Adaptation in Older Persons with Visual Impairment

Main Article Content

Nutsuda Sangboon Mukda Detprapon Supreeda Monkong

Abstract

This descriptive research aimed at investigating adaptation in older persons with visual impairment. Roy’s adaptation model was used as a conceptual framework in physiological mode, self-concept mode, role function mode and interdependence mode. The subjects of the study were 50 people aged 80 years and above and were purposively sampled by inclusion criteria. Data collection was done using two instruments including an individual information questionnaire and semi -structure interview about adaptation in older persons with visual impairment, and were analysed using descriptive statistics and content analysis. The study results revealed that 48 participants with visual impairment had low vision. The target population had 4 adaptation modes, the physiological mode; they could provide self care themselves but found difficulties in activities of daily living (ADLs) and in instrumental activities of daily living (IADLs). In the self - concept mode; which included, changing the way of thinking, stimuli, accepting the truth, and their perception of the KARMA. Considering the role function mode, the results indicated that the participants could take care of themselves and their family, however they also depended on the caregiver for some activities. Finding on the interdependence mode, showed that older persons had good relationships with their family, love, respect, values and care. This study provided important information for promoting adaptation in visual impaired participant depending on their individual ability to promote adaptation in the society appropriately and according to the potential of each older persons. This could also be used in planning and policy making for development and promotion services for visually impaired people in public health services.

Keywords

Article Details

How to Cite
1.
Sangboon N, Detprapon M, Monkong S. Adaptation in Older Persons with Visual Impairment. Ramathibodi Nursing Journal [Internet]. 17Apr.2019 [cited 19Aug.2019];25(1):29-2. Available from: https://www.tci-thaijo.org/index.php/RNJ/article/view/141437
Section
บทความวิจัย

References

1. Guo C, Wang Z, He P, Chen G, Zheng X. Prevalence, causes and social factors of visual impairment among Chinese adults: based on a national survey. Int J Environ Res Public Health. 2017;14(9).pii:E1034. doi:10.3390/ijerph14091034.

2. The European Academy of Optometry and Optics. New World Health Organization estimates reveal downward trends in blindness and visual impairment worldwide [internet]. 2011 [cited 2016 April 10]. Available from: http://www.eaoo.info/en/news/industrynews.cfm/WHO%20data%20february%202011

3. Yenchit W, Hanutsaha P, Iamsirithaworn S, Panra U, Chusri P, Yenchit C. Report on the results of the survey of conditions blindness, low vision, eye disease that is the 4th public health problem in Thailand and the assessment of person with visual disability in 2006-2007. Thai Journal of Public Health Ophthalmology. 2007;21(1):10-94.

4. World Health Organization. Visual impairment and blindness. Geneva: World Health Organization [internet]. 2011[cited 2016 Jan14]. Available from: http://www.who.int/mediacentre/ factsheets/fs282/en/

5. National Statistical Office Thailand. The 2014 survey of the older persons in Thailand. Bangkok: Text and Journal Publication; 2014. (in Thai)

6. Evans JR, Fletcher AE, Wormald RP. Causes of visual impairment in people aged 75 years and older in Britain: an add-on study to the MRC trial of assessment and management of older people in the community. Br J Ophthalmol. 2004; 88(3): 365-70.

7. Bekibele CO, Gureje O. Impact of self-reported visual impairment on quality of life in the Ibadan study of ageing. Br J Ophthalmol. 2008;92(5):612-5. doi: 10.1136/bjo.2007.124859.

8. La Grow S, Alpass F, Stephens C, Towers A. Factors affecting perceived quality of life of older persons with self-reported visual disability. Qual Life Res. 2011;20(3):407-13. doi: 10.1007/s11136-010-9758-6.
 
9. Steinman BA, Allen SM. Self-reported vision impairment and its contribution to disability among older adults. J Aging Health. 2012;24(2):307-22. doi: 10.1177/ 0898264311422600.

10. Zimdars A, Nazroo J, Gjonça E. The circumstances of older people in England with self-reported visual impairment: a secondary analysis of the English longitudinal study of ageing (ELSA). Br J Vis Impair. 2012;30(1):22-30.

11. Jin YP, Wong DT. Self-reported visual impairment in elderly Canadians and its impact on healthy living. Can J Opthalmol. 2008;43(4):407-13. doi: 10.3129/i08-077.

12. Lamoreux EL, Chong E, Wang JJ, Saw SM, Aung T, Mitchell P, et al. Visual impairment, causes of vision loss, and falls: the Singapore malay eye study. Invest Ophthalmol Vis Sci. 2008;49(2):528-33. doi: 10.1167/iovs.07-1036.

13. Pattaramongkolrit S, Sindhu S, Thosigha O, Somboontanot W. Fall-related factors among older, visually-impaired Thais. Pacific Rim Int J Nurs Res. 2013;17(2):181-96.

14. Chuenkongkaew W, Singalavanija A, Ophthalmology. 2nd ed. Bangkok: Sirivatanainterprint; 2009. (in Thai)

15. Brown RL, Barrett AE. Visual impairment and quality of life among older adults: an examination of explanations for the relationship. The J Gerontol B. 2011;66(3):364-73.

16. Rees G, Tee HW, Marella M, Fenwick E, Dirani M, Lamoureux EL. Vision-specific distress and depressive symptoms in people with vision impairment. Invest Ophthalmol Vis Sci. 2010;51(6):2891-96.

17. Kempen GI, Ballemans J, Ranchor AV, van Rens GH, Zijlstra GA. The impact of low vision on activities of daily living, symptoms of depression, feelings of anxiety and social support in community-living older adults seeking vision rehabilitation services. Qual Life Res. 2012;21 (8):1405-11.

18. Thurston M, Thurston A, McLeod J. Socio-emotional effects of the transition from sight to blindness. Br J Vis Impair. 2010;28(2):90-112.

19. Keeffe JE, Chou SL, Lamoureux EL. The cost of care for people with impaired vision in Australia. Arch Ophthalmology. 2009;127(10):1377-81.

20. Khan Z, Braich PS, Rahim K, Rayat JS, Xing L, Iqbal M, et al. Burden and depression among caregivers of visually impaired patients in a Canadian population. Adv Med. 2016;2016:1-8. doi: 10.1155/2016/4683427.

21. Sritanyaratana W, Damrikarnlerd L, editors. Knowledge management and synthesis of practices of district health promotion hospitals: guidelines for elderly services. Nonthaburi: Sahamitr Printing & Publishing; 2010.(in Thai)

22. Andrews H, Roy C. Essentials of the Roy adaptation model. Norwalk, CT: Appleton Century Crofts; 1986.

23. Announcement of the Ministry of Social Development and Human Security on type and criteria of disability, B.E. 2552; 126 (77) (Cited 2009 May 29). Available from: http://www.person.ku.ac.th/new_personweb/per_6/per_6_4/per_6_4-6.pdf, Ministry of labour, Bangkok, Thailand. (in Thai)

24. Brooke P, Bullock R. Validation of a 6-item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999;14(11):936-40.

25. Hirunwatthanaku P, La Grow SL, Borman B, Kanagasingam Y. The impact of visual impairment on quality of life among older persons in a rural area of Northeast Thailand. International Journal of Social Science Studies. 2013;1 (1):47-53.

26. Sirapo-ngam Y. A survey of family caregiving research in Thailand. Rama Nurse J. 2003;9(2):156-65. (in Thai)

27. Utama N, Chintanawat R, Ausayakhun S, Nanasilp P. Visual impairment, coping strategies, and vision-related quality of life among elders with cataract. Nursing Journal. 2015;42(3):61-71. (in Thai)

28. Wang WL, Chen N, Sheu MM, Wang JH, Hsu WL, Hu Y J. The prevalence and risk factors of visual impairment among the elderly in Eastern Taiwan. KJMS. 2016;32(9):475-81.

29. Patikulsila D, cataract. In: Ausayakhun S, Patikulsila P, Tananuvat N, Patikulsila D, Pathanapitoon K, editors. Common eye diseases in medical practice. Chiangmai: Within Design; 2013. (in Thai)

30. Krutthong V, Kajorntham P, Kusulwisitkul W, Chotikavanich S. Factor in predicted of adaptation to low vision in adults. SMJ. 2016;9(1):10-6. (in Thai)

31. Brunnström G, Sörensen S, Alsterstad K, Sjöstrand J. Quality of light and quality of life–the effect of lighting adaptation among people with low vision. OPO. 2004;24(4):274-80.

32. Travis LA, Boerner K, Reinhardt JP, Horowitz A. Exploring functional disability in older adults with low vision. JVIB. 2004;98(9):534-45.

33. Crews JE, Jones GC, Kim JH. Double jeopardy: the effects of comorbid conditions among older people with vision loss. JVIB. 2006;100:824-48.

34. Andrews HA, Roy C. The Roy adaptation model: the definitive statement. Norwalk, CT: Appleton & Lange; 1991.

35. Aramwiroj1 M, Chaikoolvatana A, Suwanapet N, Chananill Y. The self-adjustment and social supports of elderly in municipality, UbonRatchathani. Srinagarind Med J. 2011;26(3):196-206. (in Thai)

36. Desrosiers J, Wanet-Defalque M-C, Témisjian K, Gresset J, Dubois M-F, Renaud J, et al. Participation in daily activities and social roles of older adults with visual impairment. Disability and Rehabilitation. 2009;31 (15):1227-34.

37. Roy C, Andrews HA. The Roy adaptation model. Stamford, CT: Appleton & Lange; 1999.