 1, 2, and 6. Although they approved of Indicator 3, they suggested that caregivers at institutions should replace the functions of living assistive devices. They approved of Indicator 5; however, they questioned the method for providing comfortable and decorated environments. They approved of Indicator 4; however, they suggested that private space need not be provided in the living room of the institution. In terms of long-term care institution environments in Taiwan, Indicators 1, 2, and 6 were important for protecting residents' physical and psychological well-being and improving

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Visual impairment and health-related quality of life among elderly adults with age-related eye diseases

Abstract: ARED was found to be associated with visual impairment and poorer HRQOL. Increasing numbers of AREDs were associated with increased levels of visual impairment and physical impairment, but were not associated with levels of mental distress.

Cited by 50 publications

References 35 publications

Visual impairment and multimorbidity in a representative sample of the Spanish population

Visual impairment and multimorbidity in a representative sample of the Spanish population

The Perceived Needs and Availability of Eye Care Services for Older Adults in Long-term Care Facilities

A study on the formation of a measurement scale for the environmental quality of Taiwan’s long-term care institutions by the Delphi method

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