DOI QR코드

DOI QR Code

Factors Associated with Poor Self-rated Health according to Visual Impairment Severity

  • 투고 : 2021.01.07
  • 심사 : 2021.04.14
  • 발행 : 2021.04.30

초록

Purpose: To identify the factors associated with poor self-rated health in individuals with acquired visual impairment through classification of such individuals into severe and mild visual impairment groups. Methods: This descriptive, cross-sectional, survey-based study analyzed data from 563 individuals with visual impairment due to acquired causes who had been recruited in the 2017 Korean National Survey on Persons with Disabilities. Results: Individuals with severe visual impairment reported poorer self-rated health. Mild depression (p=.003), and low smartphone use (p=.045) were associated with poorer self-rated health in those with severe visual impairment. The factors associated with poor self-rated health in those with mild visual impairment were comorbidities, low smartphone use (p=.006), needed health information (p=.020), unbalanced diet (p<.001), low weight (p=.024), and lack of health checkups (p=.001). Conclusion: Depression was found to be a predictor of poor self-rated health in individuals with severe visual impairment, which highlights the need for nursing and related healthcare intervention to lower depression in this specific population. Further, promoting social network building and providing health information using smartphones may serve to encourage appropriate health behavior in people with severe visual impairment who have reduced mobility and health literacy.

