Pilot Study on Activities of Daily Living Limitations in Adults With Hemianopsia

Pilot Study on Activities of Daily Living Limitations in Adults With Hemianopsia
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DOI:
10.5014/ajot.63.5.626
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发表时间:
2009-09-01
影响因子:
2.9
通讯作者:
Warren, Mary
Warren, Mary
中科院分区:
医学4区
文献类型:
--
作者:
Warren, Mary

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目标。我试图获得对获得性脑损伤导致的成人偏盲和偏盲的日常生活活动(adl)限制的一般理解。对46名低视力康复项目的参与者进行了半结构化访谈,以解决因视力丧失而难以完成adl的认知问题,并进行了阅读性能测试。参与者报告说,很难完成两项基本的日常生活习惯,即个人卫生-仪容整洁和喂养,以及几项工具性日常生活习惯,包括驾驶、购物、财务管理、电话使用和饭菜准备。ADL的限制似乎与完成ADL所需的视觉搜索量和阅读、写作和移动的表现技能的中断有关。偏盲患者在特定的adl中受到限制,这是视野破坏的直接结果。需要进一步的研究来证实这些发现,并探索改善ADL表现的干预措施。
OBJECTIVE. I sought to obtain a general understanding of the limitations in activities of daily living (ADLs) experienced by adults with hemianopsia and quandrantanopsia from acquired brain injury.METHOD. A semistructured interview addressing the perception of difficulty completing ADLs because of vision loss and a reading performance test were administered to 46 participants referred to a low vision rehabilitation program.RESULTS. Participants reported difficulty completing two basic ADLs, personal hygiene-grooming and feeding, and several instrumental ADLs, including driving, shopping, financial management, telephone usage, and meal preparation. ADL limitations appear to be related to the amount of visual search needed to complete the ADL and disruption of the performance skills of reading, writing, and mobility.CONCLUSION. People with hemianopsia experience limitations in specific ADLs as a direct result of the disruption of the visual field. Further investigation is needed to confirm these findings and explore interventions to improve ADL performance.