Dervan E, Lillis D, Flynn L, Staines A, O'Shea D
Department of Endocrinology, St. Columcille's Hospital, Loughlinstown, Co. Dublin, Ireland.
Ir J Med Sci. 2008 Dec;177(4):303-8. doi: 10.1007/s11845-008-0192-5. Epub 2008 Jul 19.
To assess whether patients were receiving regular diabetic retinopathy screening and to examine factors influencing screening uptake.
A questionnaire covering demographics, diabetic medical history and the knowledge of and attitudes to diabetic retinopathy was administered to all adults who were due to attend diabetes clinics in two centres in Dublin, Ireland over two months in 2001/2002.
Of the 209 people who completed the questionaire, 169 (81%) had a dilated fundal examination within the last year. The most significant predictor for receiving screening was a previous physician recommendation about the necessity of a regular eye examination. The main barriers to receiving adequate screening were lack of knowledge regarding the need for ocular examination and the effect of mydriasis in prohibiting driving.
It is essential that patients are fully aware of the need for a regular eye examination. Once a physician recommends this the screening rate improves.
评估患者是否接受定期糖尿病视网膜病变筛查，并检查影响筛查接受率的因素。
2001/2002年的两个月期间，对爱尔兰都柏林两个中心所有预定前往糖尿病诊所就诊的成年人进行问卷调查，内容涵盖人口统计学、糖尿病病史以及对糖尿病视网膜病变的了解和态度。
在完成问卷的209人中，169人（81%）在过去一年接受了散瞳眼底检查。接受筛查的最显著预测因素是之前医生关于定期眼部检查必要性的建议。接受充分筛查的主要障碍是对眼部检查需求缺乏了解以及散瞳对驾驶的影响。
患者必须充分意识到定期眼部检查的必要性。一旦医生提出建议，筛查率就会提高。
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