井上眼科病院のロービジョン専門外来を受診した患者の同行援護の利用状況

Utilization of activity support by patients who visited the outpatient clinic for low vision at Inouye Eye Hospital

要約　目的：井上眼科病院のロービジョン（LV）外来を受診した患者の同行援護の利用状況を調査したので報告する。

対象と方法：2021年1月からの1年間にLV外来を受診した206例とした。同行援護の利用状況等について後ろ向きに調査を行った。

結果：LV外来受診者の年齢は9〜97歳（平均59.0歳）であった。性別は男性114例，女性92例であった。このうち，同行援護利用者は25例（12％）であった。年齢は19〜90歳（平均61.3歳）で，性別は男性11例，女性14例であった。65歳以上の利用者は10例であった。同行援護利用者の原因疾患は網膜色素変性9例，緑内障6例，視神経疾患5例，網脈絡膜萎縮1例，その他4例であった。視覚の身体障害者手帳（手帳）の取得状況は1級11例，2級10例，4級2例，5級2例であった。一方，LV外来受診者の歩行訓練の利用は49例で，同行援護サービスとの併用利用は12例であった。また，65歳以上の介護保険利用は25例で，同行援護利用は10例であった。

結論：井上眼科病院のLV外来を受診した患者の同行援護の利用率は12％で，手帳は1・2級の重度障害が84％であった。一方，歩行訓練の利用率は24％，介護保険の利用率は27％であった。同行援護は，患者や家族に助けになる制度で，当院のLV外来受診患者へのさらなる啓発が必要と考えた。

Abstract　Purpose：We conducted a survey of the use of activity support of low vision（LV）outpatient services at Inoue Eye Hospital.

Subjects and Methods：The study included 206 patients who visited the LV outpatient clinic during a one-year period from January 2021. A retrospective survey was conducted on the status of the use of activity support.

Results：The age of the LV outpatients ranged from 9 to 97 years（mean 59.0 years）. There were 114 male and 92 female patients. Of these, 25（12％）were users of the activity support, and their age ranged from 19 to 90 years（mean 61.3 years）. The user group included 11 male and 14 female patients, of which 10 were aged 65 years or older. The causative diseases among the users of activity support were retinitis pigmentosa in 9 cases, glaucoma in 6 cases, optic nerve disease in 5 cases, retinal choroidal atrophy in 1 case, and other diseases in 4 cases. The utilization of visual impairment handbook was observed in 11 cases for Level 1, 10 cases for Level 2, 2 cases for Level 4, and 2 cases for Level 5. On the other hand, 49 cases of LV outpatients used training for walking, and 12 cases used it in combination with activity support. Moreover, 25 patients aged were 65 years or older were using long-term care insurance, and 10 patients were using activity support.

Conclusions：The utilization rate of activity support among patients who visited the LV outpatient clinic of Inoue Eye Hospital was 12％, and 84％ of them had severe disabilities of Levels 1 and 2 of the visual impairment handbook. On the other hand, the utilization rate of training for walking was 24％ and that of long-term care insurance was 27％. The activity support is a system that can help patients and their families, and it is necessary to further educate the LV outpatient at our hospital.