키워드

참고문헌

  1. Ackley-Holbrook, E., Kang, M., Morgan, D. W. (2016). Development and evaluation of the walk for health program: A physical activity intervention for adults with visual impairments. Journal of Visual Impairment & Blindness, 110(2), 103-114. https://doi.org/10.1177/0145482X1611000204
  2. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
  3. Chong, M. F., Jackson, A., J., Wolffsohn, J. S., & Bentley, S. A. (2016). An update on the characteristics of patients attending the Kooyong Low Vision Clinic. Clinical and Experimental Optometry, 99, 555-558. https://doi.org/10.1111/cxo.12395
  4. Court, H., McLean, G., Guthrie, B., Mercer, S. W., & Smith, D. J. (2014). Visual impairment is associated with physical and mental comorbidities in older adults: A cross-sectional study. BMC Medicine, 12, 181-187. https://doi.org/10.1186/s12916-014-0181-7
  5. Horvat, M., Ray, C., Ramsey, V., Miszko, T., Keeney, R., & Blasch, B. (2003). Compensatory analysis and strategies for balance in individuals with visual impairments. Journal of Visual Impairment & Blindness, 97(11), 695-703. https://doi.org/10.1177/0145482X0309701103
  6. Jang, H. Y., An, J. H., & Kim, J. H. (2016). The effects of 8-weeks gym-ball exercise program on the body composition and health-related physical fitness and plantar foot pressure on female students with visual impairments. The Korean Journal of Physical Education, 55(5), 729-740.
  7. Jeon, E. (2019). Needs assessment of health education for adults with lately visual impairments using focus group interview. Journal of Digital Convergence, 17(2), 319-328. https://doi.org/10.14400/JDC.2019.17.2.319
  8. Jones, G. C., Rovner, B. W., Crew, J. E., & Danielson, M. L. (2009). Effects of depression symptoms on health behavior practices among older adults with vision loss. Rehabilitation Psychology, 54(2), 164-172. https://doi.org/10.1037/a0015910
  9. Kempen, J. H., Mitchell, P., Lee, K. E., Tielsch, J. M., Broman, A. T., Taylor, H. R., Ikram, M. K., Congdon, N. G, & O'Colmain, B. J. (2004). The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Archives of Ophthalmology, 122(4), 495-505. https://doi.org/10.1001/archopht.122.4.495
  10. Kim, H. C., & Lee, Y. M. (2017). The effect of a 12 week-yoga exercise on body composition, flexibility and gloom in the visually impaired elderly. Journal of the Korea Convergence Society, 8(3), 253-263. https://doi.org/10.15207/JKCS.2017.8.3.253
  11. Kim, K. S., & Song, B. S. (2014). Investigation of mobile accessibility in accordance with the smartphone use for people with visual disabilities. The Korean Journal of Visual Impairment, 30(4), 109-125.
  12. Kim, M. J., Kim, I., Lee, N., Huh, K. Y., & Choi, K. O. (2014). Effects of horticultural therapy on depression and self-esteem of elderly visual disabilities. Journal of Korean Society for People, Plants and Environment. 17(6), 433-440. https://doi.org/10.11628/ksppe.2014.17.6.433
  13. Kwon, J., & Park, S., (2019). A narrative study on the experiences of facing and coping the crisis in the wives of men having impairment. Journal of Korean Public Health Nursing, 33(2), 242-257. http://dx.doi.org/10.5932/JKPHN.2019.33.2.242
  14. La Forge, R. G., Spector, W. D., & Sternberg, J. (1992). The relationship of vision hearing impairment to one-year mortality and functional decline. Journal of Aging Health. 4, 126-148. https://doi.org/10.1177/089826439200400108
  15. Leksell, J. K., Sandberg, G. E., & Wikblad, K. F. (2004). Self-perceived health and self-care among diabetic subjects with defective vision: A comparison between subjects with threat of blindness and blind subjects. Journal of Diabetes and its Complications, 19(1), 54-59. https://doi.org/10.1016/j.jdiacomp.2004.04.002
  16. Leo, D., Hickey, P. A., Meneghel, G., & Cantor, C. H. (1999). Blindness, fear of sight loss, and suicide. Psychosomatics, 40, 339-44. https://doi.org/10.1016/S0033-3182(99)71229-6
  17. Ministry of Health and Welfare. (2019). Statistics of Korean health. Retrieved November 20, 2020 from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1438
  18. Ministry of Health and Welfare. (2019). Crireria for degree of disability. Retrieved January 11, 2020 from http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&page=1&CONT_SEQ=349906
  19. Nakade, A., Rohatgi, J., Bhatia, M. S., & Dhaliwal, U. (2017). Adjustment to acquired vision loss in adults presenting for visual disability certification. Indian Journal of Ophthalmology. 65(3),228-232. https://doi.org/10.4103/ijo.IJO_483_16
  20. Ni, L., Li, K., Jiang, L., Chen, J., Chen, Y., Li, X., Lin, N., Thorn, F., & Deng, R. (2020). A nurse's perspective on visual rehabilitation of outpatients with low vision in China. Rehabilitation Nursing, 45(1), 45-53. https://doi.org/10.1097/rnj.0000000000000178
  21. Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies in the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
  22. Park, J. W., Im, H. T., & Kim, D. W. (2018). Compare of the etiology of motality and quality of life between visual impairments and other disabilities(NHIS-2019-2-019). Ilsan, South Korea: National Health Insurance Service Ilsan Hospital. Retrieved November 20, 2020 from www.alio.go.kr.
  23. Seo, S. J., Lee, S. Y., & Han, D. I. (2018). Experience analysis of a adolescent with visual impairment addiction use of smart phone. Journal of Special Education & Rehabilitation Science, 57(1), 85-105. https://doi.org/10.23944/jsers.2018.03.57.1.4
  24. Shim, J. W., & Han, S. H. (2012). Preventive health examination, health behavior, and psychological health in visual disabilities. Journal of the Korean Ophthalmological Society, 53(12), 1870-1878. https://doi.org/10.3341/jkos.2012.53.12.1870
  25. Sloan, F. A., Ostermann, J., Brown, D. S., & Lee, P. P. (2005). Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly. American Journal of Ophthalmology. 140(4), 618-627. http://doi.org/10.1016/j.ajo.2005.01.019
  26. Song, N., & Oh, S. (2017). The lived experience of suffering from vision loss in adults with acquired visual impairment. Journal of Korean Association for Qualitative Research, 2, 45-55. https://doi.org/10.48000/KAQRKR.2017.2.45
  27. Terris, M. (1984). Newer perspectives on the health of Canadians: Beyond the Lalonde report. The Rosenstadt Lecture. Journal of Public Health Policy, 5(3), 327-337. https://doi.org/10.2307/3342158
  28. Villeneuve, M. E., McVey, E., & Steinberg, F. (1983). Self care for the totally blind diabetic: it is possible. RN, 46(6), 38-9.
  29. Wang, J. J., Mitchell, P., & Smith, W. (2000). Vision and low self-rated health: The Blue Mountains Eye Study. Investigative Ophthalmology & Visual Science. 41(1), 49-54.
  30. World Health Organization. (2019). World report on vision. Retrieved October 19, 2020 from https://www.who.int/publications-detail/world-report-on-vision