학술논문
Preliminary assessment of a standardized vision screening guideline in a pediatric inpatient rehabilitation unit.
Document Type
Article
Source
Subject
*MEDICAL protocols
*PEARSON correlation (Statistics)
*T-test (Statistics)
*VISION testing
*OCCUPATIONAL therapy for children
*REHABILITATION of children with disabilities
*RETROSPECTIVE studies
*CHI-squared test
*MANN Whitney U Test
*DESCRIPTIVE statistics
*REHABILITATION centers
*MEDICAL records
*ACQUISITION of data
*QUALITY assurance
*DECISION trees
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Language
ISSN
1874-5393
Abstract
OBJECTIVE: This study aimed to evaluate the impact of a standardized vision screen guideline on occupational therapy vision screens in a pediatric inpatient rehabilitation unit. METHODS: Charts of patients admitted to a pediatric inpatient rehabilitation before guideline implementation (n = 47) versus charts after implementation (n = 47) were randomly, retrospectively reviewed to explore differences in visual skills screened and use of standardized assessments. RESULTS: Significant improvements (p < = 0.05) were found in the number of visual skills screened (p = 0.034), use of standardized assessments (p = 0.005), and screening of the specific visual skills of accommodative amplitude (p = 0.05), suppression (p = 0.015), and double vision (p < 0.001). CONCLUSION: Implementation of a standardized vision screen guideline improved the frequency of vision screens during occupational therapy evaluations in a pediatric inpatient rehabilitation unit. The use of standardized assessments may also improve the quality of vision screens by encouraging staff to complete more comprehensive vision screens, including screening more visual skills, and by prompting use of standardized assessments, which can improve accuracy of screening procedures. [ABSTRACT FROM AUTHOR]