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尼日利亚拉各斯原发性开角型青光眼患者的认知、观念及经历

The awareness, perceptions and experiences of primary open angle glaucoma patients in Lagos Nigeria.

作者信息

Mbadugha Chigozie Anuli, Onakoya Adeola Olukorede

机构信息

Department of Ophthalmology, Lions Eye Centre, Isolo General Hospital, Lagos, Nigeria.

Department of Ophthalmology, Guinness Eye Centre, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.

出版信息

Sci Rep. 2014 Dec 23;4:7585. doi: 10.1038/srep07585.

Abstract

The awareness, perceptions and experiences of Nigerian Primary Open Angle Glaucoma (POAG) patients were assessed using a hospital based cross-sectional study design. One hundred and twenty POAG patients attending a glaucoma clinic in Lagos Nigeria were recruited consecutively. They underwent face-to-face interviews with trained interviewers using a semi-structured questionnaire and an interview guide consisting of open-ended questions. A comprehensive ocular examination which included static automated perimetry, gonioscopy, stereoscopic optic nerve head assessment and contrast sensitivity was carried out for all participants. Twenty per cent (n = 24) of the respondents did not know they were being managed for a disease called Glaucoma. Age, gender, religion, ethnicity, marital status and occupation did not significantly affect the awareness of glaucoma diagnosis (p > 0.05). Positive family history of glaucoma, educational status and duration of disease were the most significant factors associated with awareness of glaucoma diagnosis (p < 0.05). POAG patients in Nigeria lack the depth of perception that can equip them to educate and motivate their family members to screen for glaucoma. There is an urgent need to develop continuous eye health education programmes to improve their perception and outlook; thereby increasing the uptake of glaucoma screening by first degree relatives of glaucoma patients.

摘要

采用基于医院的横断面研究设计,对尼日利亚原发性开角型青光眼(POAG)患者的认知、观念和经历进行了评估。连续招募了120名在尼日利亚拉各斯一家青光眼诊所就诊的POAG患者。他们接受了经过培训的访谈人员使用半结构化问卷和包含开放式问题的访谈指南进行的面对面访谈。对所有参与者进行了全面的眼部检查,包括静态自动视野检查、前房角镜检查、立体视盘评估和对比敏感度检查。20%(n = 24)的受访者不知道他们正在接受一种名为青光眼的疾病的治疗。年龄、性别、宗教、种族、婚姻状况和职业对青光眼诊断的认知没有显著影响(p > 0.05)。青光眼的阳性家族史、教育程度和病程是与青光眼诊断认知最相关的因素(p < 0.05)。尼日利亚的POAG患者缺乏足够的认知深度,无法使他们有能力教育和激励其家庭成员进行青光眼筛查。迫切需要制定持续的眼部健康教育计划,以改善他们的认知和观念;从而提高青光眼患者一级亲属对青光眼筛查的接受度。

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