利用尼日利亚白内障手术覆盖率评估某大学教学医院的社区白内障手术服务

Evaluation of the Community Cataract Surgical Services of a University Teaching Hospital Using Cataract Surgical Coverage in Nigeria.

作者信息

Olokoba L, Mahmoud O, Adepoju F, Olokoba A, Durowade K

机构信息

Department of Ophthalmology, General Hospital, Ilorin, Nigeria.

Department of Ophthalmology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

出版信息

Ethiop J Health Sci. 2016 Mar;26(2):109-16. doi: 10.4314/ejhs.v26i2.4.

DOI:10.4314/ejhs.v26i2.4

PMID:27222623

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4864339/

Abstract

BACKGROUND

Cataract is the leading cause of blindness in the world. An efficient and effective cataract surgical service is necessary to reduce the backlog of cataract blindness in the community. This study aims to determine the cataract surgical coverage among individuals aged 50 years and above residing in Esie and Arandun communities. This will serve as a measure of the impact of the cataract intervention programme provided by the University of Ilorin Teaching Hospital, Nigeria.

METHODS

The study was a population-based, cross sectional survey conducted from November to December, 2013. Cataract surgical services are provided by the University of Ilorin Teaching Hospital, Nigeria, at Esie and Arandun communities as out-reach centres. Seven hundred and fifty-five individuals aged 50 years and above residing in these communities had basic ocular examination done.

RESULTS

Out of the 765 subjects registered, 755(98.7%) were examined. Out of these, 38.4% were males and 61.6% were females. The prevalence of bilateral cataract blindness was 1.6%. The Cataract Surgical Coverage (eyes) at visual acuity < 3/60 for males and females were 52.3% and 51.2% respectively (X2=19.30, p=0.001), while the Cataract Surgical Coverage (person) at visual acuity less < 3/60 for males and females were 80.6% and 68.4% respectively (X2=2.10, p=0.147).

CONCLUSION

The Cataract Surgical Coverage was high with a correspondingly low prevalence of cataract blindness in these communities. The availability of cataract surgical services via out-reach programmes bridges the gap between eye care-givers and the community.

摘要

背景

白内障是全球失明的主要原因。提供高效且有效的白内障手术服务对于减少社区中白内障致盲的积压情况至关重要。本研究旨在确定居住在埃塞和阿兰敦社区的50岁及以上人群中的白内障手术覆盖率。这将作为衡量尼日利亚伊洛林大学教学医院提供的白内障干预项目影响的一项指标。

方法

该研究是一项基于人群的横断面调查，于2013年11月至12月进行。尼日利亚伊洛林大学教学医院在埃塞和阿兰敦社区作为外展中心提供白内障手术服务。对居住在这些社区的755名50岁及以上的个体进行了基本眼部检查。

结果

在登记的765名受试者中，755名（98.7%）接受了检查。其中，男性占38.4%，女性占61.6%。双侧白内障失明的患病率为1.6%。男性和女性视力<3/60时的白内障手术覆盖率（眼）分别为52.3%和51.2%（X2 = 19.30，p = 0.001），而男性和女性视力<3/60时的白内障手术覆盖率（人）分别为80.6%和68.4%（X2 = 2.10，p = 0.147）。