視覚障害者に適合した機能的自立度評価表の改変

A device on the Functional Independence Measure to assess the person with visual disabilities

要約　目的：わが国で広く使用されている日常生活動作評価表である機能的自立度評価表を視覚障害者の評価に適するように改変すること。対象と方法：対象は，視力または視野に障害をもつ155名（平均年齢55.5歳）であった。「自宅や慣れた場所」と「初めての場所」という2つの環境条件での視覚障害者の日常生活動作評価を試みた。結果：両条件における得点が大きく乖離する項目は「歩行による移動」と「階段での移動」であった。また，よいほうの眼の矯正視力と視野は，日常生活動作評価との間に大きな相関がみられた。結論：この結果は，視覚障害の評価基準によいほうの眼の矯正視力と視野を用いることが有効であるということを改めて強く示唆した。

Abstract.　Purpose：To propose a modification of functional independence measure to be used for persons with visual disabilities. Cases and Method：This study was made on 155 persons who had disabilities in visual acuity or visual field and who were cared for in rehabilitation centers. They were aged 55.5 years in average. Each person was asked by two interviewers regarding activities in locations familiar or foreign to him or her. Results：Persons with visual disabilities felt considerably greater difficulties in walking on foot or on staircases in locations foreign than familiar to them. Corrected visual acuity and field in the better seeing eye showed high correlations with activity in daily life. Conclusion：Difficulties in daily life were closely correlated with visual acuity and visual field in persons with visual difficulties.