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Emotional well-being and adjustment to vision loss in later life: A meta-synthesis of qualitative studies

机译：情绪健康和以后视力丧失的适应：定性研究的综合

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Purpose: To review perceived emotional well-being in older people with visual impairment and perceived factors that inhibit/facilitate psychosocial adjustment to vision loss. Method: The databases of MEDLINE, EMBASE, PsycINFO and CINAHL were searched for studies published from January 1980 to December 2010, which recruited older people with irreversible vision loss, and used qualitative methods for both data collection and analysis. Results sections of the papers were synthesised using a thematic-style analysis to identify the emergent and dominant themes. Results: Seventeen qualitative papers were included in the review, and five main themes emerged from the synthesis: 1) the trauma of an ophthalmic diagnosis, 2) impact of vision loss on daily life, 3) negative impact of visual impairment on psychosocial well-being, 4) factors that inhibit social well-being, and 5) factors that facilitate psychological well-being. We found the response shift model useful for explaining our synthesis. Conclusions: Acquired visual impairment can have a significant impact on older people's well-being and make psychosocial adjustment to the condition a major challenge. Acceptance of the condition and a positive attitude facilitate successful psychosocial adjustment to vision loss as well as social support from family, friends and peers who have successfully adjusted to the condition. Implications for Rehabilitation Visual impairment can have a profound negative impact on individuals' psychosocial well-being. The emotional needs of those with visual impairment should not to be neglected, particularly those recently diagnosed. Referrals to services may be appropriate for individuals with vision loss (e.g. counselling and peer support groups). It may also be appropriate to discuss with individuals the factors that inhibit/facilitate psychosocial adjustment to vision loss.
机译：目的：审查视力障碍老年人的感知情绪幸福感，以及抑制/促进视力丧失的心理社会适应性的感知因素。方法：从MEDLINE，EMBASE，PsycINFO和CINAHL的数据库中检索1980年1月至2010年12月发表的研究，该研究招募了具有不可逆视力丧失的老年人，并使用定性方法进行数据收集和分析。使用主题样式分析对论文的结果部分进行了综合，以确定出现的主题和主要主题。结果：本综述包含17篇定性论文，综合得出了5个主要主题：1）眼科诊断的创伤，2）视力丧失对日常生活的影响，3）视力障碍对心理社会健康的负面影响- 4）阻碍社会福祉的因素，以及5）促进心理健康的因素。我们发现响应位移模型对于解释我们的综合很有用。结论：获得性视力障碍可能对老年人的健康产生重大影响，并使适应这种状况的心理社会适应成为一项重大挑战。对病情的接受和积极的态度有助于成功地对失明的心理进行心理调整，并为成功适应病情的家人，朋友和同伴提供社会支持。康复的影响视觉障碍可能对个人的心理健康产生深远的负面影响。不应忽视视力障碍者的情感需求，尤其是最近被诊断出的那些人。转介服务可能适合视力丧失的人（例如咨询和同伴支持小组）。与个人讨论抑制/促进视力丧失的心理调整的因素也是合适的。

